【摘要】 目的 探讨腰椎间盘电热凝纤维环成形术(IDETA)治疗盘源性腰痛的临床疗效与护理要点。方法 对20例在DSA下行腰椎间盘电热凝纤维环成形术治疗盘源性腰痛的患者，治疗期间密切观察射频相关参数的变化及病人的症状、VAS评分等的变化，制定相应的护理措施。结果 治疗后的优良率为95%，无效率为0。治疗前后的VAS评分有显著差异(P<0.05)。无1例发生并发症。结论 腰椎间盘电热凝纤维环成形术IDETA)对盘源性腰痛有比较满意的近期疗效，并且治疗方法安全、相对简便。整个围手术期中及时准确的护理是非常重要的，特别是有效的心理护理、热凝温度的监测、密切注意病人的主诉及正确的术后指导，使治疗更加安全、有效。

    关键词 腰椎间盘 电热凝治疗术 盘源性腰痛 护理

    The nursing of intradiscal electhermal anuloplasty in treatment of discogenic pain

    Zhou HouXiang，Jiang Jin，Zhu Hongqian，et al

    Pain Medicine Department，Nanshan People’s Hospital，Nanshan District，Shenzhen518052.

    【Abstract】 Objective To observe the effect of intradisca electrothermal anuloplasty in treatment of discihˉgenic pain and to discuss the cruces of nursing the procedure.Methods Twenty patients with chronic low back pain were selected according the criteria of discogenic pain.They were treated by IDETA AT60℃65℃70℃under the monitor of DSA.They were intensively cared during the procedure Nursing measurement were established according to the changes of symptoms ......