疼痛管理在膝关节置换术患者下肢功能恢复中的应用效果  

Effect of pain management in lower limb function recovery of patients undergoing knee arthroplasty

作　　者：山卉[1] 王莹[2] SHAN Hui;WANG Ying(Department of Orthopedics,Xi′an Central Hospital in Shaanxi Province,Xi′an,Shaanxi,710003;Department of General Surgery,Xi′an Central Hospital in Shaanxi Province,Xi′an,Shaanxi,710003)

机构地区：[1]陕西省西安市中心医院骨科,陕西西安710003 [2]陕西省西安市中心医院普外科,陕西西安710003

出　　处：《实用临床医药杂志》2019年第23期104-106,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨疼痛管理在膝关节置换术患者下肢功能恢复中的应用效果。方法选取90例膝关节置换术后患者为研究对象,按照入院单双顺序分为对照组和观察组,各45例。对照组采用常规护理干预,观察组采用疼痛管理,比较2组视觉模拟评分法(VAS)评分、术后恢复情况、膝关节功能评定量表(HSS)评分、自我效能感(GSES)评分及并发症发生率。结果观察组患者术后6、24、48、72 h及出院时的VAS评分均低于对照组,差异有统计学意义(P<0.05);干预后,观察组患者24 h睡眠时间长于对照组,首次下地时间、膝关节屈曲≥90°时间及住院时间均短于对照组,HSS、GSES评分高于对照组,总并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论疼痛管理可促进膝关节置换术后患者的下肢功能恢复,减轻患者疼痛,提高自我效能,且安全性较高。Objective To observe the effect of pain management in lower limb function recovery of patients undergoing knee arthroplasty.Methods A total of 90 patients undergoing knee joint replacement in our hospital were divided into control group(n=45)and observation group(n=45)according to the odd-even order of admission.The control group was given routine nursing,while the observation group was combined with pain management.The Visual Analogue Scale(VAS)scores,postoperative recovery,Hospital for Special Surgery Knee Score(HSS),General Self-efficacy Scale(GSES)and incidence of complication were compared between the two groups.Results The VAS scores of the observation group were significantly lower than those of the control group at 6,2,48,72 h after surgery and at discharge(P<0.05).After intervention,sleep time during 24 h in observation group was longer,while the time to first bed-off,time to knee joint flexion≥90°and hospitalization time were shorter than those in control group(P<0.05).After intervention,the HSS and GSES scores of the observation group were significantly higher,and the incidence of total complication of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Pain management with higher safety can promote the recovery of lower limb function in patients after knee joint replacement,relieve pain,and improve self-efficiency.

关 键 词：膝关节置换术 疼痛管理 下肢功能 自我效能感 睡眠 

分 类 号：R687.0[医药卫生—骨科学]