宁夏农村慢性疼痛的神经阻滞治疗技术推广示范研究

Demonstrate Study on the Interventional Therapy of Chronic Pain Popularized in Rural Area of Ningxia Province

目的探讨慢性疼痛的神经阻滞治疗技术在乡镇卫生院推广示范的可行性及效果。方法(1)在宁夏吴忠市利通区各乡镇卫生院分别选2名主治医生,共60名医生集中培训慢性疼痛的诊断及神经阻滞治疗技术;(2)选择农村患者786例,均由受训医生对其开展慢性疼痛的神经阻滞治疗,并进行3个月的定期随访。结果786例患者中,显效715例(90·97%),有效65例(8·27%),无效6例(0·76%),总有效率为99·24%。每次治疗费最低0·60元,最高48·60元,平均6·70元,疼痛完全缓解所需医疗费用平均16·29元。结论乡镇卫生院医生通过科学、可行的培训,可以掌握慢性疼痛的神经阻滞治疗技术,并能够开展有效的治疗,从而为建立“慢性疼痛的神经阻滞治疗”的长效机制打下基础。

Objective Discussion on the feasibility and effect of the interventional therapy of chronic pain popularized in rural area of China. Methods （ 1 ） Select 60 village doctors from Litong district of Wuzhong city, NingXia province. Take the training program for the village doctors selected. （2） Takeing treatment for 786 patients from rural area, 3 months following up. Results In the total patients with interventional therapy taken by village doctors trained, 90. 97% of cases have much more effective, 8.27% of cases have little effective, the totally rate of effective is 99. 24%. The lowest expenditure is 0. 60 RMB every time, the highest is 48.60 RMB, the average cost is 6.70 RMB. Conclusion The village doctor can use the interventional therapy for effective treatment of chronic pain with scientific and feasible training. It is possible to establish lasting effective mechanism for treatment of chronic pain in rural area.