摘要
目的 探讨规范化疼痛护理联合功能锻炼对SchatzkerⅣ胫骨平台骨折患者术后恢复的影响。方法 选取2021年1月至2022年12月在首都医科大学附属北京友谊医院手术治疗的52例SchatzkerⅣ胫骨平台骨折患者作为研究对象,采用分层区组随机分组法将其分为对照组和试验组,每组26例。对照组采取常规疼痛护理联合功能锻炼,试验组采取规范化疼痛护理联合功能锻炼。比较两组术后24 h及1、2、3、6个月的视觉模拟评分法(VAS)评分、膝关节关节活动度(ROM)、Rasmussen胫骨平台骨折评分与生活质量。结果 两组术后1、2、3、6个月VAS评分均低于术后24 h,且术后6个月低于术后1、2、3个月,差异有统计学意义(P<0.05)。两组术后1、2、3、6个月膝关节ROM、Rasmussen胫骨平台骨折评分、健康调查量表36(SF-36)评分均高于术后24 h,且术后6个月高于术后1、2、3个月,差异有统计学意义(P<0.05)。试验组术后1、2、3、6个月VAS评分均低于同期对照组,膝关节ROM、Rasmussen胫骨平台骨折评分、SF-36评分均高于同期对照组,差异有统计学意义(P<0.05)。结论 规范化疼痛护理联合功能锻炼对SchatzkerⅣ胫骨平台骨折患者术后早期疼痛的缓解、膝关节活动度的恢复、功能及生活质量的改善有临床意义。
Objective To investigate the effect of standardized pain nursing combined with functional exercise on postoperative recovery of patients with Schatzker Ⅳ tibial plateau fracture.Methods A total of 52 patients with Schatzker Ⅳtibial plateau fractures who underwent surgical treatment in Beijing Friendship Hospital,Capital Medical University from January 2021 to December 2022 were selected as the research objects.They were divided into control group and experimental group by stratified block random grouping method,with 26 cases in each group.The control group received routine pain nursing combined with functional exercise,and the experimental group received standardized pain nursing combined with functional exercise.The visual analogue scale(VAS) score,knee range of motion(ROM),Rasmussen tibial plateau fracture score,and quality of life were compared between the two groups at 24 hours and 1,2,3,6 months after operation.Results The VAS scores of the two groups at 1,2,3,and 6 months after operation were lower than those at 24 hours after operation,and the VAS scores at 6 months after operation were lower than those at 1,2,3 months after operation,and the differences were statistically significant(P<0.05).The knee ROM,Rasmussen tibial plateau fracture score,and short form 36(SF-36) score of the two groups at 1,2,3,6 months after operation were higher than those at 24 hours after operation,and those at 6 months after operation were higher than those at 1,2,3 months after operation,and the differences were statistically significant(P<0.05).The VAS scores of the experimental group were lower than those of the control group at 1,2,3,6 months after operation,and the knee ROM,Rasmussen tibial plateau fracture score,and SF-36 score of the experimental group were higher than those of the control group at 1,2,3,6 months after operation,and the differences were statistically significant(P<0.05).Conclusion Standardized pain nursing combined with functional exercise has clinical significance in the early postoperative pain rel
作者
李苹
王逸骏
LI Ping;WANG Yijun(Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《中国医药导报》
CAS
2024年第6期155-158,180,共5页
China Medical Herald
基金
国家自然科学基金资助项目(82102550)。
