快速康复外科在人工膝关节置换术围术期管理中的应用

发布时间：2018-03-18 10:43

本文选题：快速康复外科　切入点：膝关节置换术　出处：《实用临床医药杂志》2016年22期 　论文类型：期刊论文

【摘要】：目的探讨快速康复外科对人工膝关节置换术围术期功能康复的影响。方法选取35例行人工膝关节置换术的患者为对照组,实施传统的围术期管理和康复治疗。选取51例行人工膝关节置换术的患者为实验组,应用快速康复外科的措施进行术前教育、术中管理、围术期镇痛和术后康复治疗。比较2组患者的膝关节疼痛情况、功能评分、平均住院日和并发症发生情况。结果 2组患者术后疼痛视觉模拟评分(VAS)均降低,膝关节评分(HSS)均持续增高(P0.05),但与对照组相比,实验组VAS评分更低,HSS评分更高,差异有统计学意义(P0.05)。实验组的平均住院日比对照组显著缩短(P0.05)。结论将快速康复外科应用于人工膝关节置换术的围术期管理,可以更好地减轻术后疼痛,更快地恢复膝关节功能。
[Abstract]:Objective to investigate the effect of rapid rehabilitation surgery on functional rehabilitation of knee arthroplasty during perioperative period. Methods 35 patients undergoing knee arthroplasty were selected as control group. Traditional perioperative management and rehabilitation treatment were carried out. 51 cases of artificial knee arthroplasty were selected as experimental group. Rapid rehabilitation surgery was used to carry out preoperative education and intraoperative management. Perioperative analgesia and postoperative rehabilitation were compared between the two groups. Results the visual analogue score of postoperative pain and visual analogue scores (VASs) were decreased in both groups. The scores of knee joint were significantly higher than those of the control group (P 0.05), but the scores of VAS in the experimental group were lower than those in the control group, and the scores of HSS in the experimental group were higher than those in the control group. The average hospital stay in the experimental group was significantly shorter than that in the control group (P 0.05). Conclusion the application of rapid rehabilitation surgery in perioperative management of artificial knee arthroplasty can better alleviate postoperative pain and recover knee joint function more quickly.
【作者单位】：江苏省苏北人民医院关节外科;
【分类号】：R473.6

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