CAJ | 학술논문

　　目的探讨疼痛干预在膝关节周围骨折患者肢体功能锻炼中的效果。方法随机将膝关节周围骨折患者60例分为观察组30例，对照组30例。两组术后同时进行患肢功能锻炼，观察组患者手术前后给予塞来昔布200 mg，2次/d，至出院；对照组术后给予塞来昔布200 mg，2次/d。观察两组患者不同时间点的疼痛程度、患肢功能恢复状况。结果观察组患者术后6 h、8 h、12 h、24 h、36 h、48 h疼痛评分均低于对照组；术后1 d、2 d、3 d、4 d、5 d膝关节主动和被动活动度高于对照组，两组比较，均P <0.01，差异具有统计学意义。结论膝关节周围骨折术前予以药物干预镇痛，能够及早进行功能锻炼，患者肢体功能的康复良好。
　　목적탐토동통간예재슬관절주위골절환자지체공능단련중적효과。방법수궤장슬관절주위골절환자60례분위관찰조30례，대조조30례。량조술후동시진행환지공능단련，관찰조환자수술전후급여새래석포200 mg，2차/d，지출원；대조조술후급여새래석포200 mg，2차/d。관찰량조환자불동시간점적동통정도、환지공능회복상황。결과관찰조환자술후6 h、8 h、12 h、24 h、36 h、48 h동통평분균저우대조조；술후1 d、2 d、3 d、4 d、5 d슬관절주동화피동활동도고우대조조，량조비교，균P <0.01，차이구유통계학의의。결론슬관절주위골절술전여이약물간예진통，능구급조진행공능단련，환자지체공능적강복량호。
Objective To explore the effect of pain intervention on limb function exercises in patients with peripheric fractures of knee joint.Methods 60 patients with peripheric fractures of knee joint were randomized in equal number into the observation group and control group.Both groups took functional exercises for affected limbs.Besides,the former and latter groups were administered with celecoxib at a dosage of 200mg twice a day from pre-operation to discharge and after operation,respectively.The two groups were compared in terms of pain degree at different time points as well as the functional recovery of affected limbs.Results The observation group was lower in pain scores than the control group at hours 6,8,12,24,36 and 48.The active and passive motions of the affected limbs in the observation group were significantly better than those in the control at days 1,2,3,4 and 5(all P<0.001).Conclusion Pain intervention with celecoxib before operation may help patients to take functional exercises as early as possible,promoting the rehabilitation of functions of affected limbs.