Rehabilitation nursing care in coblation annuloplasty surgery treating lumbar discogenic pain
10.3760/cma.j.issn.1674-2907.2018.08.020
- VernacularTitle:低温等离子射频消融术治疗腰椎间盘源性疼痛的康复护理
- Author:
Hailing WANG
1
;
Yuanzhang TANG
;
Minghui RUAN
Author Information
1. 首都医科大学宣武医院疼痛科
- Keywords:
Rehabilitation nursing;
Intervertebral disc;
Coblation;
Lumbar discogenic pain
- From:
Chinese Journal of Modern Nursing
2018;24(8):949-952
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the methods and effects of nursing care in lumbar discogenic pain after coblation annuloplasty surgery. Methods A total of 58 patients with lumbar discogenic pain after coblation annuloplasty in Xuanwu Hospital Capital Medical University from January to June 2016 were prospectively recruited. The research objects were randomly divided into surgery group (control group) and surgery combined with rehabilitation nursing group (observation group) by random number table method. Excluding the lost visits and patients who underwent other surgical treatment, 26 cases were included in control group and 28 in observation group. The patients in control group received routine nursing care after coblation annuloplasty, while patients in observation group received rehabilitation nursing care. All the patients were evaluated for pain and nerve function recovery by Numerical Rating Scale (NRS) and Oswestry Disability Index (ODI) respectively on admission and 3 months after discharge. Results Before the surgery, the NRS score of control group and observation group was (7.120±1.231) and (6.881±1.437) respectively, and there was no statistical difference (P=0.516). Three months after the surgery, the NRS score of each group was (4.180±1.396) and (3.060±1.417) respectively, and the difference was statistically significant (P=0.005). The ODI score of control group and observation group before surgery was (71.2±9.7) and (68.9±13.2), and there was no statistical difference (P=0.472). After the surgery, the ODI score of each group was (28.7±6.7) and (18.9±5.4), and the difference was statistically significant (P< 0.001). There were 2 cases of subcutaneous ecchymosis in control group and 4 in observation group, and there was no statistical significance in the difference (P=0.670). There were 5 patients reporting local pain at the puncture point in control group and 9 in observation group, and there was no statistical significance in the difference as well (χ2=1.170,P=0.279). All of these symptoms disappeared after 2 weeks. Conclusions Providing high quality rehabilitation nursing care may improve patients' neurological deficits and relieve pain in patients with lumbar discogenic pain after coblation annuloplasty surgery.
