CAJ | 학술논문

目的探讨全髋关节置换术后疼痛管理对缓解患者疼痛和改善睡眠质量的效果.方法将80例行初次单侧全髋关节置换术患者用Excel电子表格随机分为实验组和对照组,每组40例.实验组术前给予口服塞来昔布200 mg,术后6h口服塞来昔布200 mg,2次/d；VAS评分＞3分,给予肌内注射盐酸哌替啶50 mg.对照组术前不给药物,术后按需给予口服塞来昔布200 mg.分别于术前和术后采用匹兹堡睡眠质量指数量表( PSQI)和视觉模拟评分法(VAS)比较两组疼痛和睡眠质量.结果两组患者术前PSQI、VAS评分比较差异均无统计学意义(P＞0.05)；实验组患者术后24h的VAS疼痛评分为(2.13±1.28)分,PSQI评分为(1.83±0.84)分,对照组分别为(4.90±1.38)分和(5.55±1.40)分,观察组均低于对照组,组间比较差异有统计学意义(t值分别为5.286,7.674；P＜0.01).结论在全髋关节置换术后实施疼痛规范化管理,可以减轻患者的疼痛,提高睡眠质量,对患者获得早期康复提供有利条件.
목적 탐토전관관절치환술후동통관리대완해환자동통화개선수면질량적효과.방법 장80례행초차단측전관관절치환술환자용Excel전자표격수궤분위실험조화대조조,매조40례.실험조술전급여구복새래석포200 mg,술후6h구복새래석포200 mg,2차/d；VAS평분＞3분,급여기내주사염산고체정50 mg.대조조술전불급약물,술후안수급여구복새래석포200 mg.분별우술전화술후채용필자보수면질량지수량표( PSQI)화시각모의평분법(VAS)비교량조동통화수면질량.결과 량조환자술전PSQI、VAS평분비교차이균무통계학의의(P＞0.05)；실험조환자술후24h적VAS동통평분위(2.13±1.28)분,PSQI평분위(1.83±0.84)분,대조조분별위(4.90±1.38)분화(5.55±1.40)분,관찰조균저우대조조,조간비교차이유통계학의의(t치분별위5.286,7.674；P＜0.01).결론 재전관관절치환술후실시동통규범화관리,가이감경환자적동통,제고수면질량,대환자획득조기강복제공유리조건.
Objective To study the effectiveness of pain management on sleep quality of patients after total hip arthroplasty( THA ).Methods 80 patients with unilateral total hip replacement were recruited and equal randomly divided into experimental group and control group by Excel.Each patient completed the preoperative the Pittsburgh Sleep Quality Index (PSQI) scale and visual analogue scale (VAS) to evaluate the sleep quality and pain after THA.In experimental group,oral analgesics were administrated routinely at the preoperative 48th and 24th hour and after operation,if the postoperative pain scale was larger than 3 point,extra analgesic was used.In control group,no analgesic was used pre-operation,and postoperative oral analgesics were administrated according to the requirement of the patients.Pain scale and PSQI scale were recorded at the postoperative 24 hours in both groups.Results The VAS pain score and PSQI at the postoperative 24 hours in experimental group were both significant lower than control group [(2.13 ± 1.28) vs (4.90 ± 1.38 ),( 1.83 ±0.84) vs ( 5.55 ± 1.40 ),respectively],the difference was statistically significant ( t =5.286,7.674,respectively ;P ＜ 0.01 ).Conclusions Standardization pain management after total hip replacement can relieve the postoperative pain and improve sleep quality; it is benefit for the early rehabilitation of the patients.