疼痛管理路径对带状疱疹后神经痛患者疗效的影响

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1、授予单位代码10089学号或申请号13586HebeiMedicalUniversity硕士学位论文科学学位疼痛管理路径对带状疱疹后神经痛患者疗效的影响作者姓名：杜玉敏导师：何文英专业：护理学二级学院：河北医科大学第二医院疼痛科2015年03月河北医科大学学位论文使用授权及知识产权归属承诺/'•本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文相关的论文，第一署名单位为河北医科大学，试验材料、原始数

2、据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应的法律责任。‘•,t‘•‘.：.；••+卢：v"�.‘;•研究生签名导师签章:二级学院领导藝章：河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导老师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名导师签章」年月日目录中文摘要···························································

3、··················1英文摘要·············································································3研究论文疼痛管理路径对带状疱疹后神经痛患者疗效的影响前言·············································································6材料与方法·······················································

4、·············6结果·············································································11附表·············································································13讨论·············································································15结论········

5、·····································································18参考文献·······································································19综述带状疱疹后神经痛的治疗与护理进展································23致谢·································································

6、··················32个人简历·············································································33中文摘要疼痛管理路径对带状疱疹后神经痛患者疗效的影响摘要目的：带状疱疹后神经痛是临床上非常难治的一种神经病理性疼痛，严重干扰着患者的工作和生活，迄今为止尚缺乏一些特殊方法和药物能完全缓解患者的疼痛。本研究的目的是，依据带状疱疹后神经痛的临床疾病特点，设计疼痛管理路径，并进行临床应用，探讨疼痛管理路径对带状疱疹后神经痛患者疗效的

7、影响,评估其临床应用价值，以期找到一条有效的疼痛管理标准，从而能减轻患者痛苦，改善其生活质量。方法：选取2013年12月至2014年8月，我院疼痛科收治的带状疱疹后神经痛患者90例（符合2012年第1版《疼痛学》中的带状疱疹后神经痛的诊断标准，诊断为带状疱疹后神经痛），年龄50至85岁，性别不限，疼痛部位为胸腹部。采用随机数字表法，将患者分为对照组及实验组各45例。入院后均给予相同的药物治疗，对照组采用常规护理模式进行护理，实验组应用疼痛管理路径模式进行护理。采用数字评价量表（numericalratingscale,NRS)、

8、简明疼痛评分量表及用休斯顿疼痛情况调查表(HoustonPainOutcomeInstrument,HPOI)分别对治疗前和治疗后5、10天患者的疼痛程度，疼痛对睡眠的影响及患者对疼痛控制的总体满意度进行评价；并观察两组患者常见不良反应便秘的发生率，同时对两组患