多维度药物护理在甲泼尼龙琥珀酸钠治疗神经根型颈椎病急性疼痛期间的效果  

Effect of Multi-dimensional Drug Nursing on Acute Pain of Cervical Spondylotic Radiculopathy Treated with Methylprednisolone Sodium Succinate

作　　者：赵君 李宝田[1] ZHAO Jun;LI Baotian(Zhengzhou Orthopedic Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州市骨科医院,河南郑州450000

出　　处：《中国药物滥用防治杂志》2023年第4期726-729,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：2020—2021年度河南省中医药科学研究专项课题(编号:20-21ZYZD10)。

摘　　要：目的:探讨多维度药物护理辅助甲泼尼龙琥珀酸钠治疗神经根型颈椎病急性疼痛的效果。方法:择取2021年12月—2022年12月经本院收治神经根型脊椎病急性疼痛患者90例开展研究,随机分为对照组及观察组,每组45例。两组患者均行甲泼尼龙琥珀酸钠治疗,对照组予以常规护理,观察组于对照组基础上施以多维度药物护理,比较两组急性疼痛缓解情况及睡眠质量、应对方式、生活质量及不良事件。结果:护理后,两组VAS评分、PSQI评分低于护理前,且观察组低于对照组(P<0.05);两组MCSQ中屈服、回避评分低于护理前,面对评分高于护理前,且观察组屈服、回避评分低于对照组,面对评分高于对照组(P<0.05);两组GQOLI-74评分高于护理前,且观察组高于对照组(P<0.05);观察组不良事件发生率为2.22%,低于对照组的20.00%(P<0.05)。结论:神经根型颈椎病急性疼痛患者行甲泼尼龙琥珀酸钠治疗时辅以多维度药物护理,可有效缓解急性疼痛,改善睡眠质量,积极转变应对方式,提高生活质量,降低不良事件发生概率,值得临床应用。Objective:To explore the effect of multi-dimensional drug nursing assisted with methylprednisolone sodium succinate in the treatment of acute pain of cervical spondylotic radiculopathy.Methods:From December 2021 to December 2022,90 patients with acute pain of nerve root type spinal disease admitted to our hospital were selected for study and randomly divided into control group and observation group,with 45 cases in each group.Both groups were treated with methylprednisolone sodium succinate.The control group was given routine nursing.The observation group was given multidimensional drug nursing on the basis of the control group.The acute pain relief,sleep quality,coping style,quality of life and adverse events were compared between the two groups.Results:After nursing,the VAS score and PSQI score of the two groups were lower than those before nursing,and those of the observation group were lower than the control group(P<0.05).The yield and avoidance scores of MCSQ in the two groups were lower than those before nursing,and the face score was higher than that before nursing,while the yield and avoidance scores of the observation group were lower than those of the control group,and the face score was higher than that of the control group(P<0.05).The GQOLI-74 scores of the two groups were higher than those before nursing,and the observation group was higher than the control group(P<0.05).The incidence of adverse events in the observation group was 2.22%,which was lower than 20.00% in the control group(P<0.05).Conclusion:Patients with acute pain of cervical spondylotic radiculopathy treated with methylprednisolone sodium succinate combined with multi-dimensional drug nursing can effectively relieve acute pain,improve sleep quality,actively change coping style,improve quality of life,and reduce the incidence of adverse events.It is worthy of clinical application.

关 键 词：神经根型颈椎病 急性疼痛 甲泼尼龙琥珀酸钠 多维度药物护理 

分 类 号：R473.6[医药卫生—护理学]