超前镇痛联合多模式镇痛在髋关节置换术后康复中的应用价值

Application value of preemptive analgesia combined with multimodal analgesia in rehabilitation after hip replacement

目的探讨超前镇痛联合多模式镇痛在髋关节置换术后康复中的应用价值。方法选取2020年1月至2020年12月我院收治的88例行髋关节置换术的患者作为研究对象,将其随机分为对照组和观察组,每组44例。对照组给予传统镇痛,观察组给予超前镇痛联合多模式镇痛。比较两组的视觉模拟评分法(VAS)评分、关节屈曲活动度、睡眠质量评分、首次下床活动时间、不良反应发生情况及髋关节功能。结果术后24 h、3 d、1周,观察组的VAS评分低于对照组(P<0.05)。术后24、48、72 h及5 d,观察组的关节屈曲活动度大于对照组(P<0.05)。观察组的睡眠质量评分低于对照组,首次下床活动时间短于对照组(P<0.05)。观察组的不良反应总发生率低于对照组(P<0.05)。术后2周、3个月,观察组的Harris评分高于对照组(P<0.05)。结论超前镇痛联合多模式镇痛在髋关节置换术后康复中的应用效果较好,能够减轻疼痛,促进髋关节功能改善。

Objective To explore the application value of preemptive analgesia combined with multimodal analgesia in rehabilitation after hip replacement.Methods A total of 88 patients with hip replacement admitted in our hospital from January 2020 to December 2020 were selected as the research objects and randomly divided into control group and observation group,with 44 cases in each group.The control group was given traditional analgesia,and the observation group was given preemptive analgesia combined with multimodal analgesia.The Visual Analogue Score(VAS),joint flexion activity,sleep quality score,first out-of-bed activity time,occurrence of adverse reactions and hip joint function were compared between the two groups.Results At 24 h,3 d and 1 week after operation,the score of VAS in the observation group was lower than that in the control group(P<0.05).At 24,48,72 h and 5 d after operation,the joint flexion activity in the observation group was greater than that in the control group(P<0.05).The sleep quality score in the observation group was lower than that in the control group,and the first out-of-bed activity time was shorter than that in the control group(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).At 2 weeks and 3 months after operation,the Harris score in the observation group was higher than that in the control group(P<0.05).Conclusion Preemptive analgesia combined with multimodal analgesia in rehabilitation after hip replacement has a better application effect,which can reduce the pain and promote the improvement of hip joint function.