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目的：临床分析疼痛管理应用于老年髋部骨折术后的影响。方法：选取我院2012 年3 月至2013 年3 月收治的50 例老年髋部骨折患者，按照随机分配的方法，将其分为研究组与对照组，每组25 例，对照组给予常规管理模式，研究组在常规管理模式基础上，给予规范化的疼痛管理，主要包含合理评估与应用镇痛药物、健康教育、个性化管理等管理内容，对比两组的管理效果。结果：经过管理后，研究组的疼痛评分入院时（2.792.79± 0.69）、手术当日（2.39± 0.93）、术后1d 时（2.39± 0.59）、术后3d（1.67± 0.46）、出院时（1.29± 0.46）明显优于对照组的入院时（2.39± 1.13）、手术当日（2.49± 1.10）、术后1d 时（2.24± 0.54）、术后3d （2.49± 0.67）、出院时（1.94± 0.50），两组疼痛评分对比，存在显著性差异（P<0.05）；研究组Barthel 指数评分入院时（32.24± 4.88）、出院时（45.24± 7.85）明显优于对照组入院时（33.24± 8.33）、出院时（38.49± 7.95），两组对比存在显著性差异（P<0.05）。研究组住院时间明显短于对照组，两组对比存在显著性差异（P<0.05）。结论：针对老年髋部骨折患者，给予规范化的疼痛管理，可有效降低术后疼痛，使患者的生活能力显著增强，有利于患者早日康复，值得临床推广应用。

英文摘要:

Objective:To clinically analyze the effects of pain management on elderly patients after hip fracture surgery.Methods:Between March 2012 and March 2013, 50 elderly patients with hip fracture were treated in our hospital. According to the random allocation method, they were divided into study group and control group, 25 in each group. Patients in the control group received conventional management, while patients in study group were given standardized pain management on the base of conventional management. The pain management mainly includes reasonable assessment and application of analgesic drugs, health education, personalized management. The management effectiveness were compared between the two groups.Results:The pain score of the study group was (2.792.79 ± 0.69) on admission, (2.39 ± 0.93) on the day of surgery, (2.39 ± 0.59) for postoperative 1d, (1.67 ± 0.46) for postoperative 3d, and (1.29 ± 0.46) at discharge. All was significantly better than that of the control group of (2.39 ± 1.13) on admission, (2.49 ± 1.10) on the day of surgery, (2.24 ± 0.54) on postoperative 1d, (2.49 ± 0.67) on postoperative 3d and (1.94 ± 0.50) at discharge. There was a significant difference between the two groups (P<0.05). The Barthel index was (32.24 ± 4.88) at admission and (45.24 ± 7.85) at discharge in the study group, and was (33.24 ± 8.33) at admission and (38.49 ± 7.95) at discharge in the control group. It was better in the study group, and the difference was significant (P<0.05). The hospital stay of study group was significantly shorter than that of the control group, also with a significant difference (P<0.05).Conclusion:For elderly hip fracture patients, standardized pain management can effectively reduce postoperative pain, significantly enhance the activities of daily living, and help get recovery soon. It deserves popularization in clinic.

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