心理干预在高压氧治疗神经根型颈椎病中应用.docVIP

心理干预在高压氧治疗神经根型颈椎病中应用 　　【摘要】 目的：探索心理干预在高压氧治疗神经根型颈椎病中的应用。方法：将76例神经根型颈椎病患者按照随机数字表法分为试验组35例和对照组41例，两组均采用高压氧配合颈椎牵引的保守治疗，对照组采用常规护理，试验组在常规护理基础上联合心理干预措施，2个疗程后对两组的临床疗效、焦虑状况、护理满意度进行比较。结果：试验组总有效率、SAS评分、护理满意度评分分别为94.3%、（38.61±11.33）分、（93.12±5.76）分，对照组分别为70.1%、（47.31±8.55）、（82.27±7.12）分，两组比较差异均有统计学意义（P0.05）。结论：心理干预的介入有助于提高颈椎病的康复治疗效果，改善患者心理状态，促进护患沟通，提高护理满意度。 　　【关键词】 心理干预； 高压氧； 神经根型颈椎病； 康复 　　【Abstract】 Objective：To investigate the application of psychological intervention in the hyperbaric oxygen therapy of cervical spondylotic radiculopathy.Method：A total of 76 patients with cervical spondylotic radiculopathy were randomized into the experimental group（n=35） and the control group（n=41）.Both two groups were given conservative treatment of hyperbaric oxygen in combination with cervical traction.The control group was given conventional nursing，while the experimental group was given psychological intervention on the basis of conventional nursing.After two courses of treatment，the clinical efficacy，anxiety and nursing satisfaction of two groups were compared.Result：The total effective rate，SAS score and nursing satisfaction score were 94.3%，（38.61±11.33） and （93.12±5.76） in the experimental group and 70.1%，（47.31±8.55） and （82.27±7.12） in the control group，there were statistically significant differences between two groups（P0.05）.Conclusion：Psychological intervention can help to enhance the rehabilitation efficacy for cervical spondylosis，improve the psychological state of patient，promote nurse-patient communication and increase nursing satisfaction. 　　【Key words】 Psychological intervention； Hyperbaric oxygen； Cervical spondylotic radiculopathy； Rehabilitation 　　First-author’s address：South Illage Hospital in Panyu District of Cuangzhou City，Guangzhou 511442，China 　　doi：10.3969/j.issn.1674-4985.2016.12.019 　　颈椎病指颈椎间盘退行性变及其继发性椎间关节退行性变所致脊髓、神经、血管损害而表现出的相应症状和体征[1]。其中神经根型为最常见的类型，占总数的60%以上[2]，临床表现为突发的颈肩部、上肢和手部的酸胀麻木。高压氧已经成为治疗该病的一种重要手段，但由于高压氧舱是一个相对独立的空间以及患者的各种误解，在治疗中容易产生各种心理问题，影响治疗效果。