CAJ | 학술논문

【目的】探讨采用个体化疼痛管理对髋关节置换患者围手术期疼痛的疗效。【方法】选择髋关节置换术围手术期并发疼痛的患者90例，按照患者住院顺序分为观察组和对照组，每组45例。对照组给予常规处理，观察组给予个体化疼痛管理，比较两组患者术后4 h、12 h、24 h、48 h及72 h的视觉模拟评分法（VAS）疼痛评分和睡眠时间，同时对两组患者的满意度进行评价。【结果】观察组术后4 h、12 h、24 h及48 h的VAS疼痛评分明显低于对照组，差异有统计学意义（ P ＜0．05）；但观察组患者在术后72 h的VAS疼痛评分与对照组相比，差异无统计学意义（P ＞0．05）。观察组患者在术后4h、12h、24h、48h及72h的睡眠时间明显优于对照组，差异有统计学意义（ P ＜0．05）。观察组满意度为88．9％显著高于对照组满意度（66．7％），差异有统计学意义（ P ＜0．01）。【结论】实施个体化疼痛管理，能有效地改善髋关节置换患者围手术期的疼痛症状，对提高患者的满意度有一定的临床意义，值得临床推广应用。
【목적】탐토채용개체화동통관리대관관절치환환자위수술기동통적료효。【방법】선택관관절치환술위수술기병발동통적환자90례，안조환자주원순서분위관찰조화대조조，매조45례。대조조급여상규처리，관찰조급여개체화동통관리，비교량조환자술후4 h、12 h、24 h、48 h급72 h적시각모의평분법（VAS）동통평분화수면시간，동시대량조환자적만의도진행평개。【결과】관찰조술후4 h、12 h、24 h급48 h적VAS동통평분명현저우대조조，차이유통계학의의（ P ＜0．05）；단관찰조환자재술후72 h적VAS동통평분여대조조상비，차이무통계학의의（P ＞0．05）。관찰조환자재술후4h、12h、24h、48h급72h적수면시간명현우우대조조，차이유통계학의의（ P ＜0．05）。관찰조만의도위88．9％현저고우대조조만의도（66．7％），차이유통계학의의（ P ＜0．01）。【결론】실시개체화동통관리，능유효지개선관관절치환환자위수술기적동통증상，대제고환자적만의도유일정적림상의의，치득림상추엄응용。
[Objective] To explore the efficacy of individualized pain management for perioperative pain in patients with hip replacement .[Methods] Totally 90 patients with hip replacement complicated by periopera-tive pain were selected .According to the order of hospitalization ,all patients were divided into observation group and control group with 45 patients in each group .Control group was given conventional treatment , while the observation group was given individualized pain management .Visual analogue scale(VAS) pain scores and sleep time at 4h ,12h ,24h ,48h and 72h after operation were compared between two groups .The satisfaction of patients in two groups was evaluated .[Results]VAS pain scores in observation group at 4h , 12h ,24h and 48h after operation were obviously lower than those in control group ,and there was significant difference( P <0 .05) .There was no significant difference in VAS pain scores at 72h after operation between two groups( P >0 .05) .Sleep time in observation group at 4h ,12h ,24h ,48h and 72h after operation was ob-viously better than that in control group ,and there was significant difference( P <0 .05) .The satisfaction of patients in observation group was 88 .9% ,which was markedly higher than that in control group (66 .7% ) , and there was significant difference( P <0 .01) .[Conclusion] Individualized pain management can effectively alleviate perioperative pain symptoms of patients with hip replacement ,so it is of clinical significance for im-proving the satisfaction of patients and worthy of clinical application .