脊神经后支射频热凝治疗胸腰椎骨质疏松性疼痛的健康教育

Health education intervention effect observed for posterior branch of spinal nerve radiofrequency therapy of the thoracolumbar osteoporotic pain

目的观察脊神经后支射频热凝治疗胸腰椎骨质疏松性疼痛的围手术期实施健康教育干预的效果及护理策略。方法总结分析27例采取脊神经后支射频热凝治疗胸腰椎骨质疏松患者围手术期健康教育干预及护理策略。结果全部患者术后无副反应发生。腰背疼痛VAS评分术后2 h、1 d、随访3个月均分别较术前明显降低,Schober试验术后2 h、1 d、随访3个月均分别较术前明显提高,差异有统计学意义(P<0.05)。健康教育效果的调查结果显示,27例患者中,健康教育效果优6例,良13例,中7例,差1例,总有效率96.3%。结论及时实施有针对性的、个体化及有效的围手术期健康教育干预及护理指导对患者进行正确的功能锻炼是确保手术疗效的基础和保证,且明显减轻胸腰椎骨质疏松性患者的疼痛。

Objective To observe the effect of perioperative implementation health education intervention and care strategies for dorsal supported radiofrequeney therapy of the thoracolumbar osteoporotic pain. Methods A retrospective analysis of 27 cases were taken to the spinal nerve posterior branch radiofrequency therapy of the thoracic and lumbar osteoporosis in patients undergoing operative health education intervention and care strategies. Results All patients without side effects. Low back pain VAS score after 2 h, 1 d,follow-up three months were significantly lower than before surgery, after Schober,test 2 h, 1 d ,were followed up for 3 months were significantly improved compared with the preoperative, and difference was statistically significant （P 〈 0.05）. The effect of health education survey among 27 patients,the effect of health education were excellent in 6 cases,good in 13 cases, 7 cases and poor in l case,the total efficiency was 96.3%. Conclusion The timely implementation of targeted, individualized,and effective perioperative health education intervention and care guide to the fimndation and guarantee to ensure that the surgery to correct functional exercise for patients and significantly reduced the thoracolumbar osteoporotic patients the pain.