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The Observation Of The Clinical Effect Of Lumbar Sympathetic Nerve Damage/Resection For Curing Lower-limb Neuropathic Pain And The Assessment Of The Quality Of Life

Posted on:2014-01-05Degree:MasterType:Thesis
Country:ChinaCandidate:W D ChenFull Text:PDF
GTID:2254330392467536Subject:Surgery
Abstract/Summary:PDF Full Text Request
Objective: to observe the clinical curative effect of lumbarsympathetic nerve damage/resection for curing lower-limb neuropathicpain, analysis the quality of life of postoperative patients.Methods: with the will, a total of43cases patients which werediagnosed with lower-limb neuropathic pain were treated by lumbarsympathetic nerve damage/resection, postoperative follow-up on a regularbasis; Evaluation indexes is Visual Analogue Scale(VAS) and The WorldHealth Organization Quality of Life(WHO QOL-BREF).Results: lumbar sympathetic nerve damage/resection has a good eff--ective on lower-limb neuropathic pain and the video-assisted laparos--copic lumbar sympathectomy is more exact.the quality of life is improvecompare to the preoperative, especially in the physiological、psychol--ogical field; Multiple stepwise regression analysis showed that exer--cise,age,course of disease,character,interpersonal relationships,hea--lth care living conditions and sleep quality have a strong correlationwith quality of life.Conclusion: lumbar sympathetic nerve damage/resection can reduce thepain of patients, improve patient’s quality of life.but the quality oflife is affected by many factors,therefore,to improve it,we need to havea good understanding of this disease,and it also need the joint effortsof the medical staff,family and society.
Keywords/Search Tags:Lower-limb neuropathic pain, Video-assisted laparoscopiclumbar sympathectomy, Chemical lumbar sympathectomy, Visual AnalogueScale, Quality of Life
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