熊桂华+孙慧丽

[摘要] 目的 探讨腰椎间盘突出症急性期患者的循证护理方法。 方法 选取本院2011年2月～2013年2月诊治的腰椎间盘突出症急性期患者108例，随机分为两组，常规护理患者54例为对照组，循证护理患者54例为观察组，比较两组患者的护理效果及并发症情况。 结果 观察组患者总有效率明显高于对照组，观察组患者住院时间明显小于对照组，观察组患者视觉疼痛模拟评分、并发症发生率均明显低于对照组，差异均有统计学意义（P<0.05）。结论 循证护理可明显减轻患者痛苦，促进患者康复，并发症少且安全性高，值得临床推广使用。

[关键词] 腰椎间盘突出症；急性期；循证护理

[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2014）07-59-03

Evidence based nursing of patients with acute lumbar disc herniation

XIONG Guihua1 SUN Huili2

1.Affiliated Hospital of Changchun University of Traditional Chinese Medicine， Changchun 130021，China；2.Changchun Medical College，Changchun 130031，China

[Abstract] Objective To investigate evidence based nursing method of patients with acute lumbar disc herniation. Methods 108 patients with acute lumbar disc herniation were selected in hospital from February 2011 to February 2013，who were randomly divided into two groups.54 patients treated routine nursing as control group.54 patients treated evidence based nursing as observation group.Nursing effect and complications were compared between two groups. Results Total efficiency in observation group was significantly higher than control group.Hospitalization time in observation group was significantly smaller than control group.Visual analogue score and complication rate in observation group were significantly lower than control group.Difference was statistically significant（P<0.05）. Conclusion Evidence based nursing can significantly reduce pain and promote rehabilitation，which has few complications and high safety.That is worthy of clinical application.

[Key words] Lumbar disc herniation；Acute；Evidence based nursing

循证护理又称实证护理，是慎重、准确、明智地应用当前所获得的最好的研究依据，并根据护理人员的个人技能和临床经验，考虑患者的价值、愿望和实际情况，三者结合制定出完整的护理方案[1-2]。为了探讨腰椎间盘突出症急性期患者的循证护理方法，本院选取2011年2月～2013年2月诊治的腰椎间盘突出症急性期患者108例，随机分为两组，行常规护理和循证护理，针对护理效果及并发症情况进行对比分析，现报道如下。

1 资料与方法

1.1 一般资料

本院2011年2月～2013年2月诊治的腰椎间盘突出症急性期患者108例，年龄为32～69岁，平均（47.6±10.8）岁，病程为1个月～12年，平均

（3.5±1.7）个月，其中男65例，女43例。患者均符合腰椎间盘突出症急性期的诊断标准，临床表现为腰部剧痛、一侧或双侧下肢放射性疼痛、翻身侧转困难、腹压增加时病症加重、直腿抬高试验呈阳性（不足60°），经腰椎CT检查确诊为腰椎间盘突出症。……