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多模式镇痛在全髋关节置换术围手术期的疗效观察

张金星

中国伤残医学Issue(6):5-7,3.
中国伤残医学Issue(6):5-7,3.DOI:10.13214/j.cnki.cjotadm.2015.06.003

多模式镇痛在全髋关节置换术围手术期的疗效观察

Observation of Effect of Perioperative Multimodal Analgesia in total hip arthroplasty

张金星1

作者信息

  • 1. 郑州市骨科医院创伤外科,河南 郑州 450052
  • 折叠

摘要

Abstract

Objective:To evaluate the effect of perioperative multimodal analgesia in total hip arthroplasty. Methods:one hundred and twenty patients receiving total hip arthroplasty(THA). were randomly divided into three groups. Group A patients (n=30) received periop-erative multimodal analgesia but did not receive postoperative patient controlled analgesia (PCIA);Group B patients (n=30) received pre-operative multimodal analgesia and received postoperative PCIA;Group C patients (n=30) only received postoperative PCIA. The consump-tion of analgesic was measured at different time-points during postoperative period,Postoperative visual analog scores ( VAS) for pain , the satisfaction and the side effects. The functional rehabilitation were recorded at different time-points after postoperative period. Results:. The VAS scores for pain , the satisfaction and the functional rehabilitation were similarly between Group A and Group B, but significantly higher than Group C. . The consumption of morphine in Group A is significantly lower than Group B and Group C. . The side effects such as nausea, vomit and urine retention in Group A were lower than Group B and Group C. Conclusion: Perioperative Multimodal Analgesia in hip fracture could effectively relieve postoperative pain,it might be positive for the functional recovery of the patients.

关键词

多模式镇痛/全髋关节置换术/围手术期

Key words

Multimodal/Analgesia/Total Hip Arthroplasty/Perioperative period

分类

医药卫生

引用本文复制引用

张金星..多模式镇痛在全髋关节置换术围手术期的疗效观察[J].中国伤残医学,2015,(6):5-7,3.

中国伤残医学

1673-6567

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