疼痛干预在膝关节周围骨折患者肢体功能锻炼中的效果评价.pdfVIP

现代临床护理（Modern Clinical Nursing）2013.12（1） 46 疼痛干预在膝关节周围骨折患者肢体功能锻炼中的效果评价 刘萍 ，张改琴 ，王展 ，李媛 ，代英华 ，张艳 ，张蕾 （西安交通大学医学院附属红会医院创伤骨科一病区，陕西西安，710054） ［摘要］　目的　探讨疼痛干预在膝关节周围骨折患者肢体功能锻炼中的效果。方法　随机将膝关节周围骨折患者 60 例 分为观察组 30 例，对照组 30 例。两组术后同时进行患肢功能锻炼，观察组患者手术前后给予塞来昔布 200 mg，2 次 /d，至出 院；对照组术后给予塞来昔布 200 mg，2 次 /d。观察两组患者不同时间点的疼痛程度、患肢功能恢复状况。结果　观察组患者 术后 6 h、8 h、12 h、24 h、36 h、48 h 疼痛评分均低于对照组；术后 1 d、 2 d、3 d、4 d、5 d 膝关节主动和被动活动度高于对照组，两 组比较，均 P 0.01，差异具有统计学意义。结论　膝关节周围骨折术前予以药物干预镇痛，能够及早进行功能锻炼，患者肢 体功能的康复良好。 ［关键词］　疼痛干预；膝关节周围骨折；肢体功能锻炼 ［中图分类号］　R473.6　［文献标识码］　A　［文章编号］　 1671-8283（2013）01-0046-04　［DOI］　10.3969/j.issn.1671-8283.2013.01.014 Effect of pain intervention on limb function exercises in patients with peripheric fractures of knee joint Liu Ping，Zhang Gaiqin，Wang Zhan，Li Yuan，Dai Yinghua，Zhang Yan，Zhang Lei ∥ Modern Clinical Nursing，-2013，12（1）：46 ［Abstract］　Objective　To explore the effect of pain intervention on limb function exercises in patients with peripheric fractures of knee joint．Methods　60 patients with peripheric fractures of knee joint were randomized in equal number into the observation group and control group．Both groups took functional exercises for affected limbs．Besides，the former and latter groups were administered with celecoxib at a dosage of 200mg twice a day from pre-operation to discharge and after operation，respectively．The two groups were compared in terms of pain degree at different time points as well as the functional recovery of affected limbs．Results　The observation group was lower in pain scores than the control group at hours 6，8，12，24，36 and 48．The active and passive motions of the affected limbs in the