CAJ | 학술논문

目的：探讨中西医护理联合干预对髋关节置换术后疼痛控制的临床效果。方法选取2011年1月-2013年4月行髋关节置换手术的68例患者，采用随机数字表法分为试验组和对照组，每组各34例。对照组给予常规疼痛护理干预，试验组在此基础上给予耳穴联合腕踝针联合干预。观察并对比两组患者的疼痛程度、不良反应、住院天数、住院费用、患者满意度及术后2周髋关节活动度。结果实验组术后各时间段疼痛程度评分均明显低于对照组，差异有统计学意义（P＜0．05）；试验组不良反应率为11．7％，住院天数为（12．32±3．42）d，住院费用为（38561．46±3247．02）元，明显低于对照组的26．5％，（16．78±4．76）d及（42512．87±3853．23）元，两组比较差异有统计学意义（t值分别为-3．452，3．227；P＜0．05）。试验组患者满意度为94．3％，也明显高于对照组的82．7％，两组比较差异有统计学意义（t＝4．232；P＜0．05）。试验组术后2周髋关节主动活动为（97．86±6．56）°，被动活动功能为（113．76±7．76）°，明显优于对照组的（90．14±6．23），（101．31±7．12）°，两组比较差异有统计学意义（t值分别为-2．227，-3．216；P＜0．05）。结论采用中西医护理联合干预能有效缓解髋关节置换患者的术后疼痛，有利于关节功能康复，从而提高临床护理质量。
목적：탐토중서의호리연합간예대관관절치환술후동통공제적림상효과。방법선취2011년1월-2013년4월행관관절치환수술적68례환자，채용수궤수자표법분위시험조화대조조，매조각34례。대조조급여상규동통호리간예，시험조재차기출상급여이혈연합완과침연합간예。관찰병대비량조환자적동통정도、불량반응、주원천수、주원비용、환자만의도급술후2주관관절활동도。결과실험조술후각시간단동통정도평분균명현저우대조조，차이유통계학의의（P＜0．05）；시험조불량반응솔위11．7％，주원천수위（12．32±3．42）d，주원비용위（38561．46±3247．02）원，명현저우대조조적26．5％，（16．78±4．76）d급（42512．87±3853．23）원，량조비교차이유통계학의의（t치분별위-3．452，3．227；P＜0．05）。시험조환자만의도위94．3％，야명현고우대조조적82．7％，량조비교차이유통계학의의（t＝4．232；P＜0．05）。시험조술후2주관관절주동활동위（97．86±6．56）°，피동활동공능위（113．76±7．76）°，명현우우대조조적（90．14±6．23），（101．31±7．12）°，량조비교차이유통계학의의（t치분별위-2．227，-3．216；P＜0．05）。결론채용중서의호리연합간예능유효완해관관절치환환자적술후동통，유리우관절공능강복，종이제고림상호리질량。
Objective To explore the clinical effect of traditional Chinese and Western medicine combined nursing intervention on pain control in patients after hip replacement .Methods Sixty-eight patients with hip replacement from January 2011 to April 2013 were divided into the experimental group and control group according to the random number table , each with 34 cases.The control group received the routine pain nursing intervention, and the experimental group received the auricular point and wrist ankle needle intervention on the basis of the control group.The degree of pain, adverse reactions, the days and costs of hospitalization, patients’ satisfaction and hip joint range of motion two weeks after operation .Results The scores of degree of pain in experimental group each time period were significantly lower than those in the control group , and the differences were statistically significant (P<0.05).The rate of adverse reactions and the days and costs of hospitalization were respectively 11.7%, (12.32 ±3.42)d, (38 561.46 ±3 247.02) yuan in the experimental group, and were significantly lower than 26.5%, (16.78 ±4.76) d, (42 512.87 ±3 853.23) yuan in the control group, and the differences were statistically significant (t=-3.452, 3.227, respectively;P<0.05). The patients’ satisfaction was 94.3% in the experimental group, and was significantly higher than 82.7% in the control group, and the difference was statistically significant (t=4.232, P<0.05).The hip joint range of active and passive motion two weeks after operation were respectively (97.86 ±6.56)°, (113.76 ±7.76)°in the experimental group, and were better than (90.14 ±6.23)°, (101.31 ±7.12)°in the control group, and the differences were statistically significant (t =-2.227, -3.216, respectively; P<0.05).Conclusions The traditional Chinese and Western medicine combined nursing intervention can effectively relieve the postoperative pain in patients after hip replacement , and is in favor of the rehabilitation of joint function so as to improve the quality of clinical nursing .