术中舒适护理对人工膝关节置换术患者后疼痛.docVIP

术中舒适护理对人工膝关节置换术患者术后疼痛 　　[摘要] 目的 探讨术中舒适护理对人工膝关节置换术患者术后疼痛及膝关节功能的影响。 方法 选择2012年6月～2014年6月在我院行人工全膝关节置换患者100例为研究对象，分为两组，对照组行常规护理，干预组在此基础上于术中着重实施舒适护理，比较两组术后1 h、术后1 d、术后3 d 的疼痛评分变化情况；以及两组患者的膝关节功能优良率。 结果 随着时间延长，干预组与对照组的VAS评分逐渐降低，且干预组术后1 d、术后3 d的VAS评分显著低于对照组（P中国论文网 /6/viewhtm 　　[关键词] 人工膝关节置换术；术中舒适护理；术后疼痛；膝关节功能 　　[中图分类号] R687；R473 [文献标识码] B [文章编号] 1673-9701（2015）26-0151-03 　　Influence of intraoperative comfort nursing on postoperative pain and knee joint function of patients having received artificial knee replacement 　　SONG Wen1 YU Huachen2 　　1.Operating Room， Affiliated Hospital of Hangzhou Normal University， Hangzhou 310000， China； 2.Department of Orthopedics， Second Affiliated Hospital of Wenzhou Medical University， Wenzhou 325000， China 　　[Abstract] Objective To investigate the influence of intraoperative comfort nursing on the postoperative pain and knee joint function of the patients having received artificial knee replacement. Methods One hundred patients who received artificial total knee replacement in our hospital from June 2012 to June 2014 were selected as the study subjects， were divided into two groups. The control group was given conventional nursing and the intervention group was given comfort nursing particularly on the basis of the control group. The pain score changes of the two groups 1 hour， 1 day and 3 days after surgery were compared. The excellent and good rates of knee joint function of the two groups were compared. Results As time went by， the VAS scores of the intervention group and the control group decreased gradually， and the postoperative 1 day and 3 days the VAS scores of the intervention group were significantly lower than those of the control group， with significant differences（P 　　[Key words] Artificial knee replacement； Intraoperative comfort nursing； Postoperative pain； Knee joint function 　　人工全膝关节置换术是采用假体关节代替严重受损关节的一种关节功能重建手术，常用于治疗骨性关节炎、类风湿性关节炎、创伤性关节炎等疾病，可以显著缓解膝关节疼痛和改善膝关节功能[1]。人工全膝关节置换术治疗的目的在于缓解疼痛及克服关节活动受限，从而改善患者生活质量，其