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目的探讨在氨酚羟考酮超前镇痛下实施规范化康复训练对膝关节置换术后功能恢复程度的影响。方法选取本院关节外科2015年1~2015年12月住院的膝骨性关节炎患者60例作为研究对象,随机分为对照组和实验组,各30例,实验组在上、下午康复训练前半小时及睡前分三次予氨酚羟考酮1片口服;对照组康复训练前则不予镇痛药物干预。2组患者均按规范实施康复训练。结果对实验组与对照组24h、48h、72h及7d行康复训练时活动痛VAS评分比较,差异有统计学意义(P<0.05);实验组与对照组术后膝关节ROM恢复至90°的时间及出院时平均ROM值比较,差异有统计学意义(P<0.05)。结论在人工全膝关节置换术后给予氨酚羟考酮超前镇的基础上,进行早期、规范的康复训练治疗,能够有效减轻肢体的疼痛程度,促进患者的肢体功能恢复。
Objective To investigate the effect of standardized rehabilitation training on the degree of functional recovery after knee arthroplasty under advanced analgesia with paracetamol and oxycodone. Methods Sixty patients with knee osteoarthritis hospitalized in our hospital from January 2015 to December 2015 were selected and randomly divided into control group and experimental group, with 30 cases in each group. The experimental group was in the first half of the morning and afternoon rehabilitation training Hours and before going to bed three times to omethoate oxycodone oral; control group before rehabilitation training without analgesic intervention. Two groups of patients according to the standard implementation of rehabilitation training. Results Compared with the VAS scores of active pain in rehabilitation training of experimental group and control group at 24h, 48h, 72h and 7d, the difference was statistically significant (P <0.05); the ROM of knee in experimental group and control group recovered to 90 ° Time and average ROM value at discharge compared with the difference was statistically significant (P <0.05). Conclusion On the basis of giving prefrontalisation of PCP after artificial total knee arthroplasty, early and standardized rehabilitation training can effectively reduce the pain of limbs and promote the recovery of limb function in patients.