CAJ | 학술논문

目的：比较多种模式联合镇痛与单纯术后镇痛在膝关节置换术中的镇痛效果。方法：选取2009年1月至2013年8月入院拟行人工全膝关节置换术的患者共80例，随机分为多种模式联合镇痛组（A组）及单纯术后镇痛组（B组）。分别记录两组患者术后各时间段静息痛的疼痛评分、膝关节活动度进行统计学分析。结果：A组与B组患者术后72 h内各时间段疼痛评分，差异有统计学意义（P＜0.05），术后72 h内两组患者膝关节活动度，差异有统计学差异（P＜0.05）。结论：多种模式联合镇痛应用于膝关节置换术围手术期镇痛及促进患者术后早期膝关节主动活动是有效、安全的。具有使用安全、副作用少、易于推广的特点。
목적：비교다충모식연합진통여단순술후진통재슬관절치환술중적진통효과。방법：선취2009년1월지2013년8월입원의행인공전슬관절치환술적환자공80례，수궤분위다충모식연합진통조（A조）급단순술후진통조（B조）。분별기록량조환자술후각시간단정식통적동통평분、슬관절활동도진행통계학분석。결과：A조여B조환자술후72 h내각시간단동통평분，차이유통계학의의（P＜0.05），술후72 h내량조환자슬관절활동도，차이유통계학차이（P＜0.05）。결론：다충모식연합진통응용우슬관절치환술위수술기진통급촉진환자술후조기슬관절주동활동시유효、안전적。구유사용안전、부작용소、역우추엄적특점。
Objective:To compare the effect of multiple modes combined analgesia and pure postoperative analgesia in artificial knee joint replacement. Methods:A retrospective review of 80 patients with Artificial knee joint replacement who were hospitalized from January 2009 to August 2013.They were randomly assigned to two experimental groups (n=40 per group),Multiple mode combined analgesia combined analgesia group(Group A)and pure postoperative analgesia group(Group B). The effect of analgesia was evaluated by pain score at different time points within 72 hours after surgery and the knee joint activity. Results:The pain score of group B were higher than group A at any time point obviously(P<0.05),while the knee joint activity of group A were higher than group B (P<0.05).Conclusion:Multiple mode combined analgesia in the application of the artificial knee joint replacement could reduce the pain of patients and could improve the knee joint early functional exercise of patients. It is safe and effective to use multiple mode combined analgesia in the application of the artificial knee joint replacement.