视觉模拟评分法在全膝关节置换术镇痛后应用体会

目的：观察视觉模拟评级法对于关节置换手术后镇痛的指导意义。方法：对比不同疼痛评估方式在全膝关节置换手术患者术后疼痛治疗中的KSS评分及患肢膝关节主动活动范围改变情况及镇痛药物的使用剂量。结果：使用视觉模拟评级法指导组取得了更好的膝关节活动情况的改善，同时其用镇痛药物药剂剂量较少，两组KSS评分无显著差异。结论：视觉模拟评级法对于关节置换手术后镇痛具有一定的参考价值，可以有效的改善患者的康复效果，并减少镇痛药物使用。

The Visual Analogue Scale in the Knee arthroPlasty after Analgesia

Objectives： To observe Visual Analogue Scale for joint replacement surgery after the guiding significance of analgesia. Methods： To compare the different way pain assessment in patients who had total knee replacement surgery in the therapy of postoperative pain by KSS score, and the limb knee active activities scope changes and analgesic drug use dose. Results： The steering group who used visual simulation rating method can achieve a better knee joint activities, and a less dose of analgesic drug agents, KSS scores of two groups of have not significant differences. Conclusion： Visual Analogue Scale has a certain reference value to joint replacement analgesia after operation, effectively improve the effectiveness of the rehabilitation of patients, and reduce use in analgesic drug.