| 脊柱手术后疼痛综合康复治疗的病例对照研究 |
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Received:June 30, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 何杰民 |
HE Jie-min |
广州中山大学附属第二医院骨科, 广东 广州 510120 |
Department of Orthopaedics, the Second Affiliated Hospital of SUN Yat-sen University, Guangzhou 510120, Guangdong, China |
hejioemin@163.com |
| 梁安靖 |
LIANG An-jing |
广州中山大学附属第二医院骨科, 广东 广州 510120 |
Department of Orthopaedics, the Second Affiliated Hospital of SUN Yat-sen University, Guangzhou 510120, Guangdong, China |
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| 彭焰 |
PENG Yan |
广州中山大学附属第二医院骨科, 广东 广州 510120 |
Department of Orthopaedics, the Second Affiliated Hospital of SUN Yat-sen University, Guangzhou 510120, Guangdong, China |
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| 期刊信息：《中国骨伤》2010年23卷，第12期，第929-931页 |
| DOI：10.3969/j.issn.1003-0034.2010.12.014 |
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目的：探讨干扰电为主的综合康复治疗脊柱手术术后疼痛的临床效果。
方法：回顾分析2004年1月至2008年12月行脊柱手术后疼痛治疗166例情况，分别应用单纯镇痛药物及联合干扰电治疗。其中单纯药物治疗46例，男22例，女24例；平均年龄(51.0±6.5)岁；药物联合干扰电治疗120例，男50例，女70例；平均年龄(48.0±5.6)岁。治疗前，药物治疗组Ⅲ度疼痛4例，其中3例是椎管狭窄手术，1例是先天性椎弓峡部裂；Ⅱ度疼痛42例。药物联合干扰电治疗组Ⅲ度疼痛17例，其中13例是椎管狭窄手术，4例是先天性椎弓峡部裂；Ⅱ度疼痛103例。治疗前及治疗期间，根据世界卫生组织(WTO)疼痛程度划分标准评定病例疼痛缓解情况进行比较分析。
结果：两组病例疼痛级别构成比(Ⅲ度/Ⅱ度/Ⅰ度):治疗第3日，药物联合干扰电治疗组为1/96/23,单纯药物治疗组为4/42/0;治疗第7日，药物联合干扰电治疗组为0/17/103,单纯药物治疗组为2/44/0;治疗第14日，药物联合干扰电治疗组为0/0/120,单纯药物治疗组为0/4/42.经秩和检验3个时间点均显示病例疼痛程度分布差异有统计学意义，药物联合干扰电治疗组中Ⅲ度疼痛者或Ⅱ度疼痛者所占比例均较单纯药物治疗者明显下降。
结论：药物联合干扰电治疗可加快改善患者的术后疼痛症状，缩短患者的住院时间。 |
| [关键词]:脊柱 手术后并发症 疼痛 康复 病例对照研究 |
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| Case-control study on comprehensive rehabilitation for postoperative pain after spinal surgery |
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Abstract:
Objective: To evaluate the effect of interferential electrical stimulation (IES) in pain relief after spine surgery.
Methods: From January 2004 to December 2008,166 patients after spine operation received pain treatment. All the patients were divided into two groups:the drug treatment group,which was the control group, including 46 cases,22 patients were male and 24 patients were female,with an average age of(51.0±6.5) years;and the IES treatment group,including 120 cases, 50 patients were male and 70 patients were female,with an average age of(48.0±5.6) years. Before treatment,there were 4 patients with pain of GradeⅢin the control group,in which 3 patients had stenosis,1 patient had spondylolisthesis;42 patients had GradeⅡpain. In the IES group before treatment,17 patients had GradeⅢpain,in which 13 patients had stenosis,4 patients had spondylolisthesis;103 patients had GradeⅡpain. The preoperative and postoperative pains were evaluated and compared by the WHO Pain Criteria.
Results: The composing of IES group with pain gradeⅢ，ⅡandⅠwere 1/96/23,0/17/103,0/0/120 at the 3rd day,the 7th day and the 14th day after treatment respectively,while in the control group they were 4/42/0,2/44/0,0/4/42 respectively.There were statistical differences between the two groups with Kruskal-Wallis test. The percent of mid and severe grade pain decreased much faster in IES group.
Conclusion: Interferential electrical stimulation (IES) therapy can improve patients' postoperative pain relief more quickly and reduce duration of hospitalization. |
| KEYWORDS:Spine Postoperative complications Pain Rehabilitation Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 何杰民,梁安靖,彭焰.脊柱手术后疼痛综合康复治疗的病例对照研究[J].中国骨伤,2010,23(12):929~931 |
| 英文格式: | HE Jie-min,LIANG An-jing,PENG Yan.Case-control study on comprehensive rehabilitation for postoperative pain after spinal surgery[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(12):929~931 |
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