快速康复外科在人工膝关节置换术围术期管理中的应用

Application of fast-track surgery in management of total knee arthroplasty in perioperation

目的探讨快速康复外科对人工膝关节置换术围术期功能康复的影响。方法选取35例行人工膝关节置换术的患者为对照组,实施传统的围术期管理和康复治疗。选取51例行人工膝关节置换术的患者为实验组,应用快速康复外科的措施进行术前教育、术中管理、围术期镇痛和术后康复治疗。比较2组患者的膝关节疼痛情况、功能评分、平均住院日和并发症发生情况。结果 2组患者术后疼痛视觉模拟评分(VAS)均降低,膝关节评分(HSS)均持续增高(P<0.05),但与对照组相比,实验组VAS评分更低,HSS评分更高,差异有统计学意义(P<0.05)。实验组的平均住院日比对照组显著缩短(P<0.05)。结论将快速康复外科应用于人工膝关节置换术的围术期管理,可以更好地减轻术后疼痛,更快地恢复膝关节功能。

Objective To evaluate the effect of fast-track surgery on perioperative function rehabilitation of patients undergoing total knee arthroplasty. Methods A total of 86 patients undergoing primary unilateral total knee arthroplasty were divided into 2 groups. A total of 35 patients who received conventional perioperative nursing and rehabilitation were in control group and 51 patients who received fast-track surgery were in the experimental group. The function evaluation score,pain,average hospitalization days and complications of two groups were compared. Results The postoperative VAS scores of two groups were significantly lower,and HSS scores was higher compared with that of preoperation（ P 〈 0. 05）. And the VAS scores was lower and HSS scores was higher in the experimental group than that in the control group（ P 〈 0. 05）. The average hospitalization day of experimental group was significantly less than that of control group（ P 〈 0. 05）. Conclusion The application of fast-track surgery for total knee arthroplasty patients can relieve pain and promote the recovery of knee joint function.