Bulzan Madalin, Cavalu Simona, Voiță-Mekereș Florica, Hozan Călin Tudor
Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
J Med Life. 2024 Dec;17(12):1049-1053. doi: 10.25122/jml-2024-0362.
This study aimed to assess pain intensity in patients who underwent total hip arthroplasty (THA) using the Visual Analogue Scale (VAS). The study was conducted between 2022 and 2023, enrolling 203 patients admitted to the Orthopedics Department. Participants self-reported their post-surgical pain 24 hours after THA by selecting a VAS rating that best represented their personal experience. Based on their diagnosis, participants were categorized into four relatively homogeneous groups: left-sided coxarthrosis, right-sided coxarthrosis, unilateral THA for bilateral coxarthrosis, and bilateral THA for bilateral coxarthrosis. Data were analyzed using SPSS, with frequency analysis performed using the chi-square (χ) test. Pain intensity in patients undergoing uncemented THA ranged from mild irritation to pain requiring moderate analgesics. The statistical analysis revealed significant differences in pain frequencies across groups (χ (24, 203) = 37.192; = 0.04), with variations largely attributable to the type of THA performed. VAS scores indicated that patients with unilateral THA for coxarthrosis reported moderate pain lasting up to 30 minutes, necessitating moderate-intensity analgesics. In contrast, participants undergoing bilateral THA experienced more severe pain, requiring the administration of strong analgesics for effective pain relief and increased functionality. Among surgical procedures, uncemented total hip prostheses were associated with the highest frequency of manageable pain, characterized as irritation or mild discomfort requiring moderate analgesics.
本研究旨在使用视觉模拟量表(VAS)评估接受全髋关节置换术(THA)患者的疼痛强度。该研究于2022年至2023年进行,纳入了203名骨科住院患者。参与者在全髋关节置换术后24小时通过选择最能代表其个人经历的VAS评分自我报告术后疼痛情况。根据诊断结果,参与者被分为四个相对同质的组:左侧髋关节病、右侧髋关节病、双侧髋关节病的单侧全髋关节置换术以及双侧髋关节病的双侧全髋关节置换术。使用SPSS进行数据分析,采用卡方(χ)检验进行频率分析。接受非骨水泥型全髋关节置换术患者的疼痛强度范围从轻度刺激到需要中度镇痛药的疼痛。统计分析显示,各组之间的疼痛频率存在显著差异(χ(24, 203) = 37.192;P = 0.04),差异主要归因于所进行的全髋关节置换术类型。VAS评分表明,患有髋关节病的单侧全髋关节置换术患者报告中度疼痛持续长达30分钟,需要中度强度的镇痛药。相比之下,接受双侧全髋关节置换术的参与者经历更严重的疼痛,需要使用强效镇痛药来有效缓解疼痛并提高功能。在手术操作中,非骨水泥型全髋关节假体与可控制疼痛的最高频率相关,其特征为刺激或轻度不适,需要中度镇痛药。