疼痛控制对人工全髋关节置换术后早期康复效果的影响

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英文篇名：Pain Control for Total Arti?cial Hip Arthroplasty In?uence the Effect of Early Rehabilitation 作者：潘秀花 英文作者：PAN Xiu-hua;The Third People's Hospital; 关键词：镇痛 ; 人工全髋关节置换术 ; 早期康复 英文关键词：Analgesia;;Total artificial hip arthroplasty;;Early rehabilitation 中文刊名：WMIA 英文刊名：World Latest Medicine Information 机构：四川省自贡市第三人民医院; 出版日期：2019-02-08 出版单位：世界最新医学信息文摘 年：2019 期：v.19 语种：中文; 页：WMIA201912058 页数：2 CN：12 ISSN：11-9234/R 分类号：119-120

摘要

目的观察不同镇痛方法对人工全髋关节置换术后早期康复效果的影响。方法选择64例行单侧人工全髋关节置换的患者,随机分为2组。观察组采用多模式镇痛方法,对照组术后应用静脉自控镇痛泵。两组术后均进行早期康复锻炼。观察两组患者术后不同时间点的疼痛程度、髋关节功能恢复情况、术后并发症发生情况及患者对康复情况的满意度。结果两组比较,观察组术后各时间点静息状态及髋关节活动时的疼痛数字评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后2周、1个月、3个月及6个月髋关节功能Harris评分高于对照组(P<0.05),患者对于康复效果的满意度显著高于对照组(P<0.05)。结论多模式镇痛方法应用于人工全髋关节置换围术期疼痛的镇痛效果满意,有利于髋关节功能早期康复。
        Objective To observe the effects of early postoperative analgesia replacement rehabilitation of total artificial hiparthroplasty. Methods The 64 patients were randomly divided into 2 groups. Observation group was multi-modal analgesia method,the control group was intravenous analgesia pump. Two groups were rehabilitation exercises postoperative. Postoperative pain levelswere observed at different time points, the recovery of hip function, incidence of postoperative complications and patient satisfactionfor the rehabilitation of the situation. Results The observation group were resting point and time when the activities of hip painscores were lower than the number of the control group, the difference was statistically significant(P<0.05). two weeks, one month,three months and six months, the Harris hip score of observation group higher than the control group(P<0.05), the rehabilitation ofpatient satisfaction was significantly higher than the control group(P<0.05). Conclusions Multi-modal analgesia in hip replacementperioperative pain analgesic effect satisfactory hip function in favor of an early recovery.

引文

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