机器人疼痛智能分级管理在髋膝关节置换术后急性疼痛管理中的应用  

Effects of robot-assisted intelligent graded pain management in acute pain management of patients undergoing hip and knee joint replacement surgery

作　　者：张迪[1] 谢中华 王珊珊[1] 高文剑 Zhang Di;Xie Zhonghua;Wang Shanshan;Gao Wenjian(Department of Anesthesiology and Perioperative Medicine,the First Afiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院麻醉与围术期医学部,郑州450000

出　　处：《中华现代护理杂志》2024年第36期4986-4990,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨机器人疼痛智能分级管理在髋膝关节置换患者术后急性疼痛管理中的应用效果。方法采用便利抽样法,选择2022年2—12月在郑州大学第一附属医院住院行髋膝关节置换术的156例患者,根据随机数字表法分为对照组和观察组,各78例。对照组采用常规疼痛管理,观察组实施机器人疼痛智能分级管理。记录并比较两组术后镇痛泵和镇痛药物使用情况、首次下床活动时间、术后住院时间及疼痛控制质量评估的差异。结果观察组自控镇痛泵使用时间、芬太尼用量、高乌甲素用量均低于对照组,差异有统计学意义(P<0.05)。观察组首次下床活动时间早于对照组,术后住院时间短于对照组,差异有统计学意义(P<0.05)。疼痛控制质量评估中,观察组疼痛指标得分低于对照组、满意度指标得分高于对照组,差异有统计学意义(P<0.05)。结论机器人疼痛智能分级管理可以有效减少髋膝关节置换患者术后自控镇痛泵使用时间和镇痛药物用量,有利于患者早期下床活动,缩短住院时间,提高术后急性疼痛控制质量。ObjectiveTo investigate the effect of robot-assisted intelligent graded pain management in managing acute postoperative pain for patients undergoing hip and knee joint replacement.MethodsTotally patients who underwent hip and knee joint replacement surgery between February and December 2022 at the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling.Patients were randomly assigned into two groups:a control group(n=78),receiving standard pain management,and an observation group(n=78),receiving robot-assisted intelligent graded pain management.Postoperative data collected and compared between groups included use of patient-controlled analgesia(PCA),analgesic consumption,time to first ambulation,length of hospital stay,and pain management quality.ResultsThe observation group showed statistically significant reductions in PCA duration,fentanyl dosage,and lappaconitine hydrobromide dosage compared to the control group(P<0.05).In addition,the time to first ambulation was earlier,and the postoperative hospital stay was shorter in the observation group(P<0.05).In terms of pain management quality,the observation group reported lower pain scores and higher satisfaction scores than the control group(P<0.05).ConclusionsRobot-assisted intelligent graded pain management effectively reduces the time of PCA and the use of analgesics for patients undergoing hip and knee joint replacement surgery.It facilitates earlier ambulation,shortens hospital stays,and improves the quality of acute postoperative pain control.

关 键 词：人工关节置换术 急性疼痛 智能管理 分级管理 

分 类 号：R473.6[医药卫生—护理学]