健康研究2024，Vol.44Issue(3)：343-347,355,6.DOI:10.19890/j.cnki.issn1674-6449.2024.03.021
超早期精细化系统管理在膝关节置换术后康复的应用
Application of ultra-early refined systemic rehabilitation treatment under the concept of enhanced recovery after surgery in total knee arthroplasty
摘要
Abstract
Objective To investigate the application and effectiveness of ultra-early refined systemic rehabilitation treatment under the concept of enhanced recovery after surgery(ERAS)in total knee arthroplasty(TKA).Methods A total of 96 patients who underwent TKA in the hospital were randomly divided into a control group and an observation group,with 48 cases in each group.Both groups received routine enhanced recovery after surgery(ERAS)management,while the observation group additionally underwent ultra-early refined systematic rehabilitation.Surgical-related indicators,pain levels,knee joint function,balance function,and postoperative adverse reactions were statistically analyzed and compared between the two groups.Results At three months postoperatively,both groups showed a significant reduction in numerical rating scale(NRS)scores for rest and activity compared to preoperative scores,and a significant increase in hospital for special surgery(HSS)scores and berg balance scale(BBS)scores,with the observation group performing better than the control group.The treatment group had shorter postoperative time to mobilization,first leg raise time,days to achieve 90° knee flexion,and length of hospital stay compared to the control group,with statistically significant differences(P<0.05).The overall incidence of adverse reactions in the observation group(4.17%)was lower than that in the control group(16.67%),with a statistically significant difference(χ2=4.019,P=0.045).Conclusions The ultra-early refined systemic rehabilitation treatment based on ERAS concept can effectively alleviate postoperative pain in patients undergoing total knee arthroplasty(TKA),improve patients'knee joint and balance function,and result in fewer adverse reactions.关键词
膝关节置换术/加速康复外科/术后康复/精细化管理/超早期Key words
total knee arthroplasty/enhanced recovery after surgery/postoperative rehabilitation/refined rehabilitation treatment/ultra-early分类
医药卫生引用本文复制引用
吴超,陈和禾,郑佳欣..超早期精细化系统管理在膝关节置换术后康复的应用[J].健康研究,2024,44(3):343-347,355,6.基金项目
金华市科技计划项目(2021-4-029) （2021-4-029）
