CAJ | 학술논문

目的：探讨疼痛管理在胫骨平台骨折手术患者中的应用效果。方法选取2012年12月~2013年12月在浙江省丽水市人民医院行胫骨平台骨折手术的患者120例作为研究对象,按入院顺序分为对照组和研究组,每组60例。对照组实施常规护理,研究组中患者自入院以来实施疼痛管理。比较两组患者术后各时间点的镇痛效果、两组患者的膝关节功能及骨折复位质量评分情况,记录两组患者术后并发症发生情况、负重时间、住院时间以及两组患者对护理的满意度。结果研究组患者手术当天及术后1、2 d的VAS评分明显低于对照组,差异有统计学意义(P<0.05)；术后3 d,两组患者VAS评分比较差异无统计学意义(P跃0.05)；研究组患者的膝关节功能评分及骨折复位质量评分明显高于对照组,差异有统计学意义(P<0.05)；研究组患者术后并发症发生率明显低于对照组,负重时间及住院时间明显短于对照组,差异有统计学意义(P<0.05)；研究组患者对疼痛管理的满意度明显高于对照组,差异有统计学意义(P<0.05)。结论疼痛管理能有效缓解胫骨平台骨折患者术后疼痛,改善患者膝关节功能及骨折复位质量,降低患者术后并发症的发生率,缩短负重时间及住院时间,提高患者对疼痛管理的满意度。
목적：탐토동통관리재경골평태골절수술환자중적응용효과。방법선취2012년12월~2013년12월재절강성려수시인민의원행경골평태골절수술적환자120례작위연구대상,안입원순서분위대조조화연구조,매조60례。대조조실시상규호리,연구조중환자자입원이래실시동통관리。비교량조환자술후각시간점적진통효과、량조환자적슬관절공능급골절복위질량평분정황,기록량조환자술후병발증발생정황、부중시간、주원시간이급량조환자대호리적만의도。결과연구조환자수술당천급술후1、2 d적VAS평분명현저우대조조,차이유통계학의의(P<0.05)；술후3 d,량조환자VAS평분비교차이무통계학의의(P약0.05)；연구조환자적슬관절공능평분급골절복위질량평분명현고우대조조,차이유통계학의의(P<0.05)；연구조환자술후병발증발생솔명현저우대조조,부중시간급주원시간명현단우대조조,차이유통계학의의(P<0.05)；연구조환자대동통관리적만의도명현고우대조조,차이유통계학의의(P<0.05)。결론동통관리능유효완해경골평태골절환자술후동통,개선환자슬관절공능급골절복위질량,강저환자술후병발증적발생솔,축단부중시간급주원시간,제고환자대동통관리적만의도。
Objective To discuss the application effect of pain management in surgical patients with fracture of tibial plateau. Methods One hundred and twenty cases of surgical patients with fracture of tibial plateau in Lishui People's Hospital from December 2012 to December 2013 were selected as research objects and they were divided into control group and study group according to the order of admission, with 60 cases in each group, the control group received the routine nursing care, the study group received pain management since hospitalization. The analgesic effect of each time point of the patients, the knee joint function and the fracture reduction quality scores of two groups were compared, the incidence of complications, load time, the hospitalization time and the satisfaction with pain management of the two groups were recorded. Results The VAS scores of the study group were significantly lower than those of the control group on the surgery day and on the first, second day after operation, with significant differences (P<0.05), three days after operation, the VAS scores between the two groups had no statistically significant difference (P>0.05); the knee joint function and the fracture reduction quality scores of the study group were significantly higher than those of control group, with significant differences (P<0.05); the incidence of complications, load time and the hospitalization time of the study group were significantly lower or shorter than those of control group, with significant differences (P< 0.05). The satisfaction with pain management of study group was significantly higher than that of control group, with a signifi-cant difference (P<0.05). Conclusion The pain management can effectively reduce the pain of the patients with frac-ture of tibial plateau, improve the knee joint function and the fracture reduction quality, decrease the incidence of com-plications, shorten the load time and hospitalization time, enhance the satisfaction with pain management of the patients.