股骨颈骨折术后疼痛和康复的相关因素分析

发布时间：2018-06-27 15:45

本文选题：术后疼痛 + 影响因素　；参考：《山西医科大学》2015年硕士论文

【摘要】：目的:分析比较山大一院2006-2012年间,影响股骨颈骨折术后疼痛和健康恢复程度分布的相关因素。方法:电话回访我院223例股骨颈骨折患者,完成已设计好的问卷,问卷内容包括NRS(Numerical rating scale)疼痛数字模拟评分和EQ-5D(欧洲五维健康量表)。本次研究共涉及与术后疼痛和健康恢复可能相关的各种因素如下:性别、年龄、BMI、吸烟、饮酒、ASA、合并症、住院天数、麻醉方式、手术时间、麻醉时间、围术期阿片类药物使用情况、手术方式及镇痛泵使用情况等。结果:统计结果表明,对疼痛程度影响大小依次为手术方式(切开复位内固定术)、镇痛泵和ASA分级;对术后康复程度(EQ-5D)影响因素依次为手术方式(切开复位内固定术)、ASA分级和年龄(P0.05)。结论:影响股骨颈骨折术后疼痛和健康恢复程度的因素是多方面的,手术方式和ASA分级的影响尤为明显。了解原因进行针对性处理能够有效减轻股骨颈骨折术后的疼痛以及改善患者术后康复情况。
[Abstract]:Objective: to analyze and compare the related factors influencing the distribution of postoperative pain and health recovery after femoral neck fracture in the first Hospital of Shandong University from 2006 to 2012. Methods: 223 cases of femoral neck fracture in our hospital were interviewed by telephone, and the designed questionnaire was completed, which included NRS (numerical rating scale) pain Digital Analog scale) and EQ-5D (European Five-Dimensional Health scale). The study involved a variety of factors that might be relevant to postoperative pain and health recovery: sex, age, BMIs, smoking, alcohol consumption, complications, length of stay, anesthesia, duration of surgery, duration of anesthesia. Perioperative opioid use, surgical methods and analgesic pump use. Results: the statistical results showed that the order of influence on the degree of pain was operation (open reduction and internal fixation), analgesic pump and ASA grading. The influencing factors of postoperative rehabilitation (EQ-5D) were ASA grade and age (P0.05). Conclusion: there are many factors affecting the degree of pain and health recovery after femoral neck fracture. To understand the causes of the treatment can effectively alleviate the pain and improve the postoperative recovery of patients with femoral neck fracture.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R614

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