| Background: according to statistics, trauma patients each year about 10 million people in our country, the disability rate of about 1 million person-time, death toll as high as hundreds of thousands. Pain is every trauma patients have to face a problem, in the face of sudden trauma, most of the patients not only to be under the influence of the damage to the body, we often under heavy mental burden. Advanced analgesia is in the central and outside before zhou min to achieve maximum to nociceptive stimuli to block and achieve postoperative pain or alleviate pain intervention measures, increase the pain threshold of the essence of which is to prevent the occurrence of peripheral and central sensitization, is to stop impulses to the central and peripheral injury conduction a pain treatment. At present many orthopedics trauma in creating a painless ward, hope to be able to make pain management more systematic and institutionalized, standardization, and in accordance with the people to change the traditional understanding of pain. So the study has important clinical significance.Objective: through Chinese traditional medicine Xiao Tong party(rhizoma ligustici wallichii, yanhusuo, frankincense, myrrh, dalbergiae,, nux vomica, paniculate swallowwort root, Chinese angelica, radix angelicae, rhizoma drynariae, wood) add and subtract, and combined application of western medicine(celebrex) for patients with hip fracture need surgery for advanced analgesic, and postoperative analgesia by observing the analgesic, and postoperative analgesia in advance of two different analgesic methods evaluation of patients with postoperative pain degree and the influence on postoperative quality of life of patients.Methods: according to the criteria for the selection of January 1, 2014- December 31, 2014 hospitalized patients with hip fracture during hospitalization records, according to the inclusion criteria, select 60 patients. Chinese medicine hospital in henan province are fractures, diagnosis and treatment center provides medical records in hospital. Based on traditional Chinese medicine(TCM) Xiao Tong party(rhizoma ligustici wallichii, yanhusuo, frankincense, myrrh, dalbergiae, nux vomica, paniculate swallowwort root, angelica, radix angelicae, rhizoma drynariae, wood) add and subtract, and combined application of western medicine(celebrex), the selected cases were divided into experimental group and the control group on average, 30 cases in each group, group male 17 cases, 13 cases of women; Age range is 40 to 85 years old, average 64.03 + /- 12.02 years, including 18 cases of femoral neck fracture and intertrochanteric fractures in 12 cases. 14 cases of control group men, women 16 cases; Average age is 28 ~ 84 years old, 62.93 + /- 12.63 years old, including 14 cases of femoral neck fracture in 16 cases of intertrochanteric fractures. Similar in the two groups in gender, age(P > 0.05), comparable. Experimental group adopted in patients after admission, medical team composed of orthopedic surgeons, nurses by combination of Chinese and western advanced analgesic model advanced analgesia in patients with hip fracture, the medical team to evaluate patients’ physical condition, detailed plan, using comfortable nursing, application of traditional Chinese medicine dialectical treatment Xiao Tong party(rhizoma ligustici wallichii, yanhusuo, frankincense, myrrh, d albergiae, nux vomica, paniculate swallowwort root, angelica, radix angelicae, rhizoma drynariae, wood) add and subtract and western medicine(celebrex) method for analgesia in advance, through the preoperative and postoperative day when the hospital three days and fill in the brief pain assessment(BPI), patients discharged from hospital after using BP(pain) in quality of life assessment, RE(emotional) and MH(psychological function) the influence degree of the three aspects of the quality of life compared and evaluated. Control group to select the same leading physicians, anesthesia, in the same way, for selected patients with conventional analgesia(preoperative not continuous taking painkillers or only pain when taking), according to the patient medical records, fill in the questionnaire collected patients. Compared two groups of patients in the preoperative day, 3 days, and when I left the hospital brief pain scale. Sorting data, measurement data using t test analysis, group design count data by chi-square analysis, take the inspection level of alpha = 0.05, P < 0.05, with statistically significant results.Results:(1) through the brief pain assessment scale(BPI) score value of hospitalization in patients with traumatic pain degrees of comparison: experimental group patients with preoperative day, postoperative pain score value was lower than those of control group, the third day the pain degree of improvement is better than that of control group(P < 0.05), statistically significant, the hospital situation, according to the score(P > 0.05, no statistical significance, can think ahead of combination of Chinese and western medicine analgesia in patients with improved perioperative pain than conventional analgesic effect is good.(2) through the life quality evaluation scale(SF- 36) the comparison of BP(pain) in patients with hospital: experimental group and control group in patients after discharge in terms of pain there was no significant difference(P > 0.05), can be thought of in two groups of patients after discharge homogeneity and comparable, not statistically significant.(3) through life quality evaluation scale(SF- 36) compared to discharge(emotional) of patients with RE: clinical results showed that the patients after discharge, the experimental group patients through scale RE(emotional) score, and the control group scored higher, can think ahead of analgesia in patients with emotional stability and setting a optimistic mood has obvious significance(P < 0.05).(4) through life quality evaluation scale(SF- 36) in patients with hospital MH(psychological function); Group of patients through the scale of MH(psychological function) score, the score value higher than control group,(P < 0.05), there is statistical significance, can think ahead of analgesia in patients after the injury has obvious effect in stable psychology. Compared two groups of data, with statistical significance(P < 0.05), can be thought of analgesia in advance can effectively reduce the pain of patients, making patients with early rehabilitation exercise, reduce complications, shorten hospitalization time, and to reduce injury in patients with negative emotions has important significance.Conclusion: the patients with advanced analgesic reduced due to the pain of a variety of complications, shorten the length of hospital stay, to set up the confidence to conquer the disease patients, improve the quality of life. |
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