摘要
目的 观察评价多模式超前镇痛在膝关节置换术康复护理中应用评价。方法 选择2019年1月至2020年12月期间收治的60例膝关节置换术患者，根据随机数表法分组，设为对照组和研究组，一组30例。对照组30例术后常规镇痛泵、止痛药干预，研究组30例采取多模式超前镇痛干预，对比观察两组患者的膝关节功能、疼痛评分、不良反应及满意度。结果 研究组膝关节功能优良率80%，高于对照组63.3%，组间数据分析，差异有统计学意义（P<0.05）；研究组术后6h、术后12h、术后24h、术后48h疼痛评分低于对照组，两组比较，差异有统计学意义（P<0.05）；统计不良反应，研究组3例，对照组2例，无统计学意义（P>0.05）；研究组患者护理满意度100%高于对照组90%，组间数据分析，存在统计学意义（P<0.05）。结论 膝关节置换术康复护理中，多模式超前镇痛的应用效果显著。
关键词： 多模式超前镇痛；膝关节置换术；康复护理；应用效果
Abstract
Objective To observe and evaluate the effect of multimodal preemptive analgesia in rehabilitation nursing of knee arthroplasty. Methods 60 patients with knee arthroplasty from January 2019 to December 2020 were randomly divided into control group and study group, with 30 cases in one group. 30 cases in the control group received routine postoperative analgesia pump and analgesic intervention, and 30 cases in the study group received multimodal preemptive analgesia intervention. The knee function, pain score, adverse reactions and satisfaction of the two groups were compared and observed. Results the excellent and good rate of knee function in the study group was 80%, which was higher than 63.3% in the control group. There was significant difference between the groups (P < 0.05); The pain scores of the study group at 6h, 12h, 24h and 48h after operation were lower than those of the control group. There was significant difference between the two groups (P < 0.05); There were 3 cases in the study group and 2 cases in the control group (P > 0.05); The nursing satisfaction of patients in the study group was 100% higher than 90% in the control group. There was statistical significance in the analysis of data between groups (P < 0.05). Conclusion in the rehabilitation nursing of knee arthroplasty, the application effect of multi-mode preemptive analgesia is remarkable.
Key words： Multimodal Preemptive Analgesia; Knee Arthroplasty; Rehabilitation Care; Application Effect
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