使用视觉模拟尺度 (VAS) 评估关节整形术后疼痛强度
Madalin Bulzan1, Simona Cavalu1, Florica Voiță-Mekereș1
1Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
Journal of medicine and life
|January 29, 2025
概括
关节整形术 (THA) 患者报告了不同程度的疼痛. 不化THA通常会导致可控的疼痛,与双边THA不同,需要更强的止痛药.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 生物统计学 生物统计学
背景情况:
- 全关节整形术 (THA) 是治疗关节疾病的常见手术.
- 评估术后疼痛对于患者的康复和满意度至关重要.
研究的目的:
- 评估关节整形术 (THA) 后患者的术后疼痛强度.
- 根据诊断和手术方法,使用视觉模拟量表 (VAS) 进行疼痛经验比较.
主要方法:
- 评估了2023-2022年间接受THA治疗的203名患者的队列.
- 疼痛强度是在手术后24小时使用视觉模拟量表 (VAS) 自报告的.
- 数据使用SPSS与chi-square测试进行分析,以在诊断和手术组中比较疼痛频率.
主要成果:
- 在患者组之间观察到疼痛频率的显著差异 (χ2(24, 203) = 37.192;P = 0.04).
- 单侧THA患者报告中度疼痛,而双侧THA患者经历了更严重的疼痛,需要强烈的止痛药.
- 非水泥整体关节假肢与更高的可控疼痛发生率有关 (轻度刺激到中度止痛需要).
结论:
- 在THA后的疼痛强度因手术方法和诊断而异.
- 与其他方法相比,非水泥THA似乎提供了更容易管理的术后疼痛.
- 针对性疼痛管理策略对于接受双边THA的患者至关重要.
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