简介：摘要：目的：研究冲击波联合局部注射治疗腰背肌筋膜疼痛综合征的效果。方法：随机选取我院2018年8月~2020年8月我院收治的64例腰背肌筋膜疼痛综合征患者，按照平均方法分为对照组和观察组，对照组患者为冲击波治疗，观察组患者为冲击波联合局部注射治疗。比较两组患者治疗前后疼痛程度以及治疗效果。结果：两组患者治疗前VAS疼痛评分对比P＞0.05；治疗后观察组患者VAS疼痛评分（1.09±1.00）分，明显低于对照组。观察组患者治疗总有效率96.88%，明显高于对照组。结论：冲击波联合局部注射治疗腰背肌筋膜疼痛综合征的临床效果更佳，可显著改善患者的临床症状和疼痛感。

简介：　　【摘 要】  目的： 本文就综合护理在老年冠心病无痛性心肌缺血患者护理中的应用效果进行研究。 方法： 选取我院在 2018年收治的 84例老年冠心病无痛性心肌缺血患者，按照抽签方式进行分组，实验组与参照组各 42例。参照组予以常规护理，实验组予以综合护理，对比两组患者的护理效果。 结果： 实验组的心肌缺血发作次数少于参照组，发作时间短于参照组，护理满意度对比参照组更高，均 P<0.05。 结论： 为老年冠心病无痛性心肌缺血患者实施综合护理干预，对减少心肌缺血发作次数及时间、提高护理满意度均有积极作用，值得推广。  　　【关键词】  综合护理 ;冠心病 ;无痛性心肌缺血 ;护理满意度  [Abstract] Objective: To study the effect of comprehensive nursing on the elderly patients with coronary heart disease and painless myocardial ischemia. Methods: 84 elderly patients with coronary heart disease and painless myocardial ischemia admitted to our hospital in 2018 were divided into two groups according to the method of drawing lots, 42 in the experimental group and 42 in the reference group. The control group was given routine nursing, and the experimental group was given comprehensive nursing. Results: the number of myocardial ischemia attack in the experimental group was less than that in the reference group, the attack time was shorter than that in the reference group, and the nursing satisfaction was higher than that in the reference group (P < 0.05). Conclusion: the comprehensive nursing intervention for the elderly patients with painless myocardial ischemia of coronary heart disease has a positive effect on reducing the times and time of myocardial ischemia attack and improving the nursing satisfaction, which is worth popularizing.