快速康复外科理念在膝关节镜手术围术期的应用效果

Application effect of the concept of rapid rehabilitation surgery in the perioperative period of knee arthroscopy

目的探究快速康复外科理念在膝关节镜手术围术期的应用效果。方法回顾性分析2019年6月~2020年7月阳江市中医医院开展膝关节镜手术的200例患者的临床资料,均于围术期运用快速康复外科理念。采用西安大略和曼彻斯特大学骨性关节炎指数(WOMAC)评价患者干预前及干预1个月后膝关节症状、严重程度及对日常生活行为的影响;采用Lysholm膝关节功能评分量表(以下简称“Lysholm评分”)评价干预前及干预1个月后膝关节功能情况,并计算膝关节功能恢复优良率;记录患者术后并发症。结果干预1个月后,患者的WOMAC评分低于干预前,差异有统计学意义(P<0.05)。干预1个月后,患者的Lysholm评分高于干预前,差异有统计学意义(P<0.05),膝关节功能优良率为90.00%。200例患者发生恶心5例,感染2例,关节积液3例,关节积血2例,并发症总发生率为6.00%。结论快速康复外科理念在膝关节镜手术围术期应用可改善患者膝关节症状、严重程度及对日常生活行为的影响,提升术后膝关节功能,并发症少,值得应用与推广。

Objective To explore the application effect of the concept of rapid rehabilitation surgery in the perioperative period of knee arthroscopy.Methods The clinical data of 200 patients who underwent knee arthroscopy in Yangjiang Hospital of Traditional Chinese Medicine from June 2019 to July 2020 were retrospectively analyzed.The concept of rapid rehabilitation surgery was applied in the perioperative period.The Western Ontario and McMaster Universities osteoarthritis index(WOMAC)was used to evaluate the knee joint symptoms,severity and influence on daily life behaviors before and one month after the intervention.The Lysholm knee joint function score scale(hereinafter referred to as"Lysholm score")was used to evaluate the knee joint function before the intervention and one month after the intervention,and the excellent and good rate of knee function was calculated,postoperative complications were recorded.Results At one month after the intervention,the WOMAC score of the patients was lower than that before the intervention,the difference was statistically significant(P<0.05).At one month after the intervention,the Lysholm score of the patients was higher than that before the intervention,the difference was statistically significant(P<0.05),and the excellent and good rate of knee joint function was 90.00%.There were 5 cases of nausea,2 cases of infection,3 cases of joint effusion and 2 cases of joint effusion in 200 patients,and the total incidence of complications was 6.00%.Conclusion The application of the concept of rapid rehabilitation surgery in the perioperative period of knee arthroscopy can improve the symptoms,severity of knee joint and influence on daily life behaviors,and improve the postoperative knee joint function with fewer complications,so it is worthy of application and promotion.