多学科诊疗团队在人工全髋关节置换术后72h疼痛管理的应用效果

Application effect of postoperative pain management by multidisciplinary team in total hip replacement for 72 hours

目的探讨多学科诊疗团队在人工全髋关节置换术(THA)后72 h疼痛管理的效果。方法选取2016年2~7月我院行THA 92例患者,按时间纵轴分为观察组和对照组,每组各46例。对照组术后给予常规疼痛管理,观察组采用多学科联合干预进行疼痛管理,比较两组术后72 h内的中、重度疼痛发生率及疼痛管理有效率。结果观察组术后72 h内中、重度疼痛发生率低于对照组,各项疼痛管理有效率高于对照组,差异均有统计学意义(P<0.05)。结论多学科诊疗团队能有效降低THA术后72 h疼痛强度,提高THA术后疼痛管理效果。

Objective To investigate the effect of multidisciplinary team on postoperative pain management in total hip arthroplasty(THA)for 72 hours.Methods From February to July 2016,92 patients who underwent THA in our hospital were selected and divided into observation group and control group on the longitudinal axis of time.The control group used routine pain management after hip replacement,while the observation group was combined with multidisciplinary,the incidence of moderate and severe pain and the efficiency of pain management between the two groups within 72 h after operation were compared.Results The incidence of moderate and severe activity pain in the observation group within 72 h after operation was lower than that in the control group,the effective rates of pain management was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Multidisciplinary diagnosis and treatment teams,can effectively reduce the pain intensity after THA for 72 h and improve the pain management effect after THA.