经皮椎间孔镜技术联合综合护理干预对腰椎间盘突出患者疼痛、腰椎功能及睡眠质量的影响

Effect of Percutaneous Transforaminal Technique Combined with Comprehensive Nursing Intervention on Pain,Lumbar Function and Sleep Quality in Patients with Lumbar Disc Herniation

目的:分析经皮椎间孔镜技术联合综合护理干预对腰椎间盘突出患者疼痛、腰椎功能及睡眠质量的影响。方法:选取2016年2月至2017年10月厦门大学附属第一医院思明分院收治的腰椎间盘突出患者77例,所有患者均应用经皮锥间孔镜技术治疗,随机分为对照组(n=35)和观察组(n=42),对照组进行常规护理,观察组进行综合护理,比较干预前后疼痛、腰椎功能及PSQI评分。结果:2组患者干预前疼痛评分、腰椎功能及睡眠质量评分,差异无统计学意义(P> 0. 05),观察组患者干预后的疼痛及PSQI评分低于对照组,腰椎功能评分高于对照组,差异有统计学意义(P <0. 05)。结论:经皮椎间孔镜技术联合综合护理干预用于腰椎间盘突出患者,患者腰椎功能恢复好,减轻了疼痛,改善了患者的睡眠质量,效果显著,值得应用。

Objective： To analyze the effect of pereutaneous transforaminal technique combined with comprehensive nursing intervention on pain, lumbar function and sleep quality in patients with lumbar disc herniation. Methods ： A total of 77 eases of lumbar intervertebral disc herniation in Department of Orthopaedics and Traumatology of the First Affiliated Hospital of Xiamen University 1 from February 2016 to October 2017 were selected. All patients were treated with pereuta-neous transeonieal endoscopy, randomly divided into groups, control group （35 eases, routine nursing）, study group （42 eases, comprehensive nursing intervention） . The pain, lumbar function score and PSQI score were compared. Re-sults ： There was no significant difference in pain （ P 〉 0. 05 ） . lumbar function score and sleep quality before intervention in the two groups. The pain and PSQI scores of the patients in the study group was lower than that of the control group, and the lumbar function score was higher than that of the control group, the difference was statistically significant （P 〈 0. 05 ）. Conclusion： Pereutaneous intervertebral foraminoseopy combined with comprehensive nursing intervention is used in pa-tients with lumbar intervertebral disc herniation. The function of lumbar vertebra recovery and sleep quality is better and the pain is relieved. It is worthy of application.