【摘要】 目的探讨规范化疼痛管理对全膝关节置换术(TKA)后患者康复的效果。方法将80例全膝关节置换患者随机分为对照组和干预组各40例。对照组给予常规护理,干预组在此基础上采用规范化疼痛管理,比较2组全膝关节置换患者康复效果。结果干预组术后24、48、72 h及出院时疼痛评分显著低于对照组(P<0.01);术后24 h睡眠时间显著长于对照组(P<0.01);首次下地时间、膝关节屈曲≥90°所需时间、住院时间均显著短于对照组(P<0.01)。结论对全膝关节置换患者实施疼痛管理,能够有效减轻术后疼痛,促进膝关节功能的恢复。更多还原

【Abstract】 Objective To explore the efficacy of specific pain management on the rehabilitation of patients undergoing total knee arthroplasty( TKA). Methods A total of 80 patients undergoing TKA was randomly divided into control group treated with routine nursing and intervention group added with specific pain management on basis of routine nursing,40 cases in each group. Rehabilitative efficacy after TKA between two groups was compared. Results Intervention group was obviously lower in the pain scores 24,48 and 72 h after operation and when discharged( P < 0. 01),longer in sleep time( P < 0. 01) and shorter in the initial ambulation time,time for knee flexion≥90° and hospital stays( P < 0. 01) than control group. Conclusion The specific pain management can effectively reduce the postoperative pain and improve the rehabilitation of knee function of patients undergoing TKA.更多还原