围手术期超前镇痛在膝关节置换快速康复中应用  

The Application of Preemptive Analgesia During the Perioperative Period on Rapid Rehabilitation of Knee Replacement

作　　者：董红华[1] 周敦[1] 袁从虎[1] 王玉武[1] 钱辉辉 周丽娜[1] DONG Hong-hua;ZHOU Dun;YUAN Cong-hu;WANG Yu-wu;QIAN Hui-hui;ZHOU Li-na(Yancheng City Third People’s Hospital,Yancheng,Jiangsu,224001,China)

机构地区：[1]盐城市第三人民医院骨科,江苏盐城224001

出　　处：《临床研究》2018年第2期13-14,共2页Clinical Research

基　　金：盐城市科学发展基金(编号:YK2015107)

摘　　要：目的探讨围手术期超前镇痛在膝关节置换快速康复中的临床效果。方法将自2013年6月2015年6月份收治符合研究标准拟行膝关节置换患者83例,分为A组(快速康复组)43人和B组(常规处理组)40人,围手术期镇痛分别应用快速康复理念和常规处理方法进行镇痛处理,对比分析两组患者围手术期疼痛程度、并发症情况、术后住院时间以及两组患者近期临床效果。结果快速康复组与普通处理组相比,围手术期疼痛评分更低、术后住院时间更短、术后并发症明显减少,患者满意度更高,P<0.05,具有统计学意义。两组患者关节功能评分无明显差异。结论围手术期超前镇痛的快速康复理念在关节置换围手术期的应用,能明显减轻术后的疼痛,缩短术后住院时间。Objective To investigate the effect of preemptive analgesia during the perioperative period on rapid rehabilitation of knee replacement.Methods From June 2013 to June 2015,83 cases of patients who met the study criteria,with knee arthroplasty,were divided into group A(FTS group)43 and group B(conventional treatment group)40,and rapid rehabilitation concept and conventional treatment methods were applied in the perioperative analgesia and the pain score,complications,postoperative hospitalization of patients in the two groups and two groups of patients with recent clinical effect were compared.Results Compared with the general treatment group,the rapid recovery group had lower perioperative pain score,shorter postoperative hospital stay,less postoperative complications,higher patient satisfaction,and P<0.05,which was statistically significant.There was no significant difference in the scores of joint function between the two groups.Conclusion The application of rapid rehabilitation concept during perioperative period of joint replacement can obviously reduce postoperative pain and shorten postoperative hospital stay.

关 键 词：快速康复外科理念 超前镇痛 围手术期 关节置换 

分 类 号：R687.4[医药卫生—骨科学]