CAJ | 학술논문

目的：探讨全程疼痛管理对人工膝关节置换（total knee arthropiasty，TKA）术后患者疼痛及膝关节功能恢复的效果。方法采用配对的方法将行单侧TKA的50例患者分为观察组和对照组，每组各25例，对照组患者术后给予硬膜外自控镇痛，观察组患者给予实施全程疼痛管理。比较两组患者7d内（第1d、2d、3d、5d、7d）疼痛评分及术后10d内（第1d、3d、7d、10d）膝关节活动度，两组患者不良反应发生情况。结果观察组患者术后第1d、2d、3d、5d、7d疼痛评分明显低于对照组（均P＜0.05）；观察组患者术后第1 d、3 d、7 d、10 d膝关节活动度明显优于对照组（均P＜0.05）；观察组患者不良反应发生率明显低于对照组（P＜0.01）。结论全程疼痛管理有助于TKA术后患者疼痛的控制和促进患者膝关节康复，提高患者生活质量。
목적：탐토전정동통관리대인공슬관절치환（total knee arthropiasty，TKA）술후환자동통급슬관절공능회복적효과。방법채용배대적방법장행단측TKA적50례환자분위관찰조화대조조，매조각25례，대조조환자술후급여경막외자공진통，관찰조환자급여실시전정동통관리。비교량조환자7d내（제1d、2d、3d、5d、7d）동통평분급술후10d내（제1d、3d、7d、10d）슬관절활동도，량조환자불량반응발생정황。결과관찰조환자술후제1d、2d、3d、5d、7d동통평분명현저우대조조（균P＜0.05）；관찰조환자술후제1 d、3 d、7 d、10 d슬관절활동도명현우우대조조（균P＜0.05）；관찰조환자불량반응발생솔명현저우대조조（P＜0.01）。결론전정동통관리유조우TKA술후환자동통적공제화촉진환자슬관절강복，제고환자생활질량。
Objective To investigate the effects of comprehensive pain management on pains and recovery of knee function of patients who hadundergone total knee arthroplasty(TKA).Methods A total of 50 patients who had undergone single-knee TKA surgery were selected and divided into 2 groups of 25 patients each:the study group and the control group.The control group was given patient-controlled epidural analgesia while the study group was given comprehensive pain management.The two groups were compared in terms of score on pain within 7 days after operation,knee joint activity and the incidence of adverse reaction within 10 days after operation(the 1st,3rd,7th,10th day).Results Within 7 days,the scores on pain in the study were significantly lower than those in the control group(P<0.05).The scores on the knee joint activity in the study group on the 1st,3rd,7th,10th day were significantly higher than those in the control group(P<0.05)and the incidences of adverse reaction were significantly lower as well (P<0.05).Conclusion Comprehensive pain management is effective for post-surgery pain control and the hastened TKA patients, and the improved quality of life.