加速康复干预对全膝关节置换术后关节功能及日常生活能力、运动功能的影响

Effect of accelerated rehabilitation intervention on joint function,activities of daily living and motor function after total knee arthroplasty

目的 观察加速康复干预对全膝关节置换术后关节功能及日常生活能力、运动功能的影响。方法 300例接受全膝关节置换术治疗的患者,随机分成对照组与研究组,每组150例。对照组实施常规干预,研究组实施加速康复干预。比较两组围手术期相关指标、满意率及干预前后膝关节功能、日常生活能力、运动功能评分。结果 研究组患者术后首次进食时间(6.26±1.99)h、首次下床时间(42.06±6.17)h、首次排便时间(21.43±3.15)h及住院时间(12.25±2.72)d均显著短于对照组的(11.27±3.06)h、(67.71±7.86)h、(36.48±7.07)h、(15.43±4.27)d,差异具有统计学意义(P<0.05)。干预后,两组患者膝关节功能、日常生活能力、运动功能评分均高于本组干预前,且研究组患者膝关节功能、日常生活能力、运动功能评分分别为(88.76±4.67)、(17.37±1.51)、(22.49±3.45)分,高于对照组的(71.55±5.34)、(14.61±2.63)、(18.18±3.31)分,差异有统计学意义(P<0.05)。研究组患者总满意率100.00%高于对照组的95.33%,差异有统计学意义(P<0.05)。结论 全膝关节置换术患者实施加速康复干预可显著地缩短患者术后进食、下床、排便及住院时间,提升膝关节功能、日常生活能力、运动功能及患者满意度,效果理想。

Objective To observe the effect of accelerated rehabilitation intervention on joint function,activities of daily living and motor function after total knee arthroplasty.Methods A total of 300 patients receiving total knee arthroplasty were randomly divided into a control group and a study group,with 150 cases in each group.The control group received routine intervention,and the study group received accelerated rehabilitation intervention.The perioperative indicators,satisfaction rate,and knee function,activities of daily living and motor function score before and after intervention were compared between the two groups.Results In the study group,the first eating time was(6.26±1.99)h,the first ambulation time was(42.06±6.17)h,the first defecation time was(21.43±3.15)h and the hospitalization time was(12.25±2.72)d,which were significantly shorter than those of(11.27±3.06)h,(67.71±7.86)h,(36.48±7.07)h and(15.43±4.27)d in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of knee function,activities of daily living and motor function in both groups were higher than those before intervention in this group;the scores of knee function,activities of daily living and motor function in the study group were(88.76±4.67),(17.37±1.51)and(22.49±3.45)points,which were higher than those of(71.55±5.34),(14.61±2.63)and(18.18±3.31)points in the control group;the differences were statistically significant(P<0.05).The total satisfaction rate of 100.00%in the study group was higher than that of 95.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of accelerated rehabilitation intervention in patients with total knee arthroplasty can significantly shorten the time of eating,ambulation,defecation and hospitalization,improve the knee joint function,activities of daily living,motor function and satisfaction of patients with ideal effects.