日间手术模式下细银质针导热松解术的临床应用的回顾分析性分析

APPLICATIONS OF THIN SILVER NEEDLE HEAT CONDUCTION IN THE AMBULATORY SURGERY MODE：A RETROSPECTIVE STUDY

摘要:

目的：回顾分析日间手术模式下细银质针导热松解术临床应用的有效性和及安全性。方法：回顾性分析分析中日友好医院疼痛科2017年8月至2019年9月在于中日医院日间手术中心接受进行细银质针导热松解术治疗的患者的一般情况、,统计分析其病程、病种、平均住院日、平均住院费用、患者满意度、疼痛数字评分(NRS)、睡眠质量(AIS量表)、生活质量(SF-12量表)和以及并发症。情况。结果：共回顾分析患者596例,平均病程45.2个月,平均平均住院日1.02天,平均患者,满意度评分平均8.06分,平均平均住院费用1953.95元。平均病程为45.2月,病种主要包括：筋膜炎374例(62.7%)、关节源性疾病114例(15.4%)、神经病理性疼痛98例(16.4%)。患者治疗1周、4周后的NRS评分、AIS评分均较治疗前有显著降低(P<0.05)。SF-12量表生理情况(PCS)评分在治疗后1周和及4周时较治疗前有显著改善(P<0.05),,心理情况(MCS)评分在治疗后4周时较治疗前有显著改善(P<0.05)。共发生并发症346例,其中皮下淤血血肿33例,气胸13例,经处理后均改善缓解。结论：日间手术模式下,的细银质针导热松解术效果好,风险低,是在治疗慢性骨骼肌肉疼痛的良好治疗方法中有良好疗效、并发症风险低、时间成本少,值得临床推广。

Abstract:

Objective: To respectively analyze the clinical efficacy and safety of thin silver needle heat conduction in ambulatory surgery mode.SMethods:SThe course of disease, diagnosis type, length of hospital stay, inpatient charges, patients’ satisfaction, numeric rate scale (NRS), Athens insomnia scale (AIS), Quality of life scale (SF-12), and complications, if any, in the patients undergoing fine silver needle heat conduction in Ambulatory Surgery Center of China-Japan Friendship Hospital between August 2017 and September 2019 were respectively analyzed.SResults: A total of 596 patients were retrospectively analyzed, with an average length of hospital stay of 1.02 days, an average satisfaction score of 8.06, and an average inpatient charges of 1953.95 RMB. The average course of disease was 45.2 months, including 374 cases of fasciitis (62.7%), 114 cases of articular diseases (15.4%), and 98 cases of neuropathic pain (16.4%). NRS score and AIS score of patients at 1 and 4 weeks after treatment were significantly lower than those before treatment (P<0.05). PCS score was significantly improved at 1 and 4 weeks after treatment (P<0.05), while the MCS score was significantly improved at 4 weeks after treatment (P<0.05). Complications occurred in 34 cases, including 33 cases of subcutaneous hematoma and 1 case of pneumothorax.SConclusion: In ambulatory surgery mode,the fine silver needle heat conduction has a good effect and low risk, and is an excellent treatment for chronic musculoskeletal pain.S