疼痛管理在行肘关节松解术患者中的应用效果评价  

The effectiveness evaluation of pain management among patients treated with elbow arthrolysis

作　　者：张春玲[1] 孙胜男[1] 孙盈[1] 

机构地区：[1]北京积水潭医院创伤骨科,100035

出　　处：《中国护理管理》2014年第8期805-807,共3页Chinese Nursing Management

摘　　要：目的:探讨疼痛管理在行肘关节松解术患者中应用的效果。方法:便利选取2010年5-11月和2012年6-12月在北京积水潭医院创伤骨科住院的行肘关节松解术的100例患者作为研究对象,2010年5-11月入院的50例患者为对照组,2012年6-12月入院的50例患者作为实验组。实验组患者从入院开始,针对患者的个体情况,有针对性地了解患者对疼痛的认识,评估患者,采用多模式、个体化的镇痛措施,同时给予患者疼痛相关的健康教育。比较两组患者术后12h、24h,功能锻炼后2h的疼痛值,同时比较出院后1个月复查时的肘关节功能评分值。结果:实验组患者在术后12h、24h,功能锻炼后2h的疼痛值均低于对照组,出院后1个月复查时的肘关节功能评分高于对照组(P<0.05)。结论:在行肘关节松解术的患者中进行疼痛管理能够有效减轻患者的疼痛,促进患者肢体功能的恢复和生活质量的提高。Objective： To evaluate the effects of pain management among patients treated with elbow arthrolysis. Methods： Totally 100 patients were recruited in our hospital and divided into the experimental group（50 patients） from May to November, 2010 and the control group（50 patients） from June to December, 2012 according to the sequence of their admission, Systematic and individualized health education about pain management were carried out in the experimental group. The VAS score were measured at 3 points, 12 h and 24 h after operation and 2h after functional exercise. The score of elbow joint function was also measured 1 month after discharge. Results： The VAS at 3 points（12h and 24 h after operation and 2h after functional exercise） among patients in the experimental group were all lower than those in the control group（P〈0.05）. The score of elbow joint function among patients in the experimental group were higher than those in the control group（P〈0.05）. Conclusion： Pain management can effectively alleviate pain and improve the limb function recovery and quality of life among patients treated with elbow arthrolysis.

关 键 词：疼痛管理 肘关节僵硬 松解手术 

分 类 号：R47[医药卫生—护理学]