保守治疗下腰椎间盘突出症的护理体会.docVIP

精品论文 参考文献 保守治疗下腰椎间盘突出症的护理体会 四川省雅安市天全县中医医院 摘要：目的：探讨护理干预对保守治疗腰椎间盘突出症患者疗效的影响#65377;方法：将863例腰椎间盘突出症患者随机分为实验组431例和对照组432例#65377;实验组采用常规护理及心理干预联合的护理干预措施；对照组只采用常规护理#65377;采用日本骨科协会JOA下腰痛疾患疗效评分观察两组患者经保守治疗腰椎间盘突出症患者护理干预后的疗效情况#65377;结果：经8-12个月随访，实验组下腰痛评分低于对照组，并有统计学意义（Plt;0.05）#65377;结论：护理干预能够提高患者对疾病的认知程度，使患者积极配合治疗，有效地提高腰椎间盘突出症保守治疗的疗效，临床上值得推广应用#65377; 关键词：保守治疗；腰椎间盘突出症；护理 Abstract：Objective：To investigate the effect of conservative treatment.Methods the patients with lumbar disc herniation and the efficacy of nursing intervention：863 cases of lumbar disc herniation were randomly divided into the experimental group and 431 cases in 432 cases.The experimental group used routine nursing and psychological intervention combined with nursing intervention measures and control group；the control group only with the routine nursing care.The score in patients of two groups were observed.Results after effects of conservative treatment of lumbar disc herniation nursing patients after intervention by the Japanese Association for Department of orthopedics JOA low back pain disorders efficacy：after 8-12 months of follow-up，the experimental group score lower than those in the control group，with statistical significance（Plt;0.05）.Conclusion：nursing intervention can improve the patients with cognitive degree of disease，so that patients actively cooperate with the treatment，effectively improve the curative effect of conservative treatment of lumbar disc herniation，worth popularizing clinically. Keyword：conservative treatment；lumbar disc herniation；nursing 1前言 腰椎间盘突出症是因为腰椎间盘各部分（髓核、纤维环及软骨板），尤其是髓核，有不同程度的退行性改变后，在外力因素的作用下，椎间盘的纤维环破裂，髓核组织从破裂之处突出（或脱出）于后方或椎管内，导致相邻脊神经根遭受刺激或压迫，从而产生腰部疼痛，一侧下肢或双下肢麻木、疼痛等一系列临床症状。腰椎间盘突出特点多有坐骨神经痛或先由臀部开始，逐渐放射到大腿后外侧、小腿外侧、足背及足底外侧和足趾。中央型的突出常引起双侧坐骨神经痛。当咳嗽、打喷嚏及大小便等腹内压增高时传电般的下肢放射痛加重。卧床休息可避免较大的弯腰及负重，从而消除了加重病情的“隐患”。通过保证充足的卧床时间，能最大程度地减轻或解除腰部肌肉的收缩、紧张、痉挛。腰椎间盘突出症患者由于长期受疾病折磨，存在抑郁、焦虑等负面情绪，心理波动较大，甚至容易产生敌对和偏执心理。在临床护理工作中，患者的心理状态#65380;对疾病相关的健康教育程度#65380;康复锻炼方