外科及术后因素对加速康复外科模式下髋、膝关节置换术住院时间的影响  

The influence of surgical and postoperative factors on hospital length of stay after total hip and knee arthroplasty in enhanced recovery after surgery program

作　　者：张少云[1] 黄强[1] 曹国瑞[1] 裴福兴[1] ZHANG Shaoyun;HUANG Qiang;CAO Guorui;PEI Fuxing(Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu 610041, China)

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《中华骨与关节外科杂志》2018年第5期385-389,共5页Chinese Journal of Bone and Joint Surgery

基　　金：国家卫计委2013年度卫生行业科研专项(201302007)

摘　　要：近年来,加速康复外科(enhanced recovery after surgery,ERAS)模式的广泛应用使得髋、膝关节置换术(total hip/knee arthroplasty,THA/TKA)患者可以早康复、早下床、早出院,但是仍有部分患者因各种原因尤其是外科及术后因素而延迟出院。本文通过对ERAS模式下THA/TKA患者住院时间影响因素的相关研究进行整理和分析,对导致住院时间延长的外科及术后因素做一综述。In recent years, patients who underwent total hip/knee arthroplasty（THA/TKA） have been able to recover faster,get out of bed and discharge to home earlier after the implementation of enhanced recovery after surgery（ERAS） program.However, the discharge of some patients is still delayed for a variety of reasons especially surgical and postoperative factors. In this paper literatures concerning the factors which influence the length of stay in primary THA/TKA were extensively and comprehensively reviewed, and surgical and postoperative factors of prolonged length of stay in ERAS program after THA/TKA were investigated.

关 键 词：加速康复外科 髋、膝关节置换术 住院时间 外科因素 术后影响因素 

分 类 号：R687.4[医药卫生—骨科学]