摘要目的 评价多学科合作疼痛管理对全髋关节和全膝关节置换术患者快速康复的影响.方法 择期行全髋关节或全膝关节置换术患者120例,ASA分级Ⅰ或Ⅱ,年龄20～64岁,体重指数18～25 kg/m2,采用随机数字表法分为2组:试验组(T组,n=66)和对照组(C组,n=54).T组采用多学科合作疼痛管理模式进行围术期疼痛管理,C组采用传统疼痛管理方式.于术后4h、1、2、3、7d和出院时记录疼痛数字评分.记录患者术后关节康复时间、住院时间和满意度.结果 与C组比较,T组患者术后4h、1、2、3、7d及出院时疼痛数字评分降低,术后关节康复时间和住院时间缩短,满意度提高(P＜0.05).结论 多学科合作疼痛管理可有效促进全髋关节和全膝关节置换术患者快速康复.

abstractsObjective To evaluate the effect of multidisciplinary cooperative pain management on the rapid recovery of patients with total hip and total knee arthroplasty.Methods A total of 120 patients,of American Society of Anesthesiologists physical status Ⅰ or Ⅱ,aged 20-64 yr,with body mass index of 18-25 kg/m2,were divided into 2 groups using a random number table method:test group (group T,n=66) and control group (group C,n=54).Multidisciplinary cooperative pain management mode was adopted for pain management in the perioperative period in group T,while traditional pain management was used in group C.Numeric rating scale scores were recorded at 4 h and 1,2,3 and 7 days after surgery and on discharge from hospital.The postoperative joint recovery time,length of hospital stay and satisfaction were recorded in two groups.Results Compared with group C,the numeric rating scale scores were significantly decreased at 4 h and 1,2,3 and 7 days after surgery and on discharge from hospital,the postoperative joint recovery time and length of hospitalization were shortened,and the degree of satisfaction was increased in group T (P＜0.05).Conclusion Multidisciplinary cooperative pain management can effectively promote the rapid recovery of patients with total hip and total knee replacement.