CAJ | 학술논문

目的：探讨多模式镇痛对膝关节置换术后患者的应用效果。方法将69例膝关节置换手术患者随机分为观察组（34例）与对照组（35例），观察组采用多模式镇痛管理模式，对照组采用硬膜外自控镇痛。观察2组患者术后第1～7天视觉模拟评分法（VAS）疼痛评分和不良反应的发生情况。结果除了术后第7天2组患者VAS评分比较无统计学差异（P>0.05），其余时间比较，观察组患者VAS均明显低于对照组，差异有统计学意义（P<0.05）。2组不良反应发生情况无统计学差异（P>0.05）。结论多模式镇痛是一种安全、有效的镇痛模式，可有效改善膝关节术后患者的疼痛感，不良反应少，有利于术后康复训练，值得临床推广应用。
목적：탐토다모식진통대슬관절치환술후환자적응용효과。방법장69례슬관절치환수술환자수궤분위관찰조（34례）여대조조（35례），관찰조채용다모식진통관리모식，대조조채용경막외자공진통。관찰2조환자술후제1～7천시각모의평분법（VAS）동통평분화불량반응적발생정황。결과제료술후제7천2조환자VAS평분비교무통계학차이（P>0.05），기여시간비교，관찰조환자VAS균명현저우대조조，차이유통계학의의（P<0.05）。2조불량반응발생정황무통계학차이（P>0.05）。결론다모식진통시일충안전、유효적진통모식，가유효개선슬관절술후환자적동통감，불량반응소，유리우술후강복훈련，치득림상추엄응용。
ObjectiveTo explore the analgesic and side effect of multimodal analgesia in knee arthroplasty patients.Methods69 patients with knee arthroplasty were randomly divided into two groups:34 patients in trial group received multimodal analgesia,while 35 patients in control group received patient-controlled epidural analgesia. Visual analogue score and side effect were assessed and compared between the two groups.ResultsVisual analogue scores of trial group in 1 to 6-day after surgery were lower than those of control group with statistical difference(P<0.05).However, there was no statistical difference in 7-day visual analogue score and side effect between the two groups(P>0.05). ConclusionsCompared with patient-controlled epidural analgesia,multimodal analgesia protocol has superior analgesic effect in knee arthroplasty,without increasing side effect.