目的:本研究旨在评估术后一体化康复模式在膝关节置换术后患者中的有效性,并与传统的常规康复模式进行比较,以探究其对疼痛管理、功能恢复和生理指标改善的影响。方法:在青海省康复医院纳入100例接受膝关节置换术的患者,随机分为实验组...目的:本研究旨在评估术后一体化康复模式在膝关节置换术后患者中的有效性,并与传统的常规康复模式进行比较,以探究其对疼痛管理、功能恢复和生理指标改善的影响。方法:在青海省康复医院纳入100例接受膝关节置换术的患者,随机分为实验组(术后一体化康复组)和对照组(术后常规康复组),每组各50例。研究通过术后疼痛评分(VAS评分)、关节功能评分(HSS评分)和生理指标(如白细胞计数、C反应蛋白和D-二聚体水平)进行评估,并在术后即刻、术后1个月及术后6个月进行随访。结果:实验组患者在术后的疼痛评分和关节功能评分均显著低于对照组(P Objective: This study aims to evaluate the effectiveness of the integrated rehabilitation model in patients after total knee arthroplasty (TKA) and to compare it with traditional conventional rehabilitation models, focusing on its impact on pain management, functional recovery, and improvement of physiological indicators. Methods: A total of 100 patients who underwent TKA were enrolled at Qinghai Provincial Rehabilitation Hospital, randomly assigned to the experimental group (integrated rehabilitation group) and the control group (conventional rehabilitation group), with 50 patients in each group. The study assessed postoperative pain scores (VAS), joint function scores (HSS), and physiological indicators (such as white blood cell count, C-reactive protein, and D-dimer levels), with follow-ups conducted immediately postoperative, at one month, and at six months post-surgery. Results: Patients in the experimental group had significantly lower postoperative pain scores and higher functional scores compared to the control group (P < 0.01), indicating that the integrated rehabilitation model effectively controls postoperative pain and promotes functional recovery. Additionally, white blood cell counts and C-reactive protein levels in the experimental group gradually returned to normal ranges postoperatively, reflecting lower levels of inflammatory response. Furthermore, the experimental group had a lower incidence of complications, further validating the superiority of this model in promoting rehabilitation. Conclusion: The integrated rehabilitation model significantly improves postoperative pain management and functional recovery in patients after TKA, while reducing inflammatory responses and complication rates. The results provide scientific evidence for optimizing rehabilitation plans after total knee arthroplasty and emphasize the importance of multidisciplinary collaboration in enhancing patient recovery. Future research should further explore the long-term effects of this model and its applications in broader contexts.展开更多
目的探讨多学科合作疼痛管理联合间歇式充气压力治疗仪对肺癌手术患者视觉模拟评分法(VAS)评分、术后指标及深静脉血栓形成(DVT)的影响。方法回顾性分析2017年12月至2019年1月在医院进行肺癌胸腔镜手术的110例患者的临床资料,根据护理...目的探讨多学科合作疼痛管理联合间歇式充气压力治疗仪对肺癌手术患者视觉模拟评分法(VAS)评分、术后指标及深静脉血栓形成(DVT)的影响。方法回顾性分析2017年12月至2019年1月在医院进行肺癌胸腔镜手术的110例患者的临床资料,根据护理方式不同分为对照组与观察组,各55例。对照组应用常规护理,观察组应用多学科合作疼痛管理联合间歇式充气压力治疗仪护理,比较两组VAS评分、术后指标及DVT发生率。结果两组术后5 d VAS评分均较术后即刻低,且观察组较对照组低,差异均有统计学意义(P<0.05);观察组术后首次下床时间和住院时间均比对照组短,差异均有统计学意义(P<0.05);观察组DVT发生率较对照组低,差异有统计学意义(P<0.05)。结论肺癌手术患者应用多学科合作疼痛管理联合间歇式充气压力治疗仪护理可有效降低VAS评分及DVT发生率,促进患者转归。展开更多
文摘目的探讨多学科疼痛管理模式对结直肠手术患者自控静脉镇痛(patient-controlled intravenous analgesia,PCIA)镇痛及康复效果的影响。方法采用病例对照研究,选取我院2022年1月至2022年12月接受结直肠手术患者38例作为观察组,2021年1月至2021年12月接受结直肠手术患者40例作为对照组。两组手术患者均接受PCIA镇痛,对照组采用常规疼痛管理模式,观察组采用基于加速康复外科的多学科疼痛管理模式。比较两组患者术后6h、12h、24h、48h及首次下床活动时疼痛视觉模拟评分(visual analog scale,VAS),PCIA平均按压次数、镇痛药物使用量、不良反应发生率,以及首次排气时间、首次下床活动时间、住院时间等指标。结果①镇痛效果:观察组在术后6h、12h及首次下床活动时VAS均低于对照组(P<0.05);观察组PCIA平均按压次数、镇痛药物使用量均明显多于对照组(P<0.05),不良反应发生率低于对照组(P<0.05);②康复指标:观察组患者首次排气时间、首次下床活动时间早于对照组,平均住院时间较对照组缩短(P<0.05)。结论多学科疼痛管理模式可改善PCIA镇痛效果,促进患者康复,值得推广应用。
文摘目的:本研究旨在评估术后一体化康复模式在膝关节置换术后患者中的有效性,并与传统的常规康复模式进行比较,以探究其对疼痛管理、功能恢复和生理指标改善的影响。方法:在青海省康复医院纳入100例接受膝关节置换术的患者,随机分为实验组(术后一体化康复组)和对照组(术后常规康复组),每组各50例。研究通过术后疼痛评分(VAS评分)、关节功能评分(HSS评分)和生理指标(如白细胞计数、C反应蛋白和D-二聚体水平)进行评估,并在术后即刻、术后1个月及术后6个月进行随访。结果:实验组患者在术后的疼痛评分和关节功能评分均显著低于对照组(P Objective: This study aims to evaluate the effectiveness of the integrated rehabilitation model in patients after total knee arthroplasty (TKA) and to compare it with traditional conventional rehabilitation models, focusing on its impact on pain management, functional recovery, and improvement of physiological indicators. Methods: A total of 100 patients who underwent TKA were enrolled at Qinghai Provincial Rehabilitation Hospital, randomly assigned to the experimental group (integrated rehabilitation group) and the control group (conventional rehabilitation group), with 50 patients in each group. The study assessed postoperative pain scores (VAS), joint function scores (HSS), and physiological indicators (such as white blood cell count, C-reactive protein, and D-dimer levels), with follow-ups conducted immediately postoperative, at one month, and at six months post-surgery. Results: Patients in the experimental group had significantly lower postoperative pain scores and higher functional scores compared to the control group (P < 0.01), indicating that the integrated rehabilitation model effectively controls postoperative pain and promotes functional recovery. Additionally, white blood cell counts and C-reactive protein levels in the experimental group gradually returned to normal ranges postoperatively, reflecting lower levels of inflammatory response. Furthermore, the experimental group had a lower incidence of complications, further validating the superiority of this model in promoting rehabilitation. Conclusion: The integrated rehabilitation model significantly improves postoperative pain management and functional recovery in patients after TKA, while reducing inflammatory responses and complication rates. The results provide scientific evidence for optimizing rehabilitation plans after total knee arthroplasty and emphasize the importance of multidisciplinary collaboration in enhancing patient recovery. Future research should further explore the long-term effects of this model and its applications in broader contexts.
文摘目的探讨多学科合作疼痛管理联合间歇式充气压力治疗仪对肺癌手术患者视觉模拟评分法(VAS)评分、术后指标及深静脉血栓形成(DVT)的影响。方法回顾性分析2017年12月至2019年1月在医院进行肺癌胸腔镜手术的110例患者的临床资料,根据护理方式不同分为对照组与观察组,各55例。对照组应用常规护理,观察组应用多学科合作疼痛管理联合间歇式充气压力治疗仪护理,比较两组VAS评分、术后指标及DVT发生率。结果两组术后5 d VAS评分均较术后即刻低,且观察组较对照组低,差异均有统计学意义(P<0.05);观察组术后首次下床时间和住院时间均比对照组短,差异均有统计学意义(P<0.05);观察组DVT发生率较对照组低,差异有统计学意义(P<0.05)。结论肺癌手术患者应用多学科合作疼痛管理联合间歇式充气压力治疗仪护理可有效降低VAS评分及DVT发生率,促进患者转归。
