规范化疼痛管理模式在老年髋部骨折手术患者中的应用效果  

Effect of Standardized Pain Management on Old Patients after Hip Fracture Surgery

作　　者：赵克聪[1,2] 孙海燕[1,2] 范静宇[1,2] 张宝翠[1,2] 杨威[1,2] 刘克敏[1,2] ZHAO Ke-cong SUN Hai-yan FAN Jing-yu ZHANG Bao-cui YANG Wei LIU Ke-min(Capital Medical University School of Rehabilitation, Beijing 100068, China Department of Orthopedics and Rehabilitation, Beijing Bo＇ai Hospital, China Rehabilitation Research Center, Beijing 100068, China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院骨科,北京市100068

出　　处：《中国康复理论与实践》2017年第7期848-850,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察规范化疼痛护理管理在老年髋部骨折手术患者中的应用效果。方法 2015年1月至2016年6月入院行髋部骨折手术的老年患者(年龄>58岁)75例,随机分为对照组37例和观察组38例;对照组采用常规疼痛管理,观察组予规范化疼痛管理。比较两组患者最强程度疼痛视觉模拟评分(VAS)和满意度计分。结果两组患者VAS评分术前无显著性差异(Z=0.845,P>0.05),术后观察组VAS评分显著低于对照组(Z=5.427,P<0.001)。观察组护理满意度评分显著高于对照组(t=21.346,P<0.001)。结论规范化疼痛管理能够显著地降低老年髋部骨折患者围术期疼痛,提高满意率,值得临床推广应用。Objective To observe the effects of standardized pain management on old patients with hip fracture. Methods From January, 2015 to June, 2016, 75 old patients （more than 58 years old） with hip fracture were randomly divided into control group （n=37） and observa-tion group （n=38）. The control group accepted routine pain management, while the observation group accepted standardized pain manage-ment. They were assessed with Visual Analogue Score （VAS） of the most intensive pain, and their scores for satisfaction were compared. Re-sults There was no significant difference in VAS between two groups before operation （Z=0.845, P〉0.05）. The VAS was significantly lower in the observation group than in the control group postoperatively （Z=5.427, P〈0.001）. The scores of satisfaction was more in the observa-tion group than in the control group （t=21.346, P〈0.001）. Conclusion Standardized pain management can significantly reduce perioperative pain in old patients after hip fracture surgery, and improve the satisfaction.

关 键 词：髋部骨折 老年 规范化疼痛管理 护理 

分 类 号：R683.305[医药卫生—骨科学]