The effect of combination of bone-setting massage and rehabilitation training nursing on patients with lumbar disc herniation
正骨推拿联合康复训练护理对腰椎间盘突出症患者的影响

摘要

目的 探讨正骨推拿联合康复训练护理对腰椎间盘突出症患者的影响。方法 选取本院2024年1月-2024年12月期间收治70例腰椎间盘突出症患者作为本次研究对象，患者例数按照电脑随机模式分为对照组和观察组，每组35例。根据护理模式不同，对照组采用单独的康复训练护理，观察组则在对照组的基础上联合正骨推拿护理。对比两组康复治疗总效率、疼痛缓解情况（VAS）、腰椎功能改善（JOA）以及生活质量（SF-36）。结果 联合护理后，观察组患者在康复治疗总效率方面显著高于对照组，且在VAS评分、JOA评分以及SF-36评分改善程度均优于对照组。结论 正骨推拿联合康复训练护理对腰椎间盘突出症患者效果显著。它能有效缓解疼痛，改善腰椎活动度，提升整体预后及生活质量，且安全性高、易被接受，值得临床推广。

Abstract

Objective To investigate the effect of combining bone-setting massage with rehabilitation training nursing on patients with lumbar disc herniation.
Methods A total of 70 patients with lumbar disc herniation admitted to our hospital from January 2024 to December 2024 were selected as the study subjects. The patients were randomly divided into a control group and an observation group using a computer-based randomization method, with 35 patients in each group. Based on different nursing approaches, the control group received rehabilitation training nursing alone, while the observation group received combined bone-setting massage nursing in addition to the rehabilitation training. The total rehabilitation efficiency, pain relief (VAS), lumbar function improvement (JOA), and quality of life (SF-36) were compared between the two groups.
Results After combined nursing, the observation group showed significantly higher total rehabilitation efficiency compared to the control group. Moreover, the improvements in VAS scores, JOA scores, and SF-36 scores were all superior to those of the control group.
Conclusion   The combination of bone-setting massage and rehabilitation training nursing has a significant effect on patients with lumbar disc herniation. It effectively alleviates pain, improves lumbar mobility, enhances overall prognosis and quality of life, and demonstrates high safety and acceptability, making it worthy of clinical promotion.