摘要
目的研究心理护理对微创介入镇痛术治疗腰椎间盘突出症的疗效。方法宣武医院疼痛中心2009年6月—2010年7月住院行微创介入镇痛术治疗的腰椎间盘突出症患者,共80例,随机分为两组,每组40例,所有患者均接受微创神经介入镇痛术,实验组在微创神经介入镇痛术治疗的同时配合适当的心理护理。采用六点行为评分法（6-point behavioral rating scale,BRS-6）对患者治疗后的效果进行评价,根据患者的治疗效果,0~2分为治疗有效（其中0~1分为治愈,）,3~5分患者为无效。结果经治疗后,实验组治愈26例（65.0%）,有效率为81.7%（33例）,无效率17.5%（7例）;对照组治愈16例（40.0%）,有效率为60.0%（24例）,无效率40.0%（16例）。两组有效率间差异有统计学意义（2χ=4.94,P=0.026）。结论微创介入镇痛术治疗腰椎间盘突出症的同时配合适当的心理护理措施可以提高临床疗效。
Objective To study the effects of psychological care on lumbar disc hernation with minimally invasive interventional analgesia.Methods Totally 80 inpatients with lumbar disc hernation who underwent minimally invasive interventional analgesia at the pain relief center of Xuanwu hospital from June 2009 to July 2011 were enrolled.The patients were randomized into two groups（40 cases each） with the experimental group received psychological care at the same time.The 6-point behavioral rating scale was adopted to evaluate the effects of the treatment,with score 0-1 defined as curative,score 0-2 defined as effective,and score 3-5 defined as ineffective.Results For the experimental group,the cure rate was 65.0%（26 cases）,the effective rate was 81.7%（33 cases）;for the control group,the cure rate was 40.0%（16 cases）,the effective rate was 60.0%（24 cases）.Conclusion The combination of psychological care improves the efficacy of minimally invasive interventional analgesia in treatment of lumbar disc hernation.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第20期2298-2300,共3页
Chinese General Practice
关键词
腰椎
椎间盘移位
疼痛
微创介入镇痛手术
心理护理
Lumbar vertebrae
Intervertebral disk displacement
Pain
Minimally invasive interventional analgesia
Psychological nursing
