摘要
目的:观察多模式镇痛联合运动疗法对创伤性骨折术后持续性疼痛及康复进程的影响作用。方法:研究对象均来自于2023年2月至2025年2月期间于上犹县人民医院就诊的66例创伤性骨折患者,随机分成对照组与观察组,各33例,对照组采用常规的术后镇痛管理与运动疗法,观察组采用多模式镇痛联合运动疗法,观察比较两组患者的疼痛程度、运动功能恢复情况、康复情况以及不良反应发生率。结果:术后两组视觉模拟评分(Visual analog scale,VAS)均有下降,各时间点观察组VAS评分较对照组更低(P<0.05)。干预后两组运动评估量表(Motor Assessment Scale,MAS)评分均有显著升高,观察组MAS评分较对照组更高(P<0.05)。相比于对照组,观察组的下床时间与住院时间更短(P<0.05)。两组不良反应发生率无显著差异。结论:对创伤性骨折患者采用多模式镇痛联合运动疗法能有效缓解患者术后的持续性疼痛,加快患者康复进程与运动功能的恢复,且应用较为安全,是值得推荐的术后干预护理方式。
Objective:To observe the effect of multimodal analgesia combined with exercise therapy on persistent pain and re habilitation process after traumatic fracture surgery.Methods:The research subjects were 66 patients with traumatic fractures who visited the Shangyou County People's Hospital from February 2023 to February 2025.The patients were divided into a control group and an observation group randomly,with 33 cases in each group.The control group received conventional postoperative pain management and exercise therapy,while the observation group received multimodal pain management combined with exercise therapy.The pain level,motor function recovery,rehabilitation status,and incidence of adverse reactions were observed and compared between the two groups.Results:The VAS scores of both groups decreased after surgery,and the VAS scores of the observation group were lower than those of the control group at each time point(P<0.05).After intervention,both groups showed a significant increase in Motor Assessment Scale(MAS)scores,with the observation group having a higher MAS score than the control group(P<0.05).Compared with the control group,the observation group had a shorter time to get out of bed and hospitalization(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups.Conclusion:The use of multimodal analgesia combined with exercise therapy for patients with traumatic fractures can effectively alleviate persistent postoperative pain,accelerate the recovery process and motor function,and is relatively safe to apply.It is a recommended postoperative intervention nursing method.
作者
陈传芳
王敏
蔡昌才
Chen Chuan-fang;Wang Min;Cai Chang-cai(Rehabilitation Department,Shangyou People's Hospital,Ganzhou 341200,Jiangxi,China;Department of Rehabilitation,Shuiyan Township Health Center of Shangyou,Ganzhou 341200,Jiangxi,China)
关键词
创伤性骨折
多模式镇痛
运动疗法
持续性疼痛
康复进程
运动功能
不良反应
Traumatic fracture
Multimodal analgesia
Exercise therapy
Persistent pain
Rehabilitation process
Sports function
Adverse reactions
