舒适护理对经皮椎间盘镜治疗腰椎间盘突出症的疗效及生活质量的影响  

Effect of comfort care on the efficacy and quality of life of percutaneous intervertebral disc endoscope in treatment of patients with lumbar disc herniation

作　　者：何凡[1] 陈盈盈[1] 王靖[1] 

机构地区：[1]温州医科大学附属第一医院骨科,浙江温州325000

出　　处：《中国现代医生》2015年第25期140-143,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2010ZA083)

摘　　要：目的探讨舒适护理对经皮椎间盘镜治疗腰椎间盘突出症的疗效及生活质量的影响。方法选择我院自2013年1月~2014年1月收治的80例腰椎间盘突出症患者,根据护理方法不同随机将患者分为对照组和观察组,每组40例,两组患者均行经皮椎间盘镜手术,在此基础上对照组行常规护理,观察组行舒适护理,对两组治疗后的优良率进行评价,并比较两组患者治疗前后VAS评分、生活质量RMQ评分。结果观察组治疗后的优良率达90.0%,显著高于对照组,两组疗效组间比较,差异具有统计学意义（P〈0.05）;治疗后,观察组与对照组患者的疼痛VAS评分分别为（3.42±0.73）分、（5.17±0.88）分,分别较治疗前显著降低,且观察组患者的疼痛VAS评分显著低于对照组,组间比较差异具有统计学意义（P〈0.05）。治疗后,对照组与观察组的生活质量RMQ评分分别为（13.41±2.37）分、（21.87±3.32）分,分别较治疗前显著提高,且观察组的生活质量RMQ评分显著高于对照组,组间比较差异具有统计学意义（P〈0.05）。结论对经皮椎间盘镜治疗腰椎间盘突出症患者行舒适护理干预,有利于提高手术治疗效果,减轻患者疼痛,提高患者的生活质量,有利于疾病的恢复。Objective To explore the effect of comfortable nursing care on the efficacy and quality of life of percutaneous discectomy in treatment of patients with lumbar disc herniation. Methods A total of 80 patients from Jan 2013 to Jan2014 in our hospital according to the nursing methods were randomly divided into control group and observation group,40 cases in each group, the two groups of patients underwent percutaneous discectomy operation, on the basis of the operation, control group received routine nursing care, observation group received comfort nursing, the excellent rate and VAS score, RMQ score and quality of life changes before and after treatment were evaluated and compared between two groups. Results The excellent rate of observation group after treatment was 90.0%, was significantly higher than the control group, the difference was significant between two groups（P〈0.05）. After treatment, the VAS score in observation group and the control group were（3.42±0.73）,（5.17±0.88） respectively, were significantly lower than before treatment, and observation group was significantly lower than the control group, the difference was significant between two groups（P〈0.05）. After treatment, RMQ quality of life score in the control group and the observation control group were（13.41 ±2.37）,（21.87 ±3.32） respectively, were significantly improved than before treatment, and the observation group were significantly higher than the control group, the difference was significant between two groups（P 0.05）.Conclusion Percutaneous discectomy in treatment of lumbar disc herniation in patients with comfortable nursing intervention can improve the operation therapeutic effect, reduce the pain of patients, improve the quality of life of patients, is beneficial to the recovery of disease.

关 键 词：腰椎间盘突出症 舒适护理 经皮椎间盘镜 疼痛 生活质量 

分 类 号：R473.6[医药卫生—护理学]