规范化疼痛管理对老年人工全膝关节置换术患者疼痛程度及早期恢复的影响

Impact of Standardized Pain Management on Pain Degree and Body Recovery of Elderly Patients with Total Knee Arthroplasty

目的探讨规范化疼痛管理模式对老年人工全膝关节置换术患者疼痛程度及早期恢复的影响。方法选取琼海市人民医院2018年10月—2020年7月收治的老年人工全膝关节置换术患者65例,随机分为对照组32例和观察组33例。对照组患者术后给予常规疼痛护理,观察组患者术后给予规范化疼痛管理。比较两组患者术前及术后12、24、48 h视觉模拟评分法(VAS)评分、早期恢复指标及并发症发生率。结果两组患者术前VAS评分比较,差异无统计学意义(P>0.05);术后12、24、48 h观察组患者VAS评分均低于对照组(P<0.05)。观察组患者主动翻身时间、每天睡眠时间、主动下地时间、主动活动关节时间短于对照组,膝关节功能评分(HSS)评分、膝关节活动度(ROM)评分高于对照组(P<0.05)。观察组患者并发症发生率低于对照组(P<0.05)。结论规范化疼痛管理可有效减轻老年人工全膝关节置换术患者术后疼痛程度,促进患者尽早恢复,且可降低并发症发生率。

Objective To explore the impact of standardized pain management on pain degree and body recovery of elderly patients with total knee arthroplasty.Methods 65 cases of elderly patients with total knee arthroplasty in Qionghai City People’s Hospital from October 2018 to July 2020 were selected,and they were randomly divided into control group for 32 cases and observation group for 33 cases.Patients in control group were given routine pain care,patients in observation group were given standardized pain management.VAS score before operation and 12,24,48 h after operation,early recovery indexes and incidence of complications were compared between the two groups.Results There was no significant difference in VAS scores between the two groups before operation(P>0.05);VAS score at 12,24,48 h after operation in the observation group were significantly lower than those in the control group(P<0.05).Active turning over time,sleep time every day,active landing time,active joint time in the observation group were significantly shorter than those in the control group,HSS score and ROM score in the observation group were significantly higher than those in the control group(P<0.05).Incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Standardized pain management can effectively reduce pain degree of elderly patients with total knee arthroplasty,promote the early recovery of patients,and reduce the incidence of complications.