··检验医学与临床2024年3月第21卷第6期LabMedClin,March2024,Vol.21,No.6829·论著·DOI:10.3969/j.issn.1672-9455.2024.06.022子午流注穴位贴敷联合穴位按摩对腰椎间盘突出症患者术后疼痛程度及腰椎功能的影响肖莹,宋悦△,王思敏,徐金艳,夏琴江西中医药大学附属医院护理部,江西南昌330006摘要:目的观察子午流注穴位贴敷联合穴位按摩对腰椎间盘突出症(LDH)患者术后疼痛程度及腰椎功能的影响。方法选取2020年1月至2022年12月该院收治的86例LDH患者为研究对象,按照随机数字表法将其分为观察组和对照组,各43例。两组均行脊柱内镜下椎间盘髓核摘除术治疗,对照组术后实施常规护理,观察组在常规护理基础上实施子午流注穴位贴敷联合穴位按摩,连续干预1周。比较两组术后不同时间点疼痛程度、胃肠功能恢复、腰椎功能情况。结果重复测量方差分析显示,两组术后不同时间点VAS评分的变化存在交互效应(F=124.358,P<0.001),故进一步做单独效应检验。经多变量方差分析,结果显示两组交互术后12h时VAS评分比较,差异无统计学意义(P>0.05),术后第2、4、7天观察组VAS评分低于对照组(F=9.312、7.687、9.197,P<0.001)。与对照组相比,观察组术后肠鸣音恢复时间、肛门首次排气时间、肛门首次排便时间更短(P<0.05);干预1周后两组Oswestry功能障碍指数(ODI)评分均降低,且观察组ODI评分低于对照组,差异均有统计学意义(P<0.05)。结论子午流注穴位贴敷联合穴位按摩干预可促进LDH患者胃肠功能恢复,缓解术后疼痛,利于腰椎功能恢复。关键词:腰椎间盘突出症;子午流注穴位贴敷;穴位按摩;疼痛;腰椎功能中图法分类号:R473.6文献标志码:A文章编号:1672-9455(2024)06-0829-04EffectofZiwuLiuzhuacupointapplicationcombinedwithacupointmassageonpostoperativepaindegreeandlumbarfunctioninpatientswithlumbardischerniationXIAOYing,SONGYue△,WANGSimin,XUJinyan,XIAQinDepartmentofNursing,AffiliatedHospitalofJiangxiUniversityofTraditionalChineseMedicine,Nanchang,Jiangxi330006,ChinaAbstract:ObjectiveToobservetheeffectofZiwuLiuzhuacupointapplicationcombinedwithacupointmassageonpostoperativepaindegreeandlumbarfunctioninthepatientswithlumbardischerniation(LDH).MethodsEighty-sixpatientswithLDHadmittedandtreatedinthishospitalfromJanuary2020toDecember2022wereselectedasthestudysubjectsanddividedintotheobservationgroupandcontrolgroupbytheran-domnumbertablemethod,43casesineachgroup.Bothgroupsunderwentspinalendoscopicnucleuspulposusdiscectomy.Thecontrolgroupimplementedtheroutinenursingcareaftersurgery,whiletheobservationgroupimplementedtheacupointapplicationcombinedwithacupointmassageatZiwuLiuzhuacupointonthebasisofroutinenursingcare.Theinterventioncontinuouslylastedfor1week.Thepostoperativepaindegreeatdifferenttimepoints,recoveryofgastrointestinalfunctionandlumbarspinefunctionwerecomparedbetweentwogroups.ResultsTherepeatedmeasures