神经阻滞联合综合护理治疗带状疱疹后遗神经痛的疗效研究  

Study on Curative Effect of Nerve Block Combined with Comprehensive Nursing in the Treatment of Postherpetic Neuralgia

作　　者：王娜[1] 周明[1] Wang Na;Zhou Ming(The first medical center of PLA General Hospital,Department of rehabilitation medicine,Beijing,100853,China;不详)

机构地区：[1]解放军总医院第一医学中心康复科,北京市100853

出　　处：《中国病案》2023年第11期110-112,共3页Chinese Medical Record

基　　金：国家骨与运动康复临床医学研究中心创新基金(2021-NCRC-CXJJ-PY-10)。

摘　　要：目的探讨神经阻滞联合综合护理治疗带状疱疹后遗神经痛的临床疗效,以提高患者生活质量。方法便利选取法选择2018年2月1日-2021年1月31日在某院康复科收治的80例带状疱疹后遗神经痛患者,随机分为观察组与对照组,每组40例患者。两组患者均接受神经阻滞治疗,阻滞术后对照组患者接受常规护理,观察组患者在常规护理的基础上给予综合护理干预。比较两组患者治疗前后疼痛视觉模拟评分VAS、生活质量评分SF-36、及护理满意率。结果与对照组相比,治疗后观察组VAS评分(2.03±0.45)下降,SF-36生理健康与精神健康评分(78.53±3.20,78.03±3.02)、护理满意率(95%)提高,差异均具有统计学意义(P<0.05)。结论神经阻滞联合综合护理干预可有效缓解带状疱疹后遗神经痛患者的疼痛,提高患者生活质量和护理满意度。Objectives This study aims to investigate the clinical efficacy of nerve block combined with comprehensive nursing care in the treatment of postherpetic neuralgia in order to improve the patient’s quality of life.Methods Eighty patients with postherpetic neuralgia admitted to the rehabilitation department of a hospital from February 1,2018 to January 31,2021 were selected and randomly divided into an observation group and a control group,with 40 patients in each group.Patients in both groups received nerve block treatment.After the block,patients in the control group received conventional care,while patients in the observation group were given comprehensive nursing interventions on the basis of conventional care.The visual analog score of pain(VAS),quality of life score(SF-36),and satisfaction rate of nursing care were compared between the two groups before and after treatment.Results Compared with the control group,the VAS score(2.03±0.45)decreased,the SF-36 physical and mental health score(78.53±3.20,78.03±3.02)and the satisfaction rate of nursing(95%)increased in the observation group after treatment,and the differences were all statistically significant(p<0.05).Conclusions Nerve blocks combined with comprehensive nursing interventions can effectively relieve the pain of patients with postherpetic neuralgia and improve their quality of life and satisfaction with care.

关 键 词：带状疱疹后遗神经痛 神经阻滞治疗 综合护理 疼痛 生活质量 

分 类 号：R473.75[医药卫生—护理学]