经皮半月神经节射频热凝毁损术治疗老年人原发性三叉神经痛的效果观察及护理  

The clinical application and nursing of percutaneous and ganglion radiofrequency treatment in the elderly patients of trigeminal neuralgia

作　　者：宣琴丽 方碧兰[1] 庾莉萍[1] 王昊[1] 

机构地区：[1]杭州市第一人民医院神经外科,浙江省杭州310002

出　　处：《中国基层医药》2016年第17期2601-2605,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省杭州市科技计划资助项目（20110833B04）

摘　　要：目的：探讨经皮半月神经节射频热凝毁损手术治疗老年人原发性三叉神经痛的临床疗效及护理措施。方法将144例老年原发性三叉神经痛患者采用随机数字表法分为观察组和对照组，每组各72例，对照组给予经皮半月神经节射频热凝毁损手术治疗，观察组联合综合护理干预，记录两组临床治疗情况。结果观察组干预后焦虑自评量表评分（41．88±1．04）分，抑郁自评量表评分（44．19±2．15）分；对照组干预后焦虑自评量表评分（45．86±2．47）分，抑郁自评量表评分（51．08±3．97）分，组间差异有统计学意义（t ＝12．601、12．949，均 P ＜0．05）。观察组住院时间（16．71±1．64）d，疼痛视觉模拟评分（1．48±0．51）分，护理满意度评分（94．58±2．43）分；对照组住院时间（23．86±2．96）d，疼痛视觉模拟评分（3．26±1．14）分，护理满意度评分（88．17±5．87）分，组间差异有统计学意义（t ＝17．928、12．093、8．561，均 P ＜0．05）。观察组术后并发症发生率为5．56％，对照组术后并发症发生率为16．67％，组间差异有统计学意义（χ^2＝4．500，P ＜0．05）。结论对经皮半月神经节射频热凝毁损手术治疗老年原发性三叉神经痛患者进行综合护理干预能够有效减轻心理负性情绪，缩短住院时间，降低患者疼痛评分，减少术后并发症发生，值得在临床上推广应用。Objective To explore the clinical curative effect and nursing measures of damaged skin and ganglion radiofrequency thermal condensation in the treatment of elderly primary trigeminal neuralgia.Methods 144 elderly patients with trigeminal neuralgia were randomly divided into observation group and control group,72 cases in each group.The control group was given percutaneous and ganglion radiofrequency thermal condensation damage to surgical treatment,the observation group was given in combination with the comprehensive nursing intervention.The clinical treatments of the two groups were observed.Results After the intervention,the anxiety self -assessment rating scale, depression self rating scale score of the observation group were （41.88 ±1.04）points,（44.19 ±2.15）points which of the control group after the intervention were （45.86 ±2.47）points,（51.08 ±3.97）points,the differences between the two groups were statistically significant （t =12.601,12.949,all P 〈0.05）.In observation group,the length of hospital stay,visual analog pain score,nursing satisfaction score were （16.71 ±1.64）d,（1.48 ± 0.51）points,（94.58 ±2.43）points,which of the control group were （23.86 ±2.96）d,（3.26 ±1.14）points, （88.17 ±5.87）points,the differences between the two groups were statistically significant （t =17.928,12.093, 8.561,all P 〈0.05）.The incidence rate of postoperative complications of the observation group was 5.56%,which of the control group was 16.67%,the difference between the two groups was statistically significant （χ^2 =4.500,P 〈0.05）.Conclusion Damaged on percutaneous and ganglion radiofrequency thermal condensation in treatment of elderly patients of primary trigeminal neuralgia with comprehensive nursing intervention can effectively relieve psycho-logical negative emotions,shorten hospitalization time,the patients＆#39;pain score,reduce the postoperative complications, it is worthy of popularization and application in clinic.

关 键 词：三叉神经痛 神经节 射频热凝 护理 老年人 

分 类 号：R473.74[医药卫生—护理学]