髋关节置换术多模式镇痛效果及护理干预方法

Multimodal analgesia effect and nursing intervention for hip replacement

目的对比分析多模式镇痛配合护理干预与单纯术后镇痛配合护理干预在髋关节置换术围手术期间的镇痛效果。方法选取我院于2009年3月至2013年1月期间治疗的70例髋关节置换术病人,采用数字单双号的模式将其随机分为单纯镇痛组与多模式镇痛组,每组各35例。针对两组病人都实施护理干预措施,分别详细记录两种镇痛措施在手术完成后各个时间阶段的VAS评分,实施统计学处理。结果在手术完成以后的0h^24h以内各个时间段,多模式镇痛组的镇痛效果都明显优于单纯镇痛组(P<0.05),差异具有统计学意义;在手术完成以后的24h^48h以内,两组病人的差异不具有统计学意义(P>0.05)。结论针对髋关节置换术病人,实施多模式镇痛配合护理干预措施,具有镇痛效果好、安全性高的特点,非常值得临床推广应用。

Objective：The analgesic effect of multimodal analgesia compared with nursing intervention and simple post-operative analgesia with nursing intervention during the peri operation of hip joint replacement. Methods：thods in our hos-pital during the period from 2009 March to 2013 January treatment of 70 cases of patients undergoing hip replacement,The digital single mode were divided into simple analgesia and multimodal analgesia group,35 patients in each group. Accord-ing to the two groups of patients nursing intervention measures,Detailed record of two analgesia measures in operation after the completion of each stage of the VAS score. Results：thin the operation after the completion of the 0 ~ 24 h all the time, The analgesic effect of multimodal analgesia group were significantly better than analgesia group（P 〈 0. 05）,The difference was statistically significant;Within the operation after the completion of the 24 ~ 48 h,The differences between the two groups were not statistically significant（P 〉 0. 05）. Conclusions：ming at the hip joint replacement patients,The imple-mentation of multimodal analgesia with nursing intervention measures,Has the advantages of good analgesic effect and high security features,So it is worthy of clinical application.