Objective To observe the effects of standardized pain management on old patients with hip fracture. Methods From January, 2015 to June, 2016, 75 old patients (more than 58 years old) with hip fracture were randomly divided into control group (n=37) and observa-tion group (n=38). The control group accepted routine pain management, while the observation group accepted standardized pain manage-ment. They were assessed with Visual Analogue Score (VAS) of the most intensive pain, and their scores for satisfaction were compared. Re-sults There was no significant difference in VAS between two groups before operation (Z=0.845, P>0.05). The VAS was significantly lower in the observation group than in the control group postoperatively (Z=5.427, P<0.001). The scores of satisfaction was more in the observa-tion group than in the control group (t=21.346, P<0.001). Conclusion Standardized pain management can significantly reduce perioperative pain in old patients after hip fracture surgery, and improve the satisfaction.%目的 观察规范化疼痛护理管理在老年髋部骨折手术患者中的应用效果.方法 2015年1月至2016年6月入院行髋部骨折手术的老年患者(年龄>58岁)75例,随机分为对照组37例和观察组38例;对照组采用常规疼痛管理,观察组予规范化疼痛管理.比较两组患者最强程度疼痛视觉模拟评分(VAS)和满意度计分.结果 两组患者VAS评分术前无显著性差异(Z=0.845,P>0.05),术后观察组VAS评分显著低于对照组(Z=5.427,P<0.001).观察组护理满意度评分显著高于对照组(t=21.346,P<0.001).结论 规范化疼痛管理能够显著地降低老年髋部骨折患者围术期疼痛,提高满意率,值得临床推广应用.
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