中西医结合心理干预对神经根型颈椎病患者疼痛的影响

Effect of pain in patients with nerve-root type cervical spondylosis treated with integrated Chinese and Western therapy and psychological nursing

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

海南省澄迈县人民医院 ;
海南省澄迈县人民医院 ;
海南省中医院 ;

摘要
【摘要】目的:探讨中西医结合心理干预治疗神经根型颈椎病患者疼痛的临床疗效。方法:选取2014年6月~2015年6月我院收治的68例神经根型颈椎病患者作为研究对象,随机分为对照组和研究组各34例。对照组患者均给予中西医结合治疗,而研究组则在对照组的基础上给予心理护理干预。比较两组患者的临床疗效,并采用疼痛视觉模拟量表(VAS)和颈部残障指数量表(NDI)对两组患者治疗前和治疗1个月后的临床症状改善情况进行评价。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对两组患者治疗前和治疗1个月后的心理状况进行评分。结果:研究组患者的治疗的总有效率为91.18%,高于对照组的70.59%,两组间的差异有明显统计学差异(P﹤0.05);研究组患者治疗后的VAS评分和NDI评分分别为(2.34±1.08)分和(12.73±1.68)分,均显著低于对照组的(3.87±1.43)分和(20.17±2.02)分,两组间差异有统计学意义(P<0.05);研究组患者治疗后的SAS和SDS评分分别为(24.18±8.79)分和(21.79±7.42)分,均显著低于对照组的(38.76±9.15)分和(36.74±8.68)分,两组间差异有明显统计学意义(P<0.05)。结论:中西医结合心理干预治疗神经根型颈椎病,可有效减少患者焦虑、抑郁等不良情绪的产生,缓解患者的临床症状,有助于患者的预后以及病情转归,值得应用于临床。
Abstract
[Abstract]Objective:to discuss the effect of pain in patients with nerve-root type cervical spondylosis treated with integrated Chinese and Western therapy and psychological nursing.Methods:68 patients with nerve-root type cervical spondylosis were randomly selected and divided into 34 patients of them treated with integrated Chinese and Western therapy only were taken as control group,while the other 34 patients treated with integrated Chinese and Western therapy and psychological nursing were taken as research group.Compared the clinical effects with two group.Evaluate the improvements of two groups with visual analogue scale(VAS) and neck disability index scale(NDI) before and after 1 month treatments. Evaluate the psychological status in two groups with self-rating anxiety scale(SAS) and self-rating depression scale(SDS) before and after 1 month treatments.Results:The clinical efficacy rate in research group was 91.18%,more than that in control group,difference between two group were statistically significant(P<0.05).The score of VAS,NDI, SAS, SDS were (2.34±1.08),(12.73±1.68),(24.18±8.79) and (21.79±7.42), difference between two group were statistically significant(P<0.05).Conclusions: Patients with nerve-root type cervical spondylosis in treatments of integrated Chinese and Western therapy and psychological nursing can reduce patients’anxiety and depression, improve clinical symptoms,which contribute to prognosis and outcome.
关键词
【关键词】中西医结合;心理干预;神经根型颈椎病;疗效
KeyWord
[Keywords] Nerve-root type cervical spondylosis;Integrated Chinese and Western therapy;Psychological nursing;Clinical effect
基金项目
页码 173-175
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谢荣香*,陈开浪,黄日珍,陈琴慧. 中西医结合心理干预对神经根型颈椎病患者疼痛的影响 [J]. 国际精神病学杂志. 2017; 44; (1). 173 - 175.

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