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作 者:李萌[1] 纪凡[1] 卢光[1] 张晓磊[1] 胡永生[1]
机构地区:[1]首都医科大学宣武医院功能神经外科北京功能神经外科研究所,北京100053
出 处:《中国疼痛医学杂志》2017年第8期584-588,共5页Chinese Journal of Pain Medicine
摘 要:目的:评价利用综合护理干预手段对于卒中后中枢性疼痛(central post stroke pain,CPSP)病人的疼痛缓解和生活质量提高的效果。方法:我科室住院行运动皮层电刺激术(motor cortex stimulation,MCS)的CPSP共16例病人,按数字随机表法分为两组:对照组和干预组各8例,对照组采用常规护理措施,干预组采用以健康宣教、环境干预护理、针对性疼痛护理、心理护理和物理康复干预为核心的综合护理干预手段,并评估病人术前及术后的疼痛视觉模拟评分(visual analogue scale,VAS)和SF-36生活质量(short form-36,SF-36)提高情况。结果:对照组病人术前VAS评分为9.5±0.4,术后VAS评分为5.5±0.9,干预组病人术前VAS评分为9.4±0.6,术后VAS评分为4.1±1.0,两组术后较术前相比均有显著性差异(P<0.001);而干预组较对照组VAS下降有统计学差异(P<0.05)。针对SF-36生活质量评分方面比较,对照组术前为46.6±5.3,术后为63.4±19.2,有显著性差异(P<0.01);干预组术前为46.9±5.4,术后为69.8±17.0,有显著性差异(P<0.001);两组术后比较具有显著性差异(P<0.01)。结论:CPSP病人在药物治疗和MCS手术治疗的基础上,综合护理干预方案降低了病人的疼痛,并提高了其生活质量,是一种有效的综合护理手段。Objective: To evaluate the pain relief and quality of life improvement in patients with central post stroke pain(CPSP) by comprehensive nursing intervention. Methods: A total of 16 patients with motor cortex stimulation(MCS) were randomly divided into two groups: control group and intervention group(n = 8). The control group used basic nursing measure, the intervention group used healthy education, environmental intervention nursing, targeted pain nursing, psychological nursing and physical rehabilitation intervention as the core of the comprehensive nursing intervention, then to assess the patient's preoperative and postoperative visual analogue scale(VAS) and short form-36(SF-36) score. Results: The preoperative VAS score of the control group was 9.5 ± 0.4, the postoperative VAS score was 5.5 ± 0.9; the preoperative VAS score of the intervention group was 9.4 ± 0.6, the postoperative VAS score was 4.1 ± 1.0. The difference of postoperative VAS between the two groups was statistically different(P〈0.05). The preoperative SF-36 score of the control group was 46.6±5.3, the postoperative SF-36 score was 63.4±19.2; the preoperative SF-36 score of the intervention group was 46.9±5.4, the postoperative SF-36 score was 69.8±17.0, there was significant difference between the preoperative and postoperative SF-36 scores in each group(P〈0.01 and P〈0.001). The difference of postoperative SF-36 between the two groups was significant different(P〈0.01). Conclusion: On the basis of drug treatment and MCS surgery, the comprehensive nursing intervention program relieves the pain and improves the quality of life of CPSP patients, Showing that it is an effective nursing method.
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