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全膝关节置换术后经皮神经电刺激即刻镇痛的临床对照研究 预览 被引量:4

A clinical controlled study of immediate analgesia effect of TENS on post-operative pain after total knee replacement
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摘要 目的:探讨经皮神经电刺激(TENS)对全膝关节置换术后疼痛的镇痛作用.方法:42例患者随机分入两组,即TENS组和安慰刺激组.所有患者膝关节的术后疼痛程度采用视觉类比方法(VAS)进行评测.多项逐步回归分析法10.0版本比较TENS组与安慰刺激组前、中、后之间VAS的变化.结果:TENS组与安慰刺激组两组比较术后第一天疼痛程度(VAS)差异有显著性意义,TENS组明显降低术后疼痛程度.TENS组VAS评分从刺激前的100%降低至60min刺激中的83.3%±14.9%,及20min刺激后的85.7%±16.1%,并在TENS刺激后的60min回升到94.3%±7.8%.结论:全膝关节置换术后TENS有明显的即刻镇痛作用. Objective:To explore the analgesia effective of TENS on post-operative pain after total knee replacement.Method: 42 patients were randomly allocated into two groups:TENS and placebo group.The Visual Analogue Scale was used to assess the degree of post-operative knee pain. Repeated Measures ANOVA(SPSS version 10) was used to analyze the VAS data before,among and after TENS or placebo stimulation.Result: A significant difference between-groups in the decrease of VAS scores was found after TENS but not placebo stimulation.The pre-stimulation baseline VAS score of the TENS group gradually dropped from 100% to 83.3%±14.9% at 60 min during,and to 85.7(±16.1)% at 20 min after TENS,with a gradual return to 94.3(±7.8)% at 60 min after TENS.These scores were significantly smaller than those recorded in the placebo group, which showed negligible changes from the baseline value.Conclusion:TENS has a immediate analgesia effect on post-operative knee pain after total knee replacement.
作者 王宁华 谢斌 魏星 李民 许云影 WANG Ninghua, XIE Bin, WEI Xing, et al.Dept. of Physical Medicine and Rehabilitation, The First Hospital, Peking University,100034
出处 《中国康复医学杂志》 CAS CSCD 北大核心 2005年第3期 188-190,共3页 China Journal of Rehabilitation Medicine
基金 教育部留学回国人员科研启动基金,香港理工大学校科研和教改项目
关键词 经皮神经电刺激 全膝关节置换 临床对照研究 即刻 术后疼痛程度 TENS 逐步回归分析法 10.0版本 镇痛作用 VAS评分 类比方法 显著性 患者 total knee replacement transcutaneous electrical nerve stimulation postoperative pain
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参考文献24

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