微创全髋关节置换后辅助镇痛下的早期康复训练

Analgesics-assisted early functional exercise followingminimally invasive total hip arthroplasty

背景:施行微创全髋关节置换后患者获得更好的关节功能不仅仅取决于手术,而与置换前关节的活动度、置换后康复锻炼等因素密切相关。目的:观察辅助镇痛在微创全髋关节置换后早期康复锻炼中的意义。方法:选择施行微创全髋关节置换的患者42例,随机分为2组,镇痛组在置换后口服塞来昔布下进行早期功能锻炼,对照组不予以止痛药处理。观察镇痛组与对照组目测类比疼痛评分,髋关节功能Harris评分和对手术的整体满意度的差异。结果与结论:镇痛组置换后7d内的目测类比疼痛评分明显优于对照组(P<0.05);镇痛组在置换后6个月内的Harris髋关节功能评分和对手术的整体满意度均明显优于对照组(P<0.05)。结果表明辅助镇痛能有效减少置换后患者运动时的疼痛,有效地保证了置换后康复计划的顺利进行,短期内提高了髋关节功能。

BACKGROUND：The hip function after theminimally invasive total hip arthroplasty （MIS-THA） is associated with surgical techniques and post-operation functional exercise as well.OBJECTIVE：To observe the role of adjuvant analgesia in functional exercise after MIS-THA.METHODS：Forty-two patients treated with MIS-THA were randomly assigned to two groups.Analgesics-assisted group orally administrated celecoxib and did early functional exercise,and the control was not treated with analgesics.Visual analog scale （VAS） scores,Harris scores and satisfaction to the operation in two groups were compared.RESULTS AND CONCLUSION：The VAS scores of analgesics-assisted group were significantly lower than the control in 7 days after operation （P0.05）;the Harris scores and the satisfaction rate of the analgesics group were higher than the control at 6 months after operation （P0.05）.Celecoxib has the positive effect on the functional exercise after MISTHA and improved hip function in a short period of time.