腕踝针干预对老年髋关节置换术后镇痛的疗效评价

Waa Intervention on Elderly Hip Arthroplasty Analgesia Evaluation

目的评价腕踝针干预对老年股骨颈骨折患者人工髋关节置换术后镇痛的临床疗效。方法选取2014年11月—2016年2月间因股骨颈骨折在该院行全髋关节置换的60例老年患者,将其随机分为实验组和对照组,每组均为30例,对照组术后给予常规疼痛护理干预,实验组在常规疼痛护理基础上配合腕踝针干预。比较两组患者的被动锻炼痛、髋关节功能恢复情况、术后镇痛药物使用的不良反应。结果实验组在术后72 h时被动锻炼的最痛值VAS评分为(3.7±0.9)分,对照组为(5.5±0.8)分,术后14 d时实验组Harris评分为(73.36±3.87)分,对照组为(60.78±3.62)分,两组患者在术后72 h内被动锻炼最痛值和术后14 d时Harris评分的对比差异有统计学意义(P<0.05)。实验组不良事件发生率显著低于对照组。结论采用腕踝针对人工髋关节置换术后被动康复锻炼时进行干预,可有效减轻疼痛,且不良反应少,有利于髋关节功能的康复。

Objective To evaluate waa intervention on elderly patients with femoral neck fracture artificial hip replacement clinical efficacy of postoperative analgesia. Methods November 2014 to February 2016 between femoral neck fracture in our department due to total hip arthroplasty 60 elderly patients were randomly divided into experimental and control groups,30 cases in each group, the control group was given routine nursing intervention pain experimental group with waa intervention pain nursing routine basis. Comparison of the two groups were passive exercise pain, hip function recovery, adverse postoperative analgesic drug use. Results Experimental group after 72 h passive exercise value most pain VAS score was（3.7±0.9） points in the control group（5.5±0.8） points, postoperative Harris scores 14 d experimental group（73.36±3.87） points, control group（60.78±3.62） points, the two groups of patients within 72 h after the passive exercise when comparing differences in Harris score the most value and postoperative pain 14 d statistically significant（P〈0.05）.The incidence of adverse events in the experimental group was significantly lower than the control group.Conclusion When performed using passive wrist ankle replacement surgery rehabilitation exercises for the hip joint intervention, which can effectively reduce pain and fewer adverse reactions, conducive to the rehabilitation of the hip joint function.