全膝关节置换后快速康复外科治疗45例  

Application of fast track surgery in 45 patients with total knee replacement

作　　者：陈小勇[1] 赵建宁[1] 王与荣[1] 包倪荣[1] 

机构地区：[1]南京大学医学院临床学院解放军南京军区南京总医院骨科,江苏省南京市210002

出　　处：《中国组织工程研究》2012年第17期3065-3068,共4页Chinese Journal of Tissue Engineering Research

基　　金：国家自然科学基金资助项目(81000814)~~

摘　　要：背景:近年来国内一些医院开始了快速康复外科的研究与应用。目的:观察快速康复外科对全膝关节置换临床疗效的影响。方法:45例行全膝关节置换的膝关节骨性关节炎患者,按照快速康复外科理念对其进行置换前、置换中和置换后管理,以HSS评分、关节活动度和目测类比疼痛评分对膝关节功能及疼痛程度进行评价。结果与结论:患者置换后平均HSS评分和关节活动度均显著高于置换前水平,同时置换后平均目测类比疼痛评分显著低于置换前水平,显示膝关节置换后功能恢复良好、疼痛减轻。未发生感染、下肢深静脉血栓及肺栓塞等并发症。结果表明,快速康复外科应用于全膝关节置换,HSS评分、关节活动度及疼痛评分较置换前明显改善,减少了手术应激及术后并发症,加速了患者康复,增强了治疗效果。BACKGROUND：In recent years,some domestic hospitals focus on the research and application of fast track surgery.OBJECTIVE：To study the clinical effect of fast track surgery in patients with total knee replacement.METHODS：Totally 45 cases with knee osteoarthritis were treated with total knee replacement,and then preoperative,intraoperative and postoperative measures were taken in accordance with the concept of fast track surgery.Knee function and pain were evaluated using HSS,range of motion and visual analog scale pain scores.RESULTS AND CONCLUSION：The average postoperative range of motion and HSS score were significantly higher than the preoperative levels,while the postoperative visual analog scale pain scores were evidently lower than the preoperative ones,which demonstrating the knee function recovery and pain relief were rapid and well.There were no complications in infection,deep vein thrombosis and pulmonary embolism.The application of fast track surgery in total knee replacement can improve the score of HSS,range of motion and visual analog scale,decrease the complication and surgical stress,accelerate rehabilitation of patients and enhance the therapeutic effect.

关 键 词：快速康复外科 全膝关节置换 膝关节 功能恢复 疼痛 并发症 

分 类 号：R318[医药卫生—生物医学工程]