缓解髋关节置换患者术后疼痛的效果比较

Comparison of Relief Effect of Postoperative Pains in Patients with Hip Joint Replacement

目的探讨不同方法缓解髋关节置换患者术后疼痛的效果比较。方法随机选取2012年4月—2013年6月入住该院的进行全髋关节置换手术的患者70例为研究对象,分为观察组对照组各35例,观察组患者采用非药物干预方法缓解患者术后疼痛;对照组采用术前教育及术后药物镇痛治疗缓解患者术后疼痛,两组患者手术后均给予身体康复训练。观察两组患者术后恢复情况,比较两组患者的术后24 h,48 h,72 h的疼痛程度、及术后1、2、3、7、14,28 d髋关节活动情况(用VAS代表患者视觉模拟评分)及患者治疗后的满意度。结果观察组患者术后24 h,48 h,72 h的VAS分别为(4.05±0.95)分,(3.19±0.75)分,(2.53±0.81)分,显著低于对照组,差异有统计学意义(P<0.05);观察组的髋关节活动程度也优于对照组,差异有统计学意义(P<0.05);术后观察组患者满意程度达到94.29%,对照组为77.14%,对比出观察组明显好于对照组,差异有统计学意义(P<0.05)。结论用非药物干预的多种形式缓解髋关节置换患者术后疼痛效果明显好于镇痛药物效果,且恢复速度迅速、康复效果良好并有效改善了患者的生活质量,在临床上值得推广。

Objective To discuss and compare the effects of different methods of relieving postoperative pains of patients with hip joint replacement. Methods 70 cases of patients with hip joint replacement hospitalized in our hospital from April2012 to June 2013 were randomly selected as the research objects and divided into two groups with 35 cases in each, the observation group relieved postoperative pains by non-drug intervention method, the control group relieved postoperative pains by preoperative education and postoperative drug analgesic treatment, and both groups were given physical rehabilitation training after operation, and the postoperative recovery situations of the two groups were observed, and the pains degrees in postoperative 24 h,48h and 72 h, hip joint functions in postoperative 1d, 2d,3d,7d,14 d and 28d（VAS stood for visual analogue scale）, and postoperative satisfactory degrees were compared between the two groups. Results The VAS scores in postoperative 24 h,48h and 72 h in the observation group were respectively（4.05±0.95） marks,（3.19±0.75） marks and（2.53±0.81） marks, which were obviously lower than those in the control group with statistical significance（P〈0.05）, the hip joint function degree in the observation group was better than that in the control group with statistical significance（P〈0.05）, the postoperative satisfactory degree in the observation group was better than that in the control group with statistical significance,（94.29% vs 77.14%）,（P〈0.05）. Conclusion The effect of multiple forms of non-drug intervention in relieving postoperative pains of patients with hip joint replacement is obviously better than that of analgesic drugs, and the recovery speed is rapid and the rehabilitation effect is good, which can effectively improve the quality of life of patients, and it is worth clinical promotion in clinic.