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目的分析无痛病房管理模式在全髋关节置换术后患者疼痛控制中的临床价值。方法 100例拟行全髋关节置换术治疗的患者根据入院先后顺序随机分为对照组和观察组,每组50例。对照组采取传统常规疼痛管理,观察组采取无痛病房管理模式,比较2组患者不同时间点静止和运动状态下视觉模拟评分(VAS),比较2组患者手术当日、术后第1天、术后第2天及术后第3天时的睡眠时间,同时还比较2组患者疼痛控制满意评分。结果观察组术前及术后72 h静止和运动状态下VAS评分与对照组比较差异无统计学意义(P>0.05),观察组术后12 h、术后24 h及术后48 h静止和运动状态下VAS评分明显低于对照组(P<0.05);观察组术后不同时间点睡眠时间均明显长于对照组(P<0.05);观察组各项疼痛控制满意评分均明显高于对照组(P<0.05)。结论无痛病房管理模式可明显减轻全髋关节置换术后患者疼痛程度,延长睡眠时间和提高疼痛控制满意评分。
Objective To analyze the clinical value of painless ward management in the control of pain in patients after total hip arthroplasty. Methods 100 cases of patients undergoing total hip arthroplasty were randomly divided into control group and observation group according to the order of admission, with 50 cases in each group. The patients in the control group were treated with conventional pain management and the painless ward management model was adopted in the observation group. The visual analogue scale (VAS) at rest and at different time points in two groups were compared. On the first day after operation, After 2 days and after 3 days of sleep time, but also compared the two groups of patients with pain control satisfaction score. Results There was no significant difference in VAS scores between the observation group and the control group before and 72 h after operation (P> 0.05). The observation group at 12 h after operation, at 24 h after operation and at 48 h after operation showed no significant difference The VAS score of exercise group was significantly lower than that of control group (P <0.05). The sleep time of observation group was significantly longer than that of control group at different time points after operation (P <0.05). The score of pain control satisfaction in observation group was significantly higher than that of control group (P <0.05). Conclusion The painless ward management model can significantly reduce the pain level, prolong the sleep time and improve the pain control satisfaction score after total hip arthroplasty.