快速康复外科在膝关节半月板损伤关节镜治疗中的应用研究

发布时间：2018-02-28 15:11

本文关键词： 快速康复外科半月板损伤膝关节镜　出处：《中国矫形外科杂志》2017年12期 　论文类型：期刊论文

【摘要】：[目的]探讨快速康复外科(FTS)理念在膝关节半月板损伤关节镜手术治疗中的应用。[方法]收集滨州医学院附属医院2015年12月~2016年06月临床确诊为膝关节半月板损伤的80例患者,随机分为快速康复外科治疗组和传统治疗组,比较两组患者术后VAS疼痛评分、膝关节活动度恢复时间、首次下床活动时间、首次踝泵功能锻炼时间、术后并发症、住院时间、住院费用及患者满意度的差异。[结果]快速康复外科治疗组术后6 h VAS评分与传统治疗组差异无统计学意义(P0.05),快速康复外科治疗组术后12、24及48 h VAS评分均优于传统治疗组(P0.05);术后膝关节活动度(ROM)的恢复快速康复外科治疗组明显优于传统治疗组(P0.05);术后首次下床活动及术后首次踝泵功能锻炼时间快速康复外科治疗组明显早于传统治疗组(P0.05);术后并发症发生率、平均住院日及住院费用快速康复外科治疗组明显低于传统治疗组(P0.05);患者满意度方面快速外科治疗组明显优于传统治疗组(P0.05)。[结论]快速康复外科方案的应用可有效促进膝关节半月板损伤患者的术后康复,减少手术并发症、缩短住院时间、提高患者满意度,安全有效。
[Abstract]:[Objective] to investigate the fast track surgery (FTS) in 80 cases. Methods] concept in meniscal injury of the knee arthroscopic surgery in the treatment of clinical diagnosed in Affiliated Hospital of Binzhou Medical College from December 2015 ~2016 years 06 months of injury of meniscus of knee joint were randomly divided into rapid rehabilitation surgery treatment group and conventional treatment group, compared two groups of patients with postoperative VAS pain scores, knee joint activity recovery time, ambulation time, first ankle pump function exercise time, postoperative complications, hospitalization time, hospitalization expenses and difference. The satisfaction of patients rapid rehabilitation surgery treatment group after 6 h VAS score and traditional treatment group had no significant difference (P0.05), fast surgical treatment of postoperative rehabilitation group 12,24 48 and H VAS scores were better than the conventional therapy group (P0.05); motion of the knee joint after operation (ROM) recovery of rapid rehabilitation surgery treatment group was significantly better than. The treatment group (P0.05); the postoperative ambulation and postoperative functional exercise of ankle pump for the first time time of rapid rehabilitation surgery treatment group was significantly earlier than the traditional treatment group (P0.05); the incidence of postoperative complications, the average hospitalization days and hospitalization expenses of rapid rehabilitation surgery in treatment group was significantly lower than the conventional treatment group (P0.05); patient satisfaction rapid surgical treatment group was significantly better than the conventional therapy group (P0.05). Conclusion: application of fast track surgery scheme can effectively promote the rehabilitation of knee meniscus injury patients after surgery, reduce postoperative complications, shorten the hospitalization time, improve patient satisfaction, is safe and effective.

【作者单位】：滨州医学院附属医院骨关节外科;
【分类号】：R687.4

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