心理干预对腰椎间盘突出症患者术后疗效的影响.docVIP

精品论文 参考文献 心理干预对腰椎间盘突出症患者术后疗效的影响 闫伟 杨莉 王欢 刘金榜 （河南省安阳地区医院骨科河南安阳455001）【摘要】目的:探讨心理干预对腰椎间盘突出症患者术后疗效的影响。方法: 选择采用手术治疗的腰椎间盘突出症患者80例进行调查，将其随机分为干预组和对照组，每组各40例，干预组在进行常规检查和治疗的同时给予心理干预，采用抑郁自评量表(self-rating depression scale，SDS)、焦虑自评量表(self-rating anxiety scale，SAS)［1］进行研究,比较两组的SDS、SAS评分术后疗效及并发症。结果:经过心理干预后, 干预组的总有效率明显高于对照组，两组总有效率比较差异有统计学意义(Plt;0.05)。结论:有效的心理干预能提高腰椎间盘突出症患者术后疗效、降低并发症的发生率。 【关键词】腰椎间盘突出症；心理干预；术后疗效Influence of Psychological Intervention on the Postoperative Curative Effect of Lumbar Disc Herniation PatientsYan WeiYang LiWang HuanLiu Jinbang 【Abstract】Objective: To evaluate the influence of psychological intervention on the postoperative curative effect of Lumbar disc herniation patients. Methods: To sort out 80 Lumbar disc herniation patients treated by operation into intervention group and comparison group randomly. For the intervention group, psychological intervention was carried out, while for the comparison group only conventional inspection and treatment was taken. To use self-rating depression scale(SDS), self-rating anxiety scale(SAS), and to compare SDS score、SAS score the postoperative curative effect and complications. Results: After the psychological intervention, the efficacy of intervention group was significantly higher than comparison group (Plt;0.05). Conclusion: The effective of psychological intervention can improve the postoperative curative effect and reduce the incidence of complications of lumbar disc herniation patients. 【Key words】Lumbar disc herniation；Psychological intervention；Postoperative curative effect 【中图分类号】R【文献标识码】A【文章编号】1007-8231（2011）04-0001-02 腰椎间盘突出症是指腰椎间盘变性，纤维环破裂，髓核组织突出，刺激或压迫神经根所引起的一种综合征。腰痛伴或不伴有下肢放射痛为其主要临床症状。严重坐骨神经痛伴有神经根张力高的体征者或症状反复发作者需要手术治疗。腰椎间盘突出症患者围手术期接受心理干预，能显著提高术后疗效,减少并发症的发生率。现将研究报告如下。 1 资料与方法 1.1 一般资料: 本研究选择采用手术治疗腰椎间盘突出症患者80例作为研究对象，其中，男性47例，女性33例；年龄26~68岁；腰2~3椎间盘突出症5例，腰3~4椎间盘突出症11例，腰4~5椎间盘突出46例，腰5~骶1椎间盘突出38例,合并有两个椎间隙突出的12例；腰部症状伴单侧或双下肢症状者57例，单纯下肢症状者12例，单纯腰部症状者11例。病程12天～14年左右。80例患者随机分为干预组和对照组，每组各40例