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“七化”特色疼痛干预应用于全膝关节置换术患者中的康复效果分析
高红,王婷婷,孙丽,顾海燕
0
南通市第一人民医院骨科 南通 226001
摘要:
目的:研究“七化”特色疼痛干预应用于全膝关节置换术患者中的康复效果。方法:选取南通市第一人民医院 2016年 1月—2017年 3月收治的采用常规干预的人工全膝关节置换术患者 45例作为对照组,另选取 2017年 4月—2018年 7月收治的采用“七化”特色疼痛干预的人工全膝关节置换术患者 45例作为观察组。对比两组膝关节疼痛度、功能评分及术后恢复情况、并发症发生率。结果:观察组术后 1天膝关节疼痛度低于对照组,观察组术后 1个月、 3个月 HSS评分均高于对照组,差异有统计学意义( P<0.05);观察组术后首次下床时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组静脉血栓及膝关节僵硬发生率均低于对照组,差异有统计学意义( P<0.05)。结论:“七化”特色疼痛干预应用于全膝关节置换术患者可有效改善其膝关节功能,促进术后恢复,同时降低并发症发生率,值得临床推广。
关键词:  “七化”特色疼痛干预  全膝关节置换术  疼痛度  膝关节功能  康复
DOI:10.3969/j.issn.1007-6948.2020.01.026
投稿时间:2019-01-24
基金项目:2016年度南通市市级科技计划(指导性)项目(GJZ16019);2017年南通市指令性课题(MS120170117)
Effect Analysis of “Qihua” Characteristic Pain Nursing in Patients with Total Knee Arthroplasty GAO
Hong,WANG Ting-ting,SUN Li
Department of Orthopaedics, Nantong First People’s Hospital, Nantong 226001, China
Abstract:
Objective To explore the effect of “Qihua”characteristic pain nursing in patients with total knee arthroplasty. Methods A total of 45 patients with total knee arthroplasty (TKA) who received routine nursing from January 2016 to March 2017 in Nantong First People’s Hospital were selected as control group, and 45 patients with TKA who received“Qihua” pain nursing from April 2017 to July 2018 were selected as observation group. The knee joint pain degree, functional score, postoperative recovery and complication rate were compared between the two groups. Results The knee joint pain was lower in the observation group than that in the control group at 1 day after operation. The HSS scores of the observation group were higher than those of the control group at 1 month and 3 months after operation (P<0.05). The time of bedtime and hospital stay was shorter than that in the control group, the difference was statistically significant (P<0.05). The incidence of VTE and knee stiffness in the observation group were lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion “Qihua” characteristic pain nursing for patients with TKA can effectively improve their knee function, promote postoperative recovery, and reduce the incidence of complications, which is worthy of clinical promotion.
Key words:  “Qihua”characteristic pain nursing  total knee arthroplasty  pain degree  knee joint function  recovery

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