快速康复理念对全膝关节置换术患者术后功能恢复的影响

Effect of rapid rehabilitation concept on postoperative functional recovery of patients with total knee replacement

目的:探讨快速康复理念对全膝关节置换术患者术后功能恢复的影响。方法:选取2017年2月至2018年1月在我院行全膝关节置换术的患者100例,根据术后干预方式不同分为观察组和对照组,每组50例,给予对照组常规术后干预,观察组在对照组基础上给予快速康复理念干预,比较术前和干预后两组患者关节活动度(ROM)、美国特种外科医院(hospitalfor special surgery,HSS)膝关节评分和进食时间、首次排尿时间、下床活动时间、住院时间情况。结果:术前两组患者ROM和HSS评分比较,差异无统计学意义(P>0.05);干预2周后,观察组患者ROM和HSS评分明显比对照组高,差异具有统计学意义(t=-28.780,9.813;P<0.05);干预后,观察组的进食时间、首次排尿时间、下床活动时间、住院时间明显比对照组短,差异具有统计学意义(t=-29.140,-26.180,-9.285,-23.580;P<0.05)。结论:对全膝关节置换术患者在术后给予快速康复理念进行干预,有助于患者膝关节功能的恢复,同时大大减短了恢复的时间。

Objective:To explore the effect of rapid rehabilitation on postoperative functional recovery of patients with total knee arthroplasty.Methods:We selected 100 patients with total knee arthroplasty in our hospital from Feb.2017 to Jan.2018,divided them into observation group and control group according to the different nursing measures,with 50 cases in each group,the control group was given routine nursing care,the observation group was added rapid rehabilitation concept intervention.We compared before and after the intervention of motion(ROM)in both groups,the U.S.special surgical hospital(hospital for special surgery,HSS)knee score and eating time,micturition time for the first time,time,length of hospital stay.Results:Comparison of ROM and HSS scores between the two groups before surgery showed no statistically significant difference(P>0.05).After 2 weeks of intervention,ROM and HSS scores in the observation group were significantly higher than those in the control group,with statistically significant differences(t=-28.780,9.813;P<0.05).After the intervention,We the time of food intake,micturition time for the first time,ambulation time,hospitalization time in the observation group were significantly shorter than that in the control group,the difference was statistically significant(t=-29.140,-26.180,-9.285,-23.580;P<0.05).Conclusion:The idea of rapid rehabilitation after total knee arthroplasty is helpful for the recovery of knee function and greatly reduces the recovery time.