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"LIA eller morfin spinalt vid primär total höftplastik".: en långtidsuppföljning av effekter för postoperativ smärta och mobilisering.
University of Gävle, Department of Caring Sciences and Sociology. University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
2009 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Vid operation av primär total höftplastik finns det olika metoder för postoperativ smärtlindring. En tidigare genomförd studie på ett mellansvenskt sjukhus (nedan kallad ”höftprojektet”) visade att ”Local infiltration analgesia” (LIA) initialt minskade postoperativ smärta, underlättade mobilisering samt förkortade vårdtiden, jämfört med spinalt morfin. I denna studie genomfördes en långtidsuppföljning av höftprojektet med mätningar efter 6 respektive 12 veckor. Studiegruppen hade fått LIA vid operationsslutet och kontrollgruppen spinalt morfin. Båda grupperna hade en spinal bedövning under operationen. Denna långtidsuppföljning genomfördes med hjälp av journalgranskning och hade en deskriptiv och jämförande design med en kvantitativ ansats. Studiegruppen bestod av 40 patienter och kontrollgruppen 11 patienter. Studerade variabler var smärta mätt genom Visuell Analog Skala (VAS), behov av analgetika och mobilisering. Resultatet visade att det inte fanns någon signifikant skillnad mellan de båda grupperna när det gäller mobilisering under ett längre perspektiv. Det fanns dock en signifikant skillnad när det gäller smärta efter 3 månader, då studiegruppen uppgav en lägre grad av smärta än kontrollgruppen.

Abstract [en]

There are several methods for postoperative pain treatment after primary total hip replacement. It was shown in a earlier study at a Swedish hospital (below named as "the hip project") that "Local infiltration analgesia" (LIA) decreased pain, facilitated early postoperative mobility and earlier discharge from the hospital, compared with spinally administered morphine. Present study is a long term follow up of the hip project with two measures at 6 and 12 weeks. The study group was given LIA towards the end of the operation while the control group were given spinal morphine at the induction. Both groups had spinal analgesia during the surgery. The long term follow up was conducted by a comparative design and the data was collected from the patient’s charts and files. The variables were pain measured by Visual Analogous Scale (VAS), need of pain relieves and general mobility. The study group contained of 40 patients and the control group of 11. The result relived no significant differences between the two groups regarding long term mobility. There was, however, a significant difference in pain after 12 weeks; the study group had less pain that the control group.

 

 

Place, publisher, year, edition, pages
2009. , p. 27
Keyword [en]
Hip arthroplasty, postoperative mobilization, postoperative pain, local infiltration anesthesia.
Keyword [sv]
Höftplastik, postoperativ mobilisering, postoperativ smärta, lokal infiltrations anestesi.
Identifiers
URN: urn:nbn:se:hig:diva-5182Archive number: SPECAN/vt09nr6OAI: oai:DiVA.org:hig-5182DiVA, id: diva2:233622
Presentation
(English)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2009-09-03 Created: 2009-09-01 Last updated: 2009-09-03Bibliographically approved

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Department of Caring Sciences and SociologyÄmnesavdelningen för vårdvetenskap

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CiteExportLink to record
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