叶鹭萍 杨献军 王晓璟 蔡婉琼

【摘要】 目的：观察舒筋止痛水定向药透对下肢血管介入术后腰痛患者的效果。方法：选取下肢血管介入术后腰痛患者60例，随机分为对照组与试验组，各30例。对照组予常规护理，试验组在常规护理基础上予舒筋止痛水定向药透，观察两组视觉模拟疼痛评分（VAS）及腰痛改善率。结果：制动停止时试验组VAS评分为（3.65±0.93）分，低于对照组的（4.55±1.28）分，差异有统计学意义（P<0.05）;试验组腰痛总改善率为83.33%，高于对照组的46.67%，差异有统计学意义（P<0.05）。结论：舒筋止痛水定向药透能降低下肢血管介入术后腰痛患者的疼痛程度。

【关键词】 舒筋止痛水定向药透 下肢血管介入术 腰痛

doi：10.14033/j.cnki.cfmr.2020.10.065 文献标识码 B 文章编号 1674-6805（2020）10-0-02

Effects of Shujin Analgesic Water-oriented Drug Penetration on Patients with Low Back Pain after Vascular Intervention in Lower Limbs/YE Luping， YANG Xianjun， WANG Xiaojing， CAI Wanqiong. //Chinese and Foreign Medical Research， 2020， 18（10）： -157

[Abstract] Objective： To observe the effect of Shujin Analgesic Water-oriented drug penetration on patients with low back pain after vascular intervention in lower limbs. Method： Sixty patients with low back pain after vascular intervention in lower limbs were selected and randomly divided into the control group and the test group， 30 cases in each group. The control group was given routine nursing. Based on the routine nursing， the test group was given Shujin Analgesic Water-oriented drug penetration. Visual analogue scale （VAS） scores and improvement rate of low back pain of two groups were compared. Result： The VAS score of the test group was （3.65±0.93） points when braking stopped， which was lower than （4.55±1.28） points of the control group， and the difference was statistically significant （P<0.05）. The total improvement rate of low back pain of the test group was 83.33%， which was higher than 46.67% of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Shujin Analgesic Water-oriented drug penetration can reduce the pain degree of patients with low back pain after vascular intervention in lower limbs.

[Key words] Shujin Analgesic Water-oriented drug penetration Vascular intervention in lower limbs Low back pain

First-authors address： The Second Affiliated Hospital of Fujian Traditional Chinese Medicine University， Fuzhou 350001， China

隨着人口老龄化加剧，下肢动脉硬化闭塞症等周围血管疾病发生率逐年上升，导致下肢残疾或截肢发生率明显增加，严重影响患者生活质量[1-3]。近年来，下肢血管介入技术发展迅速，为下肢动脉硬化闭塞症等疾病的筛查及诊治提供了新方向，具有死亡率低、创伤小、成功率高的特点，是有效控制症状的最佳治疗策略，包括滤器置入、溶栓治疗、支架置入术等[4]。由于下肢血管介入术中动脉压力较高及使用大量肝素抗凝，因此为防止术后穿刺处出血与血肿、假性动脉瘤、动静脉瘘等并发症发生，国内大多数医院对下肢血管介入术后患者要求平卧、约束带固定穿刺侧、下肢伸直并持续制动24 h，并对穿刺点采用沙袋压迫、绷带加压包扎[5-7]。持续约束及制动常影响患者的舒适度，导致腰酸背痛、下肢麻木不适、入睡困难等，从而产生烦躁、不安、焦虑等情绪，严重影响介入治疗效果及患者痊愈[8]。本研究通过对下肢血管介入术后腰痛患者采用舒筋止痛水定向药透治疗，取得一定成果，汇报如下。……