中西医结合护理对人工髋关节置换术后疼痛的影响  

The Therapeutic Effect Observation of integrated traditional Chinese and western medicine nursing in Relieveing Pain after Artificial Hip Replacement

作　　者：杨静华[1] 陈丽光[1] 陈谊[1] 彭小伟[1] 余青梅[1] 李贺丹[1] 向春玲[1] 徐丹[1] 刘树霞[1] 费菡 

机构地区：[1]南方医科大学南方医院创伤骨科,广州510515

出　　处：《当代护士（下旬刊）》2017年第5期55-58,共4页Modern Nurse

摘　　要：目的探讨中西医结合护理干预对缓解人工髋关节置换术后疼痛的临床效果。方法将60例人工髋关节置换术后患者随机分为对照组和干预组各30例。术后均采用数字疼痛分级法(numerical rating scale,NRS)进行疼痛评估,观察两组疼痛缓解效果。对照组采用骨科术后多模式镇痛方法;干预组在对照组治疗的基础上实施中西医结合护理干预(心理护理、体位护理、术后疼痛护理指导、中医护理)。结果术后6 h、12 h、24 h、48 h、72 h干预组患者的疼痛程度低于对照组(均P<0.05)。结论采用有效的治疗方法以及适当的中西结合护理措施,能有效地缓解髋关节置换术后患者疼痛,提高患者的生活质量。Objective To observe the effect of integrated traditional Chinese and western medicine nursing in alleviating the pain after artifi- cial hip replacement.Methods 60 cases of patients received artificial hip replacement were equally randomized into the control group and ob- servati0n group, with 30 case in each group.Patients in control group were treated with multimodal analgesia; on the basis of the control group, the patients of the observation group were given health education guidance which include psychological nursing, body position nursing, postop- erative pain nursing guidance, Chinese medicine nursing. The NRS pain scores was used to observe the effect of pain relieving in the two groups.Results The patients of observation group had lower NRS for pain at 1 h, 6 h, 24 h, 48 h and 72 h after surgeries than the control group, The difference between two groups was statistically significant （P〈0.05）. Conclusion on the basis of Multimodal analgesia, integrated traditional Chinese and western medicine nursing can effectively relieve the pain after artificial hip replacement.

关 键 词：中西医结合护理 人工髋关节置换术 多模式镇痛 

分 类 号：R473.6[医药卫生—护理学]