全膝关节置换术患者FTS理念支持下的围手术期护理分析

Perioperative nursing care based on FTS concept for patients taking total knee arthroplasty

目的 分析全膝关节置换术（TKR）患者在加速康复外科（FTS）理念支持下的围手术期有效护理方法及护理效果。方法 对本院2015年7月至2016年5月收治的92例拟行TKR治疗的患者进行观察，根据入院先后顺序分为常规组、FTS组。常规组给予常规围手术期护理，FTS组给予FTS理念引导下围手术期护理，2月后，记录两组护理效果。结果 FTS组疼痛视觉模拟法（VAS）评分、住院时间、并发症发生率明显低于常规组（均P＜0.05）。FTS组患者的膝关节功能评分（HSS）、膝关节活动度（ROM）明显优于常规组，差异有统计学意义（均P＜0.05）。结论 全膝关节置换术患者在围手术期护理时结合FTS理念能迅速恢复膝关节功能，减轻患者的疼痛感，降低并发症。

Objective To analyze the perioperative nursing methods based on accelerated rehabilitation surgery(FTS)concept for patients taking total knee arthroplasty(TKR).Methods 92 patients taking TKR at our hospital from May,2015 to July,2016 were observed and were divided into a routine group and an FTS group.The routine group received routine perioperative nursing care and the FTS group perioperative nursing care based on FTS concept.2 months from then,the nursing effects of the two groups were recorded.Results The visual analogue score(VAS),the hospitalization time,and the incidence of the complications were significantly lower in the FTS group than in the routine group(P<0.05).The knee function scores(HSS)and the knee joint activity(ROM)were significantly better in the FTS group than in the routine group(P<0.05).Conclusion Perioperative nursing care based on FTS concept for patients taking total knee arthroplasty can quickly restore the patients'knee function and reduce their pain and complications.