非甾体类药物超前镇痛联合术后CPM治疗对髋关节创伤性骨关节炎患者全髋置换术后功能恢复的影响  

Effect of non-steroidal drugs preemptive analgesia combined with post-operative CPM treatment on functional recovery after total hip arthroplasty in patients with traumatic osteoarthritis of the hip

作　　者：胡培植[1] HU Peizhi(Orthopedics and Traumatology Department,Taicang Hospital of Traditional Chinese Medicine,Suzhou 215400,China)

机构地区：[1]太仓市中医医院骨伤科,江苏苏州215400

出　　处：《临床医学研究与实践》2023年第35期92-95,共4页Clinical Research and Practice

摘　　要：目的探讨非甾体类药物超前镇痛联合术后持续被动活动(CPM)治疗对髋关节创伤性骨关节炎患者全髋置换术后功能恢复的影响。方法选择2016年5月至2021年6月收治的53例髋关节创伤性骨关节炎患者作为研究对象,其中2016年5月至2017年12月21例患者未给予术前口服药物镇痛及术后CPM治疗(对照组),2018年1月至2021年6月32例患者给予术前口服药物镇痛及术后CPM治疗(观察组)。比较两组的治疗效果。结果观察组的术后住院天数少于对照组,术后第1、3天视觉模拟评分法(VAS)评分低于对照组(P<0.05)。观察组未发生切口感染、深静脉血栓;对照组发生1例切口感染,2例深静脉血栓。术后3、7 d,观察组的Harris髋关节评分(HHS)评分高于对照组(P<0.05)。术后5、7、14 d,观察组的简易躯体能力测试(SPPB)评分高于对照组(P<0.05)。术后5、7、14 d,观察组的爬楼测试(TSC)短于对照组(P<0.05)。结论采用非甾体类药物超前镇痛联合术后CPM治疗可有效减轻髋关节创伤性骨关节炎患者术后早期疼痛,改善术后早期关节功能,提升髋部肌肉协调稳定性。Objective To investigate the effect of non-steroidal drugs preemptive analgesia combined with continuous passive motion(CPM)treatment on functional recovery after total hip arthroplasty in patients with traumatic osteoarthritis of the hip.Methods A total of 53 patients with traumatic osteoarthritis of the hip admitted from May 2016 to June 2021 were selected as the research objects.Among them,21 patients from May 2016 to December 2017 were not given preoperative oral analgesia and postoperative CPM treatment(control group),and 32 patients from January 2018 to June 2021 were given preoperative oral analgesia and postoperative CPM treatment(observation group).The therapeutic effects of the two groups were compared.Results The postoperative hospital stay in the observation group was less than that in the control group,and the Visual Analogue Scale(VAS)score on the 1st and 3rd day after operation were lower than those in the control group(P<0.05).There was no incision infection and deep vein thrombosis in the observation group;in the control group,there were 1 case of incision infection and 2 cases of deep vein thrombosis.At 3 and 7 d after operation,the Harris Hip Score(HHS)score of the observation group was higher than that of the control group(P<0.05).At 5,7 and 14 d after operation,the score of Short Physical Performance Battery(SPPB)in the observation group was higher than that in the control group(P<0.05).At 5,7 and 14 d after operation,the timed stair climb(TSC)of the observation group was shorter than that of the control group(P<0.05).Conclusion Non-steroidal drugs preemptive analgesia combined with postoperative CPM treatment can effectively reduce early postoperative pain in patients with traumatic osteoarthritis of the hip,improve early postoperative joint function and hip muscle coordination stability.

关 键 词：髋关节创伤性骨关节炎 持续被动活动 非甾体类药物 超前镇痛 

分 类 号：R687.3[医药卫生—骨科学]