摘要
目的探讨全程疼痛管理对人工膝关节置换(total knee arthropiasty,TKA)术后患者疼痛及膝关节功能恢复的效果。方法采用配对的方法将行单侧TKA的50例患者分为观察组和对照组,每组各25例,对照组患者术后给予硬膜外自控镇痛,观察组患者给予实施全程疼痛管理。比较两组患者7 d内(第1 d、2 d、3 d、5 d、7 d)疼痛评分及术后10 d内(第1 d、3 d、7 d、10 d)膝关节活动度,两组患者不良反应发生情况。结果观察组患者术后第1 d、2 d、3 d、5 d、7 d疼痛评分明显低于对照组(均P<0.05);观察组患者术后第1 d、3 d、7 d、10 d膝关节活动度明显优于对照组(均P<0.05);观察组患者不良反应发生率明显低于对照组(P<0.01)。结论全程疼痛管理有助于TKA术后患者疼痛的控制和促进患者膝关节康复,提高患者生活质量。
Objective To investigate the effects of comprehensive pain management on pains and recovery of knee function of patients who hadundergone total knee arthroplasty （TKA）. Methods A total of 50 patients who had undergone single-knee TKA surgery were selected and divided into 2 groups of 25 patients each ： the study group and the control group. The control group was given patient-controlled epidural analgesia while the study group was given comprehensive pain management. The two groups were compared in terms of score on pain within 7 days after operation, knee joint activity and the incidence of adverse reaction within 10 days after operation （the 1st, 3rd, 7th, 10th day）. Results Within 7 days, the scores on pain in the study were significantly lower than those in the control group （P 〈 0.05）. The scores on the knee joint activity in the study group on the 1st, 3rd, 7th, lOth day were significantly higher than those in the control group （P 〈 0.05） and the incidences of adverse reaction were significantly lower as well （P 〈 0.05）. Conclusion Comprehensive pain management is effective for post-surgery pain control and the hastened TKA patients, and the improved quality of life.
出处
《现代临床护理》
2013年第9期49-52,共4页
Modern Clinical Nursing
基金
2011年广西壮族自治区贵港市科技局课题
项目编号为贵科转1105036
关键词
人工膝关节置换
疼痛
全程疼痛管理
total knee arthroplasty
pain
comprehensive pain management
