快速康复外科护理在人工全膝关节置换围术期的应用效果

Application effect of rapid rehabilitation surgical nursing in perioperative period of total knee arthroplasty

目的探讨快速康复外科护理在人工全膝关节置换围术期的应用效果。方法选取2017年3月～2018年6月在我院骨科行人工膝关节置换的60例患者作为研究对象,随机分为实验组和对照组,每组各30例。实验组给予快速康复护理,对照组给予常规护理。采用疼痛数字评分(NRS)对两组患者术后第1、2、3天的疼痛程度进行评价和比较;采用膝关节功能评分(HSS)对两组患者术后第3、7、10天的膝关节恢复情况进行比较;比较两组患者的住院时间和住院费用。结果实验组患者术后第1、2、3天的NRS评分均低于对照组,术后第3、7、10天的HSS评分高于对照组,差异均有统计学意义(P<0.05);实验组患者的住院天数短于对照组,住院费用明显低于对照组,差异均有统计学意义(P<0.001);实验组患者的并发症总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对人工全膝关节置换术患者应用快速康复外科护理,能减轻患者的疼痛程度,缩短患者的住院时间,降低患者的治疗费用和并发症的发生,提高患者的膝关节恢复及康复速度。

Objective To explore the application effect of rapid rehabilitation surgical nursing in perioperative period of total knee arthroplasty.Methods Sixty patients with total knee arthroplasty treated in our hospital from March 2017 to June 2018 were selected,they were randomly divided into experimental group and control group,with 30 cases in each group.The experimental group was given rapid rehabilitation nursing,while the control group was given routine nursing.Number score of pain(NRS)was used to evaluate and compare the degree of pain on the 1st,2nd and 3rd day after operation between the two groups.The knee joint function score(HSS)was used to compare the knee joint recovery of the two groups on the 3rd,7th and 10th day after operation.Hospitalization time and hospitalization expenses were compared between the two groups.Results The NRS scores of the experimental group were lower than those of the control group on the 1st,2nd and 3rd day after operation,and the HSS scores on the 3rd,7th and 10th day after operation were higher than those of the control group,the differences were statistically significant(P<0.05).The hospitalization days in the experimental group were shorter than those in the control group,and the hospitalization expenses were significantly lower than those in the control group,the differences were statistically significant(P<0.001).The total incidence of complications in the experimental group was significantly lower than that in the control group,the difference was significant(P<0.05).Conclusion Rapid rehabilitation surgical nursing for patients undergoing total knee arthroplasty can relieve pain,shorten hospitalization time,reduce treatment costs and complications,and improve knee joint recovery and rehabilitation speed.