中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
22期
41-43
,共3页
多模式镇痛%超前镇痛%人工全髋关节置换术%功能康复
多模式鎮痛%超前鎮痛%人工全髖關節置換術%功能康複
다모식진통%초전진통%인공전관관절치환술%공능강복
Multimodal preemptive analgesia%Total hip arthroplasty%Functional rehabilitation
目的：研究多模式超前镇痛对人工全髋关节置换术患者功能康复的镇痛效果观察及分析。方法：选择2011年1～2012年12月期间80例行人工全髋关节置换术的患者，按手术日期随机分为观察组（多模式超前镇痛组）和对照组。观察组中，有2例患者未手术，有2例患者改行其他手术，共有36例纳入研究；对照组中有4例未手术，3例改行其他手术，因此，共有33例纳入研究。观察组患者术前给予关节腔周围鸡尾酒样注射帕瑞昔布钠40mg以及关节周围注射盐酸罗哌卡因注射液100mg；对照组给予常规治疗术后均接受硬膜外自控镇痛。比较2组患者的VAS评分、功能锻炼（关节活动度、直腿抬高、术后行走）和依从性情况。结果：观察组与对照组相比，差异有显著意义（P﹤0．05）。结论：多模式超前镇痛对人工全髋关节置换术患者功能康复的镇痛效果良好，不但能改善手术后的整体疗效，更能促进髋关节功能恢复，增加患者术后功能康复的依从性，对患者早日康复起着重要的作用。
目的：研究多模式超前鎮痛對人工全髖關節置換術患者功能康複的鎮痛效果觀察及分析。方法：選擇2011年1～2012年12月期間80例行人工全髖關節置換術的患者，按手術日期隨機分為觀察組（多模式超前鎮痛組）和對照組。觀察組中，有2例患者未手術，有2例患者改行其他手術，共有36例納入研究；對照組中有4例未手術，3例改行其他手術，因此，共有33例納入研究。觀察組患者術前給予關節腔週圍鷄尾酒樣註射帕瑞昔佈鈉40mg以及關節週圍註射鹽痠囉哌卡因註射液100mg；對照組給予常規治療術後均接受硬膜外自控鎮痛。比較2組患者的VAS評分、功能鍛煉（關節活動度、直腿抬高、術後行走）和依從性情況。結果：觀察組與對照組相比，差異有顯著意義（P﹤0．05）。結論：多模式超前鎮痛對人工全髖關節置換術患者功能康複的鎮痛效果良好，不但能改善手術後的整體療效，更能促進髖關節功能恢複，增加患者術後功能康複的依從性，對患者早日康複起著重要的作用。
목적：연구다모식초전진통대인공전관관절치환술환자공능강복적진통효과관찰급분석。방법：선택2011년1～2012년12월기간80례행인공전관관절치환술적환자，안수술일기수궤분위관찰조（다모식초전진통조）화대조조。관찰조중，유2례환자미수술，유2례환자개행기타수술，공유36례납입연구；대조조중유4례미수술，3례개행기타수술，인차，공유33례납입연구。관찰조환자술전급여관절강주위계미주양주사파서석포납40mg이급관절주위주사염산라고잡인주사액100mg；대조조급여상규치료술후균접수경막외자공진통。비교2조환자적VAS평분、공능단련（관절활동도、직퇴태고、술후행주）화의종성정황。결과：관찰조여대조조상비，차이유현저의의（P﹤0．05）。결론：다모식초전진통대인공전관관절치환술환자공능강복적진통효과량호，불단능개선수술후적정체료효，경능촉진관관절공능회복，증가환자술후공능강복적의종성，대환자조일강복기착중요적작용。
Objective:To analyze the impact of multimodal preemptive analgesia on functional rehabilitation of patients after total hip ar-throplasty(THA).Methods:From January 2011 to December 2012, 80 patients after THA were selected for this study .Based on date of sur-geries ,these patients were randomly divided into the observation( multimodal analgesia) group and the control group .In the observation group ,there were two cases of patients without surgeries and two cases of patients were diverted into other surgeries .A total of 36 patients were in-cluded in this study .In the control group ,there were also four cases of patients without surgeries and three cases of patients were diverted in-to other surgeries.The number of patients was 33 in this group.The patients of observation group received the preoperative cocktail injection with Parry Past Bouna 40mg around the joint cavity and periarticular injection with ropivacaine hydrochloride 100mg around the joint .In the control group , patients were given postoperative conventional treatment of self-controlled epidural analgesia.The VAS scores, functional re-habilitation ( range of motion,straight leg raising,postoperative walking) and compliance of patients were observed and compared between the two different groups.Results:There were significant differences between the observation and control group(P<0.05).Conclusion:Multimo-dal analgesia may play an important roles in the early recoveries of patients after TNA .It should be not only improved the overall efficacy of post-operation ,but also promoted the functional rehabilitation of patients ,and increased their compliances.
