强直性脊柱炎脊柱矫形术后疼痛因素分析及护理对策

Factors for pain after orthomorphia for ankylosing spondylitis and nursing strategies of its patients

目的探讨强直性脊柱炎脊柱矫形术后的影响因素及其护理对策。方法采用视觉模拟评分法(Visual Analogue Scale,VAS)对36例强直性脊柱炎行脊柱矫形的患者术前及术后7d内疼痛进行评估。结果强直性脊柱炎脊柱矫形术后背部肌肉疼痛在脊柱矫形术后明显缓解,手术部位疼痛第1天最高,然后依次递减,术后第3天后疼痛缓解尤为明显。其他部位疼痛主要包括髋关节和颈椎等。结论强直性脊柱炎术后疼痛因素较复杂,应针对性地根据患者病人疼痛程度、疼痛部位进行相应的护理。

Objective To study the factors for pain after orthomorphia for ankylosing spondylitis and nursing strategies of its patients.Methods Pain of 36 patients with ankylosing spondylitis before and 7 days after operation was evaluated according to the visual analogue scale（VAS）.Results The low back pain was significantly relieved after operation.The pain of hands was most severe on day 1 after operation,which was then gradually decreased,especially 3 days after operation.The other pain sites were mainly located at hip joint and cervical spine.Conclusion Different factors are involved in pain of ankylosing spindylitis after operation.The patients should be nursed according to their pain extent and sites.