刺形按摩球分心干预对局麻椎间孔镜术患者术中疼痛和焦虑的影响

Effect of spiny stress ball on pain,anxiety and satisfaction during percutaneous transforaminal endoscopic discectomy under local anesthesia:a randomized controlled trial

目的探讨刺形按摩球分心干预对局麻椎间孔镜手术患者术中疼痛、焦虑水平的影响。方法选择2019年9月至2020年4月在我院行局麻椎间孔镜手术治疗的患者90例作为研究对象,将其按照随机数字表随机分为试验组和对照组各45例,试验组给予刺形按摩球分心干预,对照组行常规护理。比较2组患者术中疼痛、焦虑水平、术中心率、血压变化及手术满意度。结果试验组术中疼痛、焦虑水平明显低于对照组(t值为7.858、2.260,P<0.05);2组术中满意度水平比较差异无统计学意义(P>0.05);2组术中心率和血压均高于术前,但试验组的升高无统计学意义,对照组升高差异有统计学意义(P<0.05)。结论刺形按摩球分心干预可有效缓解局麻椎间孔镜手术患者术中疼痛、焦虑水平,稳定患者术中心率、血压变化,提高手术舒适性和安全性。

Objective To explore the effect of holding a spiny massaging ball intervention in intraoperative management of patients′pain and anxiety during Percutaneous Transforaminal Endoscopic Discectomy under local anesthesia.Methods 90 cases of patients undergoing PTED with local anesthesia in our hospital were recruited and randomly divided into the experimental group and the control group.The experimental group squeezed a spiny massaging ball during the surgery,and the control group only received routine care.The patients′pain degree,anxiety degree,satisfaction and Heart rate,blood pressure were measured.Results The scores of intraoperative pain,anxiety in the experimental group were significantly lower than those in the control group(t=7.858 and 2.260,P<0.05).There were no obvious change in satisfaction(P>0.05).The changes of heart rate and blood pressure in the experimental group were small,compared with the control group(P<0.05).Conclusion The intervention of holding a spiny massaging ball can effectively alleviate patients′pain and anxiety during PTED under local anesthesia,stable patients′heart rate,blood pressure changes,improve surgical comfort and safety.