【摘要】 目的 研究中医综合护理干预方案用于气滞血瘀型颈椎病患者临床治疗中的效果。
方法 88例气滞血瘀型颈椎病患者， 按照随机数字表法分为研究组和对照组， 每组44例。研究组患者接受中医综合护理干预， 对照组患者接受传统常规护理。比较两组的干预效果。结果 干预前两组右侧屈活动度、左侧屈活动度比较差异均无统计学意义（P>0.05）;干预后研究组患者右侧屈活动度、左侧屈活动度均优于对照组， 差异均具有统计学意义（P<0.05）。干预前两组视觉模拟评分法（VAS）评分比较差异无统计学意义（P>0.05）;干预后研究组患者VAS评分（2.47±1.22）分明显低于对照组的（5.78±1.26）分，
差异具有统计学意义（P<0.05）。结论 气滞血瘀型颈椎病患者接受中医综合护理干预能够有效改善其活动情况， 缓解颈椎疼痛， 临床应用价值突出。
【关键词】 中医综合护理干预;颈椎病;气滞血瘀型
DOI：10.14163/j.cnki.11-5547/r.2018.12.091
【Abstract】 Objective To study the effect of comprehensive Chinese medicine nursing intervention applied for patients with qi stagnation and blood stasis type of cervical spondylosis. Methods A total of 88 patients with qi stagnation and blood stasis type of cervical spondylosis were divided by random number table method into research group and control group， with 44 cases in each group. The research group received comprehensive Chinese medicine nursing intervention， and the control group received traditional conventional nursing. The intervention effect in two groups was compared. Results Before intervention， both groups had no statistically significant difference in right flexion activity and left flexion activity （P>0.05）. After intervention， the research group had better right flexion activity and left flexion activity than the control group， and the difference was statistically significant （P<0.05）. Before intervention， both groups had no statistically significant difference in visual analogue scale （VAS） score （P>0.05）. After intervention， the research group had obviously lower VAS score as （2.47±1.22） points than （5.78±1.26） points in the control group， and the difference was statistically significant （P<0.05）. Conclusion Comprehensive Chinese medicine nursing intervention can effectively improve the activity of patients with qi stagnation and blood stasis type of cervical spondylosis， and relieve their cervical pain with remarkable clinical application value.
【Key words】 Comprehensive Chinese medicine nursing intervention; Cervical spondylosis; Qi stagnation and blood stasis type
從中医角度来讲颈椎病被归纳到“痹症”范畴[1]， 病症类型来看以气滞血瘀型颈椎病居多， 该病症主要是由于患者颈椎部位经络不通、气血不和导致的[2]。在临床治疗的同时要配合中医综合护理干预， 效果更优。本文就此展开讨论研究， 现报告如下。
1 资料与方法
1. 1 一般资料 随机选取2016年12月～2017年12月来本院就诊的气滞血瘀型颈椎病患者88例， 按照随机数字表法分为研究组与对照组， 每组44例。该分组方法已经征得医学伦理委员会同意通过。研究组男20例、女24例;年龄28～59岁， 平均年龄（43.5±5.2）岁;平均病程（2.5±1.2）年。对照组男21例、女23例;年龄26～59岁， 平均年龄（42.5±5.5）岁;平均病程（2.7±1.5）年。两组患者一般资料比较差异无统计学意义（P>0.05）， 具有可比性。
