情志护理结合超前镇痛对全膝关节置换术后早期疼痛的影响

The Application of Auricular Point Therapy and Herbal Fumigation in Early Analgesia after Total Knee Arthroplasty

目的分析情志护理配结合超前镇痛对全膝关节置换术后早期疼痛的影响。方法选取60例行单侧全膝关节置换术患者,随机分为对照组和观察组,各30例,对照组给予围手术期超前镇痛,观察组在对照组基础上增加情志护理。观察记录并对比两组术后3 d内膝关节的疼痛情况。结果观察组疼痛缓解情况优于对照组,术后3 d两组视觉模拟评分法(VAS)分值差异有统计学意义(P<0.05),观察组护理满意度高于对照组,差异有统计学意义。结论情志护理在全膝关节置换术后早期有辅助镇痛作用,与超前镇痛结合效果更佳。

Objective To explore the effect of emotional nursing combined with preemptive analgesia on early analgesia after total knee arthroplasty（ TKA）. Methods 60 patients with total knee arthroplasty were randomly divided into control group and intervention group with 30 patients each. Patients in control group were treated with Nsaids drugs to ease pain,while intervention group patients were added emotional nursing on the basis of control group. Observation and record the pain of knees in 3 days after operation. Results Postoperative pain relief in the intervention group was better than that in the control group,the difference of VAS scores in 3 d after operation between the two groups was statistically significant. The nursing satisfactions of patients in intervention group were statistical y higher than those of control group. Conclusion Emotional nursing can assisted analgesia after TKA opration and have a batter curative effect combined preemptive analgesia.