《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (8): 741-743.

• 论文 • 上一篇    下一篇

射频治疗三叉神经痛高龄患者的日间手术护理

陈瑞霞，高淑琴，张雪梅   

  1. 1.首都医科大学附属北京天坛医院麻醉疼痛科，北京市 100050
  • 收稿日期:2010-07-27 修回日期:1900-01-01 出版日期:2010-08-25 发布日期:2010-08-25
  • 通讯作者: 张雪梅

Ambulatory Nursing for Radiofrequency Thermocoagulation on Severe Trigeminal Neuralgia in the Aging People

CHEN Rui-xia, GAO Shu-qin, ZHANG Xue-mei   

  1. The Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2010-07-27 Revised:1900-01-01 Published:2010-08-25 Online:2010-08-25

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摘要： 目的探讨日间手术护理应用于螺旋CT引导下射频热凝治疗高龄重症三叉神经痛患者的模式。方法42例患者分成两组，每组各21例。A组患者年龄为40～60岁，采用常规日间手术护理，B组患者年龄80～92岁。充分评估日间手术风险，制定并实施针对性护理措施，重视术前心理护理，加强术中监测。比较两组患者手术前、后组间及组内的视觉模拟评分(VAS)，以及并发症。结果手术前及术后2周，两组VAS评分无显著性差异(P>0.05)；与术前比较，两组术后2周VAS评分明显低于术前(P<0.01)。两组患者均无严重手术相关并发症。结论日间手术护理模式应用于高龄重症三叉神经射频热凝术患者是安全的、适用的。

关键词: 日间手术, 老年人, 三叉神经痛, 射频, 护理

Abstract: ObjectiveTo explore a modality of ambulatory nursing care applied to the elderly patients with severe trigeminal neuralgia treated by radiofrequency thermocoagulation.Methods42 patients were equally assigned into 2 groups: group A(n=21) aged from 40～60, and group B(n=21) aged from 80～92. Pertinent nursing measures were assessed for risks of ambulatory surgery, including psychological care before surgery and intensive observation during surgery. The pain was assessed with Visual Analogue Scale (VAS) between the groups and before and after surgery, as well as complications.ResultsNo significant difference of the VAS scores was found between the groups before and 2 weeks after surgery (P>0.05), while the score of VAS decreased in two groups 2 weeks after surgery(P<0.01). No severe complication occured in the groups after surgery.ConclusionIt is safe and effective to apply the modality of ambulatory nursing care for the elderly patients with severe trigeminal neuralgia treated by radiofrequency thermocoagulation.

Key words: ambulatory surgery, elderly, trigeminal neuralgia, radiofrequency, nursing