Application of multimodal analgesia in nursing and rehabilitation of patients after hip and knee replacement
多模式镇痛在髋膝关节置换术后患者护理康复中的应用

摘要

目的 研究髋膝关节置换术后加强对多模式镇痛的实际效果。方法 本次实验中共选取研究对象76例，均符合髋膝关节置换术治疗条件，同时采取随机数字法将患者分为两组，即对照组、观察组，前一组使用常规护理措施，后一组则使用多模式镇痛，比较其实际应用效果。结果 多模式镇痛措施下，观察组患者在术后12h、24h、48h的VAS评分分别为（3.31±1.08）分、（2.06±0.89）分、（1.06±0.08）分；反观对照组分别为（5.29±1.46）分、（4.36±1.08）分、（3.22±0.36）分，观察组明显更优，（P＜0.05）。其次，观察组患者在术后的睡眠时间、住院时间也更优于对照组，（P＜0.05）。结论 通过对髋膝关节置换术患者实施多模式镇痛措施可以达到良好镇痛效果，有助于促进患者康复。

Abstract

Objective To study the actual effect of multimodal analgesia after hip and knee arthroplasty.
Methods: A total of 76 study subjects were selected in this experiment, all of which met the treatment conditions of hip and knee arthroplasty. At the same time, the patients were divided into two groups by random number method, namely the control group and the observation group. One group uses multi-modal analgesia to compare its actual application effects.
Results: Under the multimodal analgesia measures, the VAS scores of the observation group were (3.31±1.08), (2.06±0.89), and (1.06±0.08) points at 12h, 24h, and 48h after operation; The scores were (5.29±1.46), (4.36±1.08), (3.22±0.36) points, and the observation group was significantly better, (P<0.05). Secondly, the sleep time and hospital stay of patients in the observation group were better than those in the control group (P<0.05).
Conclusion  : By implementing multi-modal analgesia for patients undergoing hip and knee replacement surgery, a good analgesic effect can be achieved, which helps to promote the recovery of patients.