首页|全膝关节置换术后氟比洛芬酯镇痛治疗期间应用多模式干预的效果

全膝关节置换术后氟比洛芬酯镇痛治疗期间应用多模式干预的效果

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目的:探讨多模式干预对全膝关节置换术患者术后应用氟比洛芬酯镇痛治疗期间的效果.方法:选择新乡市中心医院/新乡医学院第四临床医院骨科 2021 年 8 月—2023 年 8 月实施全膝关节置换术并接受术后药物镇痛的 118 例患者,经随机抽签法分为对照组和观察组,各59 例.对照组实施常规干预,观察组实施多模式干预,比较两组VAS评分、Ramsay评分、HSS评分、外展ROM及恢复情况.结果:观察组术后6 h、12 h、24 h、48 h的VAS评分、Ramsay评分低于对照组,差异有统计学意义(P<0.05);观察组术后 3 d、7 d、10 d、15 d的HSS评分、外展ROM高于对照组,差异有统计学意义(P<0.05);观察组24 h睡眠时间长于对照组,首次下地时间、膝关节屈曲≥90°时间、住院时间短于对照组,差异有统计学意义(P<0.05).结论:多模式干预可降低全膝关节置换术患者术后氟比洛芬酯用药镇痛治疗期间疼痛感,加快患者的膝关节功能恢复速度,改善膝关节活动度,缩短术后恢复时间.
Intervention Effect of Multimodal Nursing During Flurbiprofen Axetil Analgesia After Total Knee Arthroplasty
Objective:To explore the effect of multimodal nursing intervention on postoperative analgesia with flurbiprofen axetil in patients undergoing total knee arthroplasty.Methods:A total of 118 patients who underwent total knee arthroplasty and received postoperative drug analgesia in the Department of Orthopedics,Xinxiang Central Hospital/the Fourth Clinical Hospital of Xinxiang Medical College from August 2021 to August 2023 were randomly divided into control group and observation group,with 59 patients in each group.The control group was given routine nursing,and the observation group was given multi-mode nursing intervention.The VAS score,Ramsay score,HSS score,abduction ROM and recovery were compared between the two groups.Results:The VAS score and Ramsay score of the observation group at 6 h,12 h,24 h and 48 h after operation were lower than those of the control group,and the differences were statistically significant(P<0.05).The HSS score and abduction ROM of the observation group at 3 d,7 d,10 d and 15 d after operation were higher than those of the control group,and the differences were statistically significant(P<0.05).The 24 h sleep time of the observation group was longer than that of the control group,and the time of first ambulation,the time of knee flexion≥90° and the time of hospitalization were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Multimodal nursing intervention can reduce the pain during the analgesic treatment of flurbiprofen axetil after total knee arthroplasty,accelerate the recovery of knee joint function,improve knee joint mobility,and shorten the postoperative recovery time.

Multi-mode nursingTotal knee arthroplastyFlurbiprofen ester

彭静、杨庆蕊、方晓霞

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新乡市中心医院/新乡医学院第四临床医院骨科,河南 新乡 453000

新乡市老年健康照护与促进重点实验室,河南 新乡 453000

多模式干预 全膝关节置换术 氟比洛芬酯

河南省医学科技攻关计划项目

LHGJ20200949

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(6)