目的：确立颈部疼痛与残疾量表（Neck Pain and Disability Scale,NPAD)的重测信度与结构效度；方法：两组颈痛患者均完成NPAD的评测，第一组患者在治疗前评测两次。第二组患者每月评测一次，地4个月，同时还评测了许多其他的后果，是...目的：确立颈部疼痛与残疾量表（Neck Pain and Disability Scale,NPAD)的重测信度与结构效度；方法：两组颈痛患者均完成NPAD的评测，第一组患者在治疗前评测两次。第二组患者每月评测一次，地4个月，同时还评测了许多其他的后果，是为了评价注射治疗的效果。结果：从第一组患者的数据计算的信度系数（r^2=0.93)显示重测度信度高。将第二组的NPAD与许多其他疼痛评测方法比较，发现NPAD具有产大的治疗效应，也就证实了NPAD的结构效度，颈部疼痛与残疾量表的因子得分也显示治疗效应在四个因子中是不同的。结论：NPAD是评测颈痛患者的一种又可靠又敏感的评测方法。颈部疼痛与残疾量表的因子评分在辨别治疗对疼痛体验的不同方面的影响是有用的。展开更多
背景带状疱疹相关性神经病理性疼痛是疼痛科常见病,包括带状疱疹性神经痛(HN)及带状疱疹后神经痛(PHN),严重影响患者的生活质量。疼痛应该在急性期或亚急性期控制好,以降低PHN的发生率。利多卡因作为局部麻醉剂,在临床中应用广泛,目前...背景带状疱疹相关性神经病理性疼痛是疼痛科常见病,包括带状疱疹性神经痛(HN)及带状疱疹后神经痛(PHN),严重影响患者的生活质量。疼痛应该在急性期或亚急性期控制好,以降低PHN的发生率。利多卡因作为局部麻醉剂,在临床中应用广泛,目前已有文献报道静脉应用利多卡因可用于治疗顽固性疼痛。目的探讨静脉滴注利多卡因治疗急性期或亚急性期HN的临床疗效。方法收集2018年3-10月于南华大学附属第二医院疼痛科住院治疗的急性期和亚急性期HN患者各40例,根据病程及是否静脉滴注利多卡因治疗分为急性期常规治疗组、常规治疗加利多卡因组和亚急性期常规治疗组、常规治疗加利多卡因组,排除10例未完成治疗患者,四组分别有18、20、15、17例。急性期常规治疗组的用药为膦甲酸钠注射液+加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片,急性期常规治疗加利多卡因组的用药为膦甲酸钠注射液+加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片+1%盐酸利多卡因注射液,亚急性期常规治疗组用药为加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片,亚急性期常规治疗加利多卡因组的用药为加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片+1%盐酸利多卡因注射液。分别于治疗前和治疗后1、3、7、14、30、60、90 d评估患者视觉模拟评分法(VAS)和睡眠质量评分法(QS)得分,于治疗前和治疗后7、14、30、60、90 d评估患者抑郁自评量表(SDS)评分,观察患者在治疗期间和治疗后是否出现不良反应。结果急性期及亚急性期各两组患者不同时间VAS、QS、SDS评分比较,治疗方法与时间存在交互作用(P<0.05),治疗方法及时间主效应均显著(P<0.05)。治疗前急性期常规治疗组与常规治疗加利多卡因组、亚急性期常规治疗组与常规治疗加利多卡因组患者VAS、QS、SDS评分比较,差异均无统计学意义(P>0.05);治疗后1、3、7 d急性期常规治疗加利多卡因组患者VAS、QS评分低于急性期常规治疗组,治疗后7 d SDS评分低于急性期常规治疗组(P<0.05);治疗后1、3、7、14、30、60、90 d亚急性期常规治疗加利多卡因组患者VAS、QS评分低于亚急性期常规治疗组,治疗后7、14、30、60、90 d SDS评分低于亚急性期常规治疗组(P<0.05)。四组患者治疗后各时间点VAS、QS、SDS评分均低于治疗前(P<0.05)。四组患者不良反应发生率比较,差异无统计学意义(2/20与1/18、2/17与1/15,χ2=0.009、0.013,P=0.924、0.909)。结论静脉滴注利多卡因联合常规药物治疗HN的疗效优于传统的常规药物治疗,可明显改善患者的疼痛程度、睡眠质量及抑郁情绪,并未增加不良反应。展开更多
Objective:Preterm infants are subjected to numerous painful procedures during their neonatal intensive care unit(NICU)hospitalization.Despite advancements in pain alleviation,nurses remain challenged to provide timely...Objective:Preterm infants are subjected to numerous painful procedures during their neonatal intensive care unit(NICU)hospitalization.Despite advancements in pain alleviation,nurses remain challenged to provide timely and effective pain management for preterm infants.Greater understanding of the lived experience of nurses caring for preterm infants in pain could provide novel insights to improve pain management for this vulnerable population.The aim of this meta-ethnography was to synthesize and interpret qualitative findings of nurses’experiences of taking care of preterm infants in pain.Methods:An extensive literature search in PubMed,CINAHL,PsycINFO,Scopus,BIOSIS and ProQuest Dissertation and Theses Database was conducted,including studies within the past 10 years.Two nursing researchers conducted data extraction and analysis independently.Inclusion criteria were applied to search for qualitative studies of nurse participants who worked in the NICU taking care of preterm infants.Studies published in a language other than English,articles that did not include qualitative data and qualitative data that could not be extracted from the findings or did not discuss nurses’experiences were excluded.Critical Appraisal Skills Programme was used for literature quality evaluation.Results:Eight studies remained after further screening according to inclusion and exclusion criteria.These eight studies were conducted from 2013 to 2018 and totally enrolled 205 nurses from Iran,Canada,the United States,Finland,Sweden,Switzerland,and Australia.Five themes emerged on the nurses’perspectives of taking care of preterm infants in pain:1)They sense the neonatal pain;2)Adverse consequences of unrelieved pain;3)Barriers of managing pain;4)Concerns of available approaches for pain relief;5)Failure to work with parents.Conclusions:This meta-ethnography identified nurses’understanding of pain in preterm infants that can be assessed,and they acknowledged that unrelieved pain could cause developmental deficits in infants.The barriers are lack of training and support on pain assessment and intervention in preterm infants.Optimizing workload and environment,developing age-specified pain assessment and intervention,receiving emotional support and training,and building up a rapport with parents are urgent needs for nurses to provide better care to infants having pain.展开更多
Objective:To observe the effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain and to explore the best duration for rolling man...Objective:To observe the effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain and to explore the best duration for rolling manipulation in treating lumbar muscle strain.Methods:A total of 75 patients who met the inclusion criteria were randomized into a 5-minute rolling manipulation group,a 10-minute rolling manipulation group,and a 15-minute rolling manipulation group using the random number table method,with 25 cases in each group.All three groups were treated with the same rolling manipulation,while the treatment time was 5 min,10 min,and 15 min,respectively.The treatment was performed 3 times a week for 2 consecutive weeks.The muscle tonus of bilateral erector spinae and visual analog scale(VAS)score for low back pain were compared among the three groups before and after treatment.Results:A total of 63 patients completed the study.Before treatment and after the last treatment,there were no statistical differences in the muscle tonus of the left erector spinae and right erector spinae among the three groups(P>0.05).After the last treatment,bilateral erector spinae muscle tonus dropped compared with the baseline in all three groups(P<0.01).Before treatment and after the last treatment,there were no significant differences in comparing the low back pain VAS score among the three groups(P>0.05).After the last treatment,the VAS score for low back pain in all three groups decreased(P<0.01).Conclusion:Under the condition that the forward swing force is 50-70 N,the backward swing force is 20-40 N,and the frequency is 138 times/min,the 5-minute rolling manipulation can significantly reduce the muscle tonus of erector spinae and relieve low back pain.展开更多
Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A to...Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.展开更多
文摘目的：确立颈部疼痛与残疾量表（Neck Pain and Disability Scale,NPAD)的重测信度与结构效度；方法：两组颈痛患者均完成NPAD的评测，第一组患者在治疗前评测两次。第二组患者每月评测一次，地4个月，同时还评测了许多其他的后果，是为了评价注射治疗的效果。结果：从第一组患者的数据计算的信度系数（r^2=0.93)显示重测度信度高。将第二组的NPAD与许多其他疼痛评测方法比较，发现NPAD具有产大的治疗效应，也就证实了NPAD的结构效度，颈部疼痛与残疾量表的因子得分也显示治疗效应在四个因子中是不同的。结论：NPAD是评测颈痛患者的一种又可靠又敏感的评测方法。颈部疼痛与残疾量表的因子评分在辨别治疗对疼痛体验的不同方面的影响是有用的。
文摘背景带状疱疹相关性神经病理性疼痛是疼痛科常见病,包括带状疱疹性神经痛(HN)及带状疱疹后神经痛(PHN),严重影响患者的生活质量。疼痛应该在急性期或亚急性期控制好,以降低PHN的发生率。利多卡因作为局部麻醉剂,在临床中应用广泛,目前已有文献报道静脉应用利多卡因可用于治疗顽固性疼痛。目的探讨静脉滴注利多卡因治疗急性期或亚急性期HN的临床疗效。方法收集2018年3-10月于南华大学附属第二医院疼痛科住院治疗的急性期和亚急性期HN患者各40例,根据病程及是否静脉滴注利多卡因治疗分为急性期常规治疗组、常规治疗加利多卡因组和亚急性期常规治疗组、常规治疗加利多卡因组,排除10例未完成治疗患者,四组分别有18、20、15、17例。急性期常规治疗组的用药为膦甲酸钠注射液+加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片,急性期常规治疗加利多卡因组的用药为膦甲酸钠注射液+加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片+1%盐酸利多卡因注射液,亚急性期常规治疗组用药为加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片,亚急性期常规治疗加利多卡因组的用药为加巴喷丁胶囊+甲钴胺分散片+阿普唑仑片+1%盐酸利多卡因注射液。分别于治疗前和治疗后1、3、7、14、30、60、90 d评估患者视觉模拟评分法(VAS)和睡眠质量评分法(QS)得分,于治疗前和治疗后7、14、30、60、90 d评估患者抑郁自评量表(SDS)评分,观察患者在治疗期间和治疗后是否出现不良反应。结果急性期及亚急性期各两组患者不同时间VAS、QS、SDS评分比较,治疗方法与时间存在交互作用(P<0.05),治疗方法及时间主效应均显著(P<0.05)。治疗前急性期常规治疗组与常规治疗加利多卡因组、亚急性期常规治疗组与常规治疗加利多卡因组患者VAS、QS、SDS评分比较,差异均无统计学意义(P>0.05);治疗后1、3、7 d急性期常规治疗加利多卡因组患者VAS、QS评分低于急性期常规治疗组,治疗后7 d SDS评分低于急性期常规治疗组(P<0.05);治疗后1、3、7、14、30、60、90 d亚急性期常规治疗加利多卡因组患者VAS、QS评分低于亚急性期常规治疗组,治疗后7、14、30、60、90 d SDS评分低于亚急性期常规治疗组(P<0.05)。四组患者治疗后各时间点VAS、QS、SDS评分均低于治疗前(P<0.05)。四组患者不良反应发生率比较,差异无统计学意义(2/20与1/18、2/17与1/15,χ2=0.009、0.013,P=0.924、0.909)。结论静脉滴注利多卡因联合常规药物治疗HN的疗效优于传统的常规药物治疗,可明显改善患者的疼痛程度、睡眠质量及抑郁情绪,并未增加不良反应。
文摘Objective:Preterm infants are subjected to numerous painful procedures during their neonatal intensive care unit(NICU)hospitalization.Despite advancements in pain alleviation,nurses remain challenged to provide timely and effective pain management for preterm infants.Greater understanding of the lived experience of nurses caring for preterm infants in pain could provide novel insights to improve pain management for this vulnerable population.The aim of this meta-ethnography was to synthesize and interpret qualitative findings of nurses’experiences of taking care of preterm infants in pain.Methods:An extensive literature search in PubMed,CINAHL,PsycINFO,Scopus,BIOSIS and ProQuest Dissertation and Theses Database was conducted,including studies within the past 10 years.Two nursing researchers conducted data extraction and analysis independently.Inclusion criteria were applied to search for qualitative studies of nurse participants who worked in the NICU taking care of preterm infants.Studies published in a language other than English,articles that did not include qualitative data and qualitative data that could not be extracted from the findings or did not discuss nurses’experiences were excluded.Critical Appraisal Skills Programme was used for literature quality evaluation.Results:Eight studies remained after further screening according to inclusion and exclusion criteria.These eight studies were conducted from 2013 to 2018 and totally enrolled 205 nurses from Iran,Canada,the United States,Finland,Sweden,Switzerland,and Australia.Five themes emerged on the nurses’perspectives of taking care of preterm infants in pain:1)They sense the neonatal pain;2)Adverse consequences of unrelieved pain;3)Barriers of managing pain;4)Concerns of available approaches for pain relief;5)Failure to work with parents.Conclusions:This meta-ethnography identified nurses’understanding of pain in preterm infants that can be assessed,and they acknowledged that unrelieved pain could cause developmental deficits in infants.The barriers are lack of training and support on pain assessment and intervention in preterm infants.Optimizing workload and environment,developing age-specified pain assessment and intervention,receiving emotional support and training,and building up a rapport with parents are urgent needs for nurses to provide better care to infants having pain.
文摘Objective:To observe the effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain and to explore the best duration for rolling manipulation in treating lumbar muscle strain.Methods:A total of 75 patients who met the inclusion criteria were randomized into a 5-minute rolling manipulation group,a 10-minute rolling manipulation group,and a 15-minute rolling manipulation group using the random number table method,with 25 cases in each group.All three groups were treated with the same rolling manipulation,while the treatment time was 5 min,10 min,and 15 min,respectively.The treatment was performed 3 times a week for 2 consecutive weeks.The muscle tonus of bilateral erector spinae and visual analog scale(VAS)score for low back pain were compared among the three groups before and after treatment.Results:A total of 63 patients completed the study.Before treatment and after the last treatment,there were no statistical differences in the muscle tonus of the left erector spinae and right erector spinae among the three groups(P>0.05).After the last treatment,bilateral erector spinae muscle tonus dropped compared with the baseline in all three groups(P<0.01).Before treatment and after the last treatment,there were no significant differences in comparing the low back pain VAS score among the three groups(P>0.05).After the last treatment,the VAS score for low back pain in all three groups decreased(P<0.01).Conclusion:Under the condition that the forward swing force is 50-70 N,the backward swing force is 20-40 N,and the frequency is 138 times/min,the 5-minute rolling manipulation can significantly reduce the muscle tonus of erector spinae and relieve low back pain.
文摘Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.
