新医学2013，Vol.44Issue(6)：396-399,4.DOI:10.3969/g.issn.0253-9802.2013.06.011
人工全髋关节置换术中运用多模式镇痛的疗效评价
Evaluation of multimodal analgesia on patients with total hiparthroplasty
董文君 1董芳辉 1胡三莲 1钱会娟1
作者信息
- 1. 200233上海,上海交通大学附属第六人民医院
- 折叠
摘要
Abstract
Objective To study the effect of multimodal analgesia on postoperative physical exercises in patients with total hiparthroplasty.Methods One hundred and five patients with total hip arthroplasty were selected from March 2010 to June 2010 for the study.They were randomly divided into three groups,observation group (group A and group B) and control group.All patients received the treatments of periarticular injection of ropivaeaine hydrochlorid.Patients controlled group received a postoperative epidural analgesia,with administration of tramcontin and celecoxib.The patients in group A received education of multimodal pain control protocol and intravenous injection of parecoxib,and patients in group B received education of multimodal pain control protocol and intraoperative injection around the joint cavity.The VAS score,functional exercises (range of motion,straight leg raising,postoperative walking) and compliance for patients among the three groups were observed and compared.Results There were significant difference of resting pain VAS score,postoperative limbs situation (range of motion.straight leg raisin,postoperative ambulation) and compliance between observation and control group.But no remarkable differences were observed between group A and group B.Conclusions Multimodal pain control protocol after total hip arthroplasty can significantly reduce the pain after replacement and promote the recovery of hip function,increase the compliance of patients with postoperative functional exercise.关键词
多模式镇痛/人工全髋关节置换术/功能锻炼/效果观察Key words
Multimodal analgesia/ Total hiparthroplasty/ Function exercise引用本文复制引用
董文君,董芳辉,胡三莲,钱会娟..人工全髋关节置换术中运用多模式镇痛的疗效评价[J].新医学,2013,44(6):396-399,4.
