Abstract：Objective To explore the application effect of assessment methods for active pain in patients undergoing total hip arthroplasty. Methods A total of 80 patients who underwent primary unilateral total hip replacement due to femoral neck fracture in Liuhe Hospital Affiliated to Yangzhou University Medical College from April 2017 to March 2020 were selected as study subjects. According to the random number table method, the patients were divided into control group and observation group, 40 cases in each group. Routine pain nursing assessment and intervention were carried out in the control group, and postoperative pain management was conducted in the observation group on the basis of the control group combined with active pain assessment methods. The numerical rating scale (NRS) score of functional activity at 24 h after operation, satisfaction with analgesia management, frequency of functional activity within 24 h after operation, time of first getting out of bed activity, and hip function score at three days and one week after operation were compared between the two groups. Results The NRS score of the observation group was lower than that of the control group at the time point of functional activity 24 h after operation (P ＜ 0.05). The satisfaction score of analgesia management was higher than that of the control group (P ＜ 0.05). The frequency of functional activity within 24 h after operation was higher than that of the control group, the time of getting out of bed for the first time was earlier than that of the control group (P ＜ 0.05). Overall analysis found that: Harris rating group comparison, time point comparison and interaction difference were statistically significant (all P ＜ 0.05), further pairwise comparison and intra-group comparison: compared with preoperative comparison, Harris score was improved three days and one week after surgery in both groups, and the differences were statistically significant (P < 0.05), comparison between groups: Harris scores of the observation group three days and one week after operation were higher than that of the control group (P ＜ 0.05). Conclusion The application of assessment methods for active pain in total hip arthroplasty can effectively improve the quality of postoperative pain management and promote the recovery of postoperative hip function.
李晓琴 胡桂花 赵贵凤 赵清华 刘玉宝. 活动性疼痛评估方法在全髋关节置换患者中的应用[J]. 中国医药导报, 2020, 17(32): 160-163,176.
LI Xiaoqin HU Guihua ZHAO Guifeng ZHAO Qinghua LIU Yubao. Application of assessment methods for active pain in patients undergoing total hip arthroplasty. 中国医药导报, 2020, 17(32): 160-163,176.
2020, Vol. 17 
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