开天门治疗对骨科腰麻术后头痛的护理研究  

Nursing Study on Kaitianmen in Treatment of Postdural Puncture Headache

作　　者：胡克萍[1] 谭艳庆[1] 方耀忠[1] 陈惠雅 沈钊雄[1] 傅秋媛 

机构地区：[1]广州中医药大学附属佛山中医院,广东佛山528000

出　　处：《临床医学工程》2015年第10期1361-1362,共2页Clinical Medicine & Engineering

基　　金：2014年度佛山市卫生局医学科研立项课题(项目编号:2014117)

摘　　要：目的观察开天门治疗对骨科腰麻术后头痛的临床疗效。方法选取我科2014年1月至2015年2月接受下肢骨折手术并出现腰麻后头痛患者共120例,随机分为观察组和对照组各60例。对照组采用补液疗法治疗,观察组在对照组基础上加用开天门治疗。采用疼痛视觉模拟评分法(VAS)评估患者的头痛程度,比较两组治疗前后VAS评分以及临床治疗效果。结果治疗后两组VAS评分均显著改善,且治疗后观察组VAS评分优于对照组;观察组总有效率显著高于对照组;差异均具有统计学意义(P<0.05)。结论开天门治疗能有效缓解骨科腰麻术后的头痛症状,临床疗效确切,值得推广应用。Objective To observe the clinical effect of Kaitianmen in treating postdural puncture headache （PDPH）. Methods 120 PDPH patients received lower extremity operation in our hospital form January 2014 to February 2015 were selected and randomly divided into observation group and control group, with 60 cases in each group. The control group was given fluid therapy, the observation group was given Kaitianmen therapy on this basis. The degree of headache was evaluated by visual analogue scale （VAS）. The VAS scores before and after treatment and clinical treatment effect of two groups were compared. Results The VAS scores of two groups after treatment improved significantly, and the VAS scores of observation group were better than those of control group （P 〈0.05）; the total effective rate of observation group was higher than that of control group （P 〈0.05）. Conclusions Kaitianmen can effectively relieve the headache in the treatment of postdural puncture headache, with definite clinical effect, which is worthy of promotion.

关 键 词：开天门 腰麻术后头痛 疼痛视觉模拟评分法 

分 类 号：R473.5[医药卫生—护理学]