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【目的】探讨采用个体化疼痛管理对髋关节置换患者围手术期疼痛的疗效。【方法】选择髋关节置换术围手术期并发疼痛的患者90例，按照患者住院顺序分为观察组和对照组，每组45例。对照组给予常规处理，观察组给予个体化疼痛管理，比较两组患者术后4 h、12 h、24 h、48 h及72 h的视觉模拟评分法（VAS）疼痛评分和睡眠时间，同时对两组患者的满意度进行评价。【结果】观察组术后4 h、12 h、24 h及48 h的VAS疼痛评分明显低于对照组，差异有统计学意义（ P ＜0．05）；但观察组患者在术后72 h的VAS疼痛评分与对照组相比，差异无统计学意义（P ＞0．05）。观察组患者在术后4h、12h、24h、48h及72h的睡眠时间明显优于对照组，差异有统计学意义（ P ＜0．05）。观察组满意度为88．9％显著高于对照组满意度（66．7％），差异有统计学意义（ P ＜0．01）。【结论】实施个体化疼痛管理，能有效地改善髋关节置换患者围手术期的疼痛症状，对提高患者的满意度有一定的临床意义，值得临床推广应用。“,”[Objective] To explore the efficacy of individualized pain management for perioperative pain in patients with hip replacement .[Methods] Totally 90 patients with hip replacement complicated by periopera-tive pain were selected .According to the order of hospitalization ,all patients were divided into observation group and control group with 45 patients in each group .Control group was given conventional treatment , while the observation group was given individualized pain management .Visual analogue scale(VAS) pain scores and sleep time at 4h ,12h ,24h ,48h and 72h after operation were compared between two groups .The satisfaction of patients in two groups was evaluated .[Results]VAS pain scores in observation group at 4h , 12h ,24h and 48h after operation were obviously lower than those in control group ,and there was significant difference( P 0 .05) .Sleep time in observation group at 4h ,12h ,24h ,48h and 72h after operation was ob-viously better than that in control group ,and there was significant difference( P <0 .05) .The satisfaction of patients in observation group was 88 .9% ,which was markedly higher than that in control group (66 .7% ) , and there was significant difference( P <0 .01) .[Conclusion] Individualized pain management can effectively alleviate perioperative pain symptoms of patients with hip replacement ,so it is of clinical significance for im-proving the satisfaction of patients and worthy of clinical application .