循证护理干预对神经根阻滞治疗带状疱疹的影响

Effect of evidence-based nursing intervention on nerve root block in the treatment of herpes zoster

目的：探讨循证护理干预神经根阻滞方法对带状疱疹治疗的临床效果。方法选择2013年2月至2014年2月在我院门诊就诊并诊断为带状疱疹的患者90例，取得知情同意后将其随机分为观察组和对照组各45例，对照组采用神经根阻滞治疗法（即在节段脊椎旁肌肉组织内静注混合液得宝松＋利多卡因＋维生素B1＋B12）＋常规护理，观察组患者采用神经根阻滞治疗法＋循证护理。比较两组患者的临床效果、有效率和不良反应率的差异性。结果观察组患者的结痂时间、脱痂时间、疼痛开始缓解时间和持续时间均显著短于对照组，差异有统计学意义（ P〈0．05）；观察组的优质睡眠时间显著多于对照组，差异有统计学意义（ P〈0．05）；观察组患者的总有效率显著高于对照组，差异有统计学意义（ P〈0．05）；两组患者不良反应率的比较，差异无统计学意义（ P〉0．05）。结论循证护理干预神经根阻滞用于带状疱疹患者治疗，疗效显著、安全性高，可以在门诊治疗中推广应用。

Objective To explore the clinical effect of evidence-based nursing intervention on nerve root block in the treatment of herpes zoster. Methods A total of 90 patients who had been diagnosed of herpes zoster from February 2013 to February 2014 in our hospital were randomly divided into experimental group and control group after being informed, with 45 cases of each group. The patients in control group received nerve root block treatment （ that was to carry out intravenous injection in the muscular tissue near the segmental spinal with the mixture of diprospan, lidocaine, vitamin B1 and vitamin B12） combined with common nursing, while the patients in experimental group received nerve root block treatment combined with evidence-based nursing. The differences of effect, efficacy rate and complications of the two groups were compared. Results The scabbing time, decrustation time, pain relief time and duration time of the experimental group were all significantly less than that of control group, and the difference was statistically significant （ P〈0. 05 ）; the high quality sleeping time of the experimental group was significantly longer than that of control group （P〈0. 05）; the total efficacy rate of the experimental group was significantly higher than that of control group, and the difference was statistically significant （ P〈0. 05 ） . There were no statistical difference in terms of the complication rate of the two groups （ P〉0. 05 ） . Conclusions Evidence-based nursing intervention on nerve root block in the treatment of herpes zoster proved an obvious effect with safety, which is suitable for outpatient service application.