CAJ | 학술논문

目的：探讨无痛病房管理在全髋置换术后疼痛控制的效果。方法本组66例行全髋关节置换术的患者随机分为两组，实验组采用无痛病房管理，对照组采用传统的镇痛方法。记录术后第1、2、3天患者静息和被动活动视觉疼痛模拟评分（ VAS），术前和术后3个月Harris髋关节功能评分。结果术后第1、2天的静息和被动运动VAS评分均有统计学差异（ P＜0.05）；术后第3天的静息VAS评分无统计学差异（P＞0.05），被动运动VAS评分有统计学差异（P＜0.05）。术前与术后3个月的Harris髋关节功能评分无统计学差异（ P＞0.05）。结论无痛病房管理能有效减轻全髋关节置换术后疼痛，对术后3个月髋关节功能无明显影响。
목적：탐토무통병방관리재전관치환술후동통공제적효과。방법본조66례행전관관절치환술적환자수궤분위량조，실험조채용무통병방관리，대조조채용전통적진통방법。기록술후제1、2、3천환자정식화피동활동시각동통모의평분（ VAS），술전화술후3개월Harris관관절공능평분。결과술후제1、2천적정식화피동운동VAS평분균유통계학차이（ P＜0.05）；술후제3천적정식VAS평분무통계학차이（P＞0.05），피동운동VAS평분유통계학차이（P＜0.05）。술전여술후3개월적Harris관관절공능평분무통계학차이（ P＞0.05）。결론무통병방관리능유효감경전관관절치환술후동통，대술후3개월관관절공능무명현영향。
Objective To evaluate the effectiveness of the pain management program after total hip arthroplasty . Methods 66 patients received total hip arthroplasty were randomized into the experimental group and the control group .The pain management program was applied in the experimental group applied , while the control group received the traditional analgesia program .Visual analogue pain scores of rest and passive movement were recorded post-operatively on day 1, 2, and 3.Results The patients in the experimental group had significant lower VAS scores at rest and during the passive movement post-operatively on day 1 and 2.The rest VAS scores of the two groups had no difference on day 3, while the VAS scores during the passive movement were significant lower in the experimental group .Harris hip scores had no difference before the operation and three months after the operation .Conclusion Pain management program can provide better pain control in the patients who receive total hip arthroplasty , but it doesnot improve the hip function .