快速康复路径对髋膝关节置换术后并发症的影响

Effect of Rapid Rehabilitation Nursing Pathway on Postoperative Complications after Hip and Knee Arthroplasty

目的探讨快速康复路径对髋、膝关节置换术后并发症的影响。方法选取2017年3月~2019年3月徐州市中心医院收治的髋、膝关节置换术的老年患者114例,脱落4例,最终纳入110例患者作为研究对象,分为对照组和观察组,每组各55例。对照组行常规康复路径干预,观察组行快速康复路径干预。对比两组术后康复、疼痛程度和并发症情况。结果观察组术后2 d视觉模拟评分法(VAS)评分均低于对照组(P<0.05);观察组恶心呕吐、出血、下肢深静脉血栓形成、切口感染发生率均低于对照组(P<0.05);观察组术后6个月Harris评分、HSS评分均高于对照组(P<0.05)。结论快速康复路径应用于髋、膝关节置换术患者效果显著,可有效促进髋、膝关节功能恢复,减轻疼痛,降低并发症发生率,值得推广。

Objective To explore the effect of rapid rehabilitation nursing pathway on postoperative complications in patients undergoing hip and knee arthroplasty.Methods A total of 110 patients undergoing hip and knee arthroplasty in Xuzhou Central Hospital from March 2017 to March 2018 were enrolled.They were divided into the control group and the observation group?with 55 cases in each group.The control group received routine rehabilitation nursing pathway intervention,and the observation group received rapid rehabilitation nursing pathway intervention.The postoperative rehabilitation,pain and complications were compared between the two groups.Results Visual analogue scale(VAS)score in the observation group at 2 days after operation was lower than that in the control group(P<0.05).The incidence of nausea and vomiting,bleeding,deep venous thrombosis of lower extremities and incision infection in the observation group were lower than those in the control group(P<0.05).Harris score and hospital for special surgery knee score(HSS)in the observation group were higher than those in the control group at 6 months after operation(P<0.05).Conclusion Rapid rehabilitation nursing pathway is effective to promote the recovery of the hip and knee function,relief the pain and reduce the incidence of complications in patients undergoing hip and knee arthroplasty.