| Objective: Rotary reduction has a good clinical effect on the treatment of lumbar disc herniation.Psychological intervention assisted treatment is more and more valued in clinical application.Physical and mental health is the highest goal pursued by modern medicine.In this study,the method of rotating reduction combined with psychological intervention was used to treat lumbar disc herniation.The relationship between pain and quality of life improvement and anxiety and depression in patients after treatment was explored.Methods: A total of 76 patients diagnosed with lumbar disc herniation accompanied by anxiety and depression in Renai Branch of the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine from January 2018 to December 2019 were collected,and the patients were divided into an intervention group and a control group,each group 38 For example,the intervention group used Chinese medicine lumbar spine rotation reduction method combined with psychological intervention treatment,while the control group only used Chinese medicine lumbar spine rotation reduction method.Once every other day,7 treatments were a course of treatment.Before the first treatment,the survey score scale was used to score the anxiety,depressive emotional state,pain level,related clinical signs,and daily living ability of the two groups of patients;then,after the third and seventh treatment,respectively Relevant items were scored,and one month after the end of the treatment course,the pain level and daily life ability score werescored again.The questionnaire includes: general condition and clinical symptoms and signs of patients,self-rating anxiety scale(SAS),self-rating depression scale(SDS),digital pain scale,JOA low back pain scale,activity daily living scale(ADL).After the observation is completed,the obtained data is statistically analyzed to obtain the treatment results of the two groups;finally,the results are analyzed according to the traditional Chinese medicine theory and modern medical knowledge,and the conclusions are drawn based on the results and theoretical analysis.Results:1.Before and after treatment,the digital pain scores of the two groups were compared.The results showed that there was no significant difference in the digital pain scores between the two groups before and after the third treatment(P>0.05).The digital pain score of the intervention group was better than the control group,the difference was statistically significant(P<0.01).2.Comparing the SAS scores of the intervention group and the control group before treatment,after the third treatment and after the seventh treatment,the results showed that the SAS scores of the patients in both groups before and after treatment were statistically different(P<0.01)There was also a significant difference between the SAS score of the intervention group and the SAS score of the control group(P<0.01).The decrease in the SAS score of the intervention group was greater than that of the control group.3.The SDS scores of the intervention group and the control group before treatment,after the third treatment and after the seventh treatment were compared.The results showed that the SDS scores of the patients in the two groups before and after treatment were statistically different(P<0.01)In the inter-comparison,the SDS score of the intervention group decreased more than the control group.4.After the 7th treatment,the two groups of patients were given JOA low back pain score to calculate the treatment improvement rate.The results showed that: in the intervention group,12 people had an improvement rate of≥60%,22 people had an improvement rate of≥25%,and the improvement rate was <25% 3 people in the control group;4 people in the control group with an improvement rate of≥60%,25 people with an improvement rate of≥25%,and 9 people with an improvement rate of <25%;the difference between the two groups in the improvement rate was statistically significant(P<0.05),the efficacy of the intervention group is better than the control group.5.One month after the end of the course of treatment,the two groups of patients were scored on the Daily Living Ability Scale.The results showed that the ADL scores of the intervention group and the control group after treatment were improved compared with those before the treatment(P<0.01),but the intervention group was significantly better than the control group in improving the daily life of patients(P<0.01).Conclusions:1.Rotary reduction combined with psychological intervention and simple rotary reduction can effectively reduce the pain of patients with lumbar disc herniation and improve the patient’s lower waist function;rotary reduction combined with psychological intervention is better than simple rotary reduction.2.Rotary reduction combined with psychological intervention can effectively improve the anxiety and depression associated with patients with lumbar disc herniation.3.During the 1-month follow-up of the patients receiving psychological intervention,the improvement of the quality of daily life of the patients is better than the simple rotation reduction.4.As an auxiliary method,psychological intervention can improve the curative effect of the spinal reduction method in the treatment of lumbar disc herniation. |
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