带状疱疹后神经痛合并上肢运动功能障碍患者神经阻滞镇痛术后康复护理的分析  

Analysis of Postoperative Rehabilitation Nursing for Patients with Postherpetic Neuralgia Complicated with Upper Limb Motor Dysfunction through Nerve Block and Analgesia

作　　者：于明华 YU Minghua(Department of Pain,Chifeng Hospital,Chifeng 024000,China)

机构地区：[1]内蒙古自治区赤峰市医院疼痛科,内蒙古赤峰024000

出　　处：《中国伤残医学》2024年第23期147-150,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析带状疱疹后神经痛合并上肢运动功能障碍患者神经阻滞镇痛术后康复护理效果。方法:回顾性分析2023年5月—12月赤峰市医院收治的92例带状疱疹后神经痛合并上肢运动功能障碍患者资料,按术后护理方式的不同将其分为对照组与观察组,各46例。对照组采用常规护理,观察组采用康复护理。两组均护理。比较两组疼痛程度、生活质量、肢体运动功能、护理满意度。结果:护理后,两组疼痛视觉模拟评分均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。护理后,两组生活质量综合评定问卷-74、Fugl-Meyer上肢运动功能评定量表评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度评分高于对照组的,差异有统计学意义(P<0.05)。结论:带状疱疹后神经痛合并上肢运动功能障碍患者在神经阻滞镇痛术后采用康复护理,可以获得更好的疼痛缓解效果,改善其生活质量及肢体运动功能,患者对该方法的护理满意度较高。Objective:To analyze the effect of postoperative rehabilitation nursing for patients with postherpetic neuralgia complicated with upper limb motor dysfunction through nerve block analgesia.Methods:The data of 92 patients with postherpetic neuralgia complicated with upper limb motor dysfunction treated in Chifeng Hospital from May to December 2023 were retrospectively analyzed,and were divided into a control group and an observation group,46 cases in each group according to different postoperative nursing methods.The control group received routine nursing,and the observation group received rehabilitation nursing.Both groups were treated.Pain degree,quality of life,limb motor function and nursing satisfaction were compared between the two groups.Results:After nursing,the Visual Analogue Scores of pain in both groups were lower than before nursing,and the observation group was lower than the control group,with statistical significance(P<0.05).After nursing,the scores of Generic Quality of Life Inventory-74 and Fugl-Meyer Upper Limb Motor Function Rating Scale in two groups were higher than before nursing,and the observation group was higher than the control group,with statistical significance(P<0.05).The nursing satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Rehabilitation nursing for patients with postherpetic neuralgia complicated with upper limb motor dysfunction after nerve block and analgesia can achieve better pain relief effect,improve their quality of life and limb motor function,and patients have a higher satisfaction with this method of nursing.

关 键 词：带状疱疹后神经痛 上肢运动功能障碍 神经阻滞镇痛术 术后护理 康复护理 

分 类 号：R752[医药卫生—皮肤病学与性病学]