全膝关节置换术后早期非甾体类抗炎药与非甾体类抗炎药功能结局及疼痛控制的比较研究。

Siddhart Yadav, K P Chiranjeevi, Akash Singh Jadon, Ranjeet Vishwakarma, Dharm Bedwal
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引用次数: 0

摘要

前言:主要目的:评价非甾体类抗炎药(NSAIDs)和非NSAIDs在全膝关节置换术(TKA)术后早期住院期间的疼痛控制效果,并进行比较。次要目的:评价非甾体抗炎药和非甾体抗炎药在TKA术后28天、3个月和6个月早期的功能结局,并进行比较。目的:(1)采用住院期间视觉模拟评分法(VAS),每隔4 h评价非甾体抗炎药和非甾体抗炎药对TKA术后早期疼痛控制的效果。(2)比较非甾体抗炎药与非甾体抗炎药患者住院期间VAS疼痛评分。(3)采用牛津膝关节评分(OKS)和膝关节社会评分(KSS)评价非甾体抗炎药和非甾体抗炎药患者在28天、3个月和6个月后的功能结局。(4)比较非甾体抗炎药患者和非甾体抗炎药患者28天、3个月和6个月后OKS和KSS获得的功能结局。研究时间:本研究为12个月(2023年4月1日- 2024年3月31日)。研究设计:这是一项比较前瞻性研究。结论:采用牛津kss对术后长时间疼痛管理的评价,两组患者1个月和3个月的OKS评分差异有统计学意义(p = 0.05)。因此,在6个月时,非甾体抗炎药组和非甾体抗炎药组患者报告的疼痛评分相似,疼痛最小或无疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Study of Functional Outcome and Pain Control with Non-steroidal Anti-inflammatory Drugs (NSAIDs) and Non-NSAIDs in Early Post-operative Period in Total Knee Arthroplasty.

Introduction: Primary aim - To evaluate the pain control with non-steroidal anti-inflammatory drugs (NSAIDs) and non-NSAIDs in early post-operative period during hospital stays in total knee arthroplasty (TKA) and compare them. Secondary aim - To evaluate the functional outcome with NSAIDs and non-NSAIDs in early post-operative period after 28 days, 3 months, and 6 months in TKA and compare them.

Objectives: The objectives are as follows: (1) To assess the effectiveness of NSAIDs and non-NSAIDs in pain control during early post-operative period after TKA, using Visual Analog Scale (VAS) during hospital stay-every 4 hourly. (2) To compare the VAS pain scores in NSAIDs and non-NSAID patients during hospital stays. (3) To assess the functional outcome in NSAIDs and non-NSAIDs patients using Oxford Knee Score (OKS) and knee society score (KSS) after 28 days, 3 months, and 6 months. (4) To compare the functional outcome obtained by OKS and KSS in NSAIDs and non-NSAIDs patients after 28 days, 3 months, and 6 months.

Materials and methods: Study duration: This study was 12 months (April 1st, 2023-March 31st, 2024).

Study design: This was a comparative prospective study.

Conclusion: Evaluation of Oxford KSSs for pain management post-surgery for long duration showed statistically significant 44 difference in the OKS score at 1 month and 3-months (p = 0.05) between the two groups. Thus, at 6 months, the NSAID and non-NSAID group patients report similar pain scores with minimal or no pain.

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