Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (5) ; 10.12208/j.jacn.20260258 .
总浏览量: 42
新疆医科大学第六附属医院 新疆乌鲁木齐
*通讯作者： 刘敏,单位：新疆医科大学第六附属医院 新疆乌鲁木齐; ；
目的 探究中医特色康复护理（针灸+推拿+艾灸）在肌骨疾病患者中的临床应用效果，为临床肌骨疾病康复护理提供高效、安全的中医方案。方法 选取本院2024年3月-2025年3月收治的70例肌骨疾病患者为研究对象，均实施以针灸、推拿、艾灸为核心的中医特色康复护理干预，干预周期1个月，观察并比较患者干预前后疼痛视觉模拟评分、关节活动度、肢体功能评分及临床总有效率。结果 干预后患者VAS评分显著低于干预前，ROM、Fugl-Meyer评分均显著高于干预前，差异均有统计学意义（P<0.05）；70例患者中临床痊愈21例、显效30例、有效15例、无效4例，临床总有效率为94.29%。结论 对肌骨疾病患者实施针灸、推拿、艾灸联合的中医特色康复护理，能有效缓解患者疼痛症状，改善关节活动度与肢体运动功能，临床应用效果显著，值得推广。
Objective To explore the clinical application effect of traditional Chinese medicine specialized rehabilitation care (acupuncture + massage + acupressure) in patients with musculoskeletal diseases, and to provide an efficient and safe traditional Chinese medicine plan for clinical rehabilitation care of musculoskeletal diseases. Methods 70 patients with musculoskeletal diseases admitted to our hospital from March 2024 to March 2025 were selected as the research subjects. All patients received specialized rehabilitation care with acupuncture, massage, and acupressure as the core intervention. The intervention period was 1 month. The visual analogue scale score for pain, joint range of motion, limb function score, and clinical total effective rate were observed and compared before and after the intervention. Results After the intervention, the VAS score of patients was significantly lower than that before the intervention, and the ROM and Fugl-Meyer scores were significantly higher than those before the intervention, and the differences were statistically significant (P < 0.05); Among the 70 patients, 21 were clinically cured, 30 were significantly improved, 15 were effective, and 4 were ineffective. The clinical total effective rate was 94.29%. Conclusion Implementing acupuncture, massage, and acupressure combined traditional Chinese medicine specialized rehabilitation care for patients with musculoskeletal diseases can effectively relieve patients' pain symptoms, improve joint range of motion and limb movement function, and the clinical application effect is significant, which is worthy of promotion.
[1] 张琦,熊惠芬.中医特色护理技术联合核心肌群训练对股骨颈骨折术后康复的影响[J].四川中医,2024,42(12): 206-208.
[2] 陈燚.中医情志护理联合易筋经对中老年骨性关节炎合并肌少症患者生存质量的影响研究[J].Nursing Science, 2023,12(06):937-945.
[3] 王芗斌,侯美金,苟艳芸,等.探讨"骨正筋和,形神共调"康复原则在慢性肌骨功能障碍中的应用[J].康复学报,2023, 33(01):14-23.
[4] 徐道明,刘静,朱璐,等.艾灸"肝俞""肾俞"对骨质疏松大鼠肌肉骨骼的影响[J].针刺研究,2022,19(07):47-48.
[5] 路琪容.艾灸对骨关节炎下肢肌肉功能障碍的影响及机制研究[D].南方医科大学,2025,27(15):182-183.
[6] 黄裕韬,张焱皓,赖锦佳,等.中医护士职业性肌肉骨骼疾患状况及影响因素分析[J].职业与健康,2025,10(07):55-62.
[7] 邱曼丽,吴琦,陶杰,等.肌骨超声在针灸诊治肌肉骨骼疾病中的运用与思考[J].中国针灸,2024,44(01):39-42.
[8] 蒋思琪,黄欢欢,余馨雨,等.虚拟现实技术在肌肉骨骼疾病康复中的应用进展[J].军事护理,2024,41(02):79-82.