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多模式镇痛在全膝关节置换术患者中的应用研究 被引量:2

Study on the Application of Multimodal Analgesia in Total Knee Arthroplasty
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摘要 目的:探讨多模式镇痛在全膝关节置换术中的应用效果。方法:选取笔者所在医院2018年11月-2019年11月收治的62例人工全膝关节置换术患者作为研究对象,按照随机数字表法将其分为对照组(21例)和观察组(41例)。对照组采用静脉自控镇痛泵,观察组采用多模式镇痛。比较两组术后12、24、48 h VAS评分、关节活动度。结果:观察组术后12、24、48 h VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组术后12、24、48 h关节活动度明显大于对照组,差异有统计学意义(P<0.05)。结论:全膝关节置换术中采用多模式镇痛可有效缓解疼痛,促进膝关节恢复,从而有效提升患者生活质量,值得临床大力推广使用。 Objective:To explore the effect of multimodal analgesia in total knee arthroplasty.Method:A total of 62 patients with artificial total knee arthroplasty who were admitted in our hospital from November 2018 to November 2019 were selected as the research object,and they were divided into the control group(21 cases)and the observation group(41 cases)according to the random number table method.The control group adopted intravenous controlled analgesia pump,and the observation group adopted multimodal analgesia.The VAS scores and joint mobility at 12,24 and 48 h after surgery were compared between the two groups.Result:The VAS scores at 12,24 and 48 h after surgery in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The joint mobility at 12,24 and 48 h after surgery in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Multimodal analgesia in total knee arthroplasty can effectively relieve pain,promote knee joint recovery and thus effectively improve patients’quality of life,which is worthy of clinical application.
作者 毕晔 赵秋华 BI Ye;ZHAO Qiuhua(Shijingshan Teaching Hospital,Capital Medical University,Beijing 100043,China;不详)
出处 《中外医学研究》 2020年第18期56-57,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 多模式镇痛 全膝关节置换术 VAS评分 临床效果 Multimodal analgesia Total knee arthroplasty VAS score Clinical effect
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