加速康复外科理念在关节镜下行自体腘绳肌腱重建膝前交叉韧带围手术期的护理康复效果  

Efficacy of perioperative nursing rehabilitation of reconstruction of anterior cruciate ligament of knee with autogenous hamstring tendon under arthroscopy with the concept of enhanced recovery after surgery

作　　者：李焕喜 凌雪枚 黄柳苑 LI Huanxi;LING Xuemei;HUANG Liuyuan(Department of Orthopedics,Jiangmen Wuyi Hospital of Traditional Chinese Medicine,Jiangmen Hospital of Traditional Chinese Medicine Affiliated to Jinan University,Guangdong,Jiangmen 529000,China)

机构地区：[1]广东省江门市五邑中医院暨南大学附属江门中医院骨科,广东江门529000

出　　处：《中国医药科学》2022年第18期103-106,122,共5页China Medicine And Pharmacy

摘　　要：目的探讨加速康复外科(ERAS)理念在关节镜下行自体腘绳肌腱重建膝前交叉韧带(ACL)患者围手术期的护理康复效果。方法选取2019年1月至2021年1月江门市五邑中医院骨科收治的ACL损伤患者92例,采用随机数表法分为两组,每组各46例。两组患者均予以关节镜下行自体腘绳肌腱重建ACL术治疗,对照组予以围手术期常规护理,试验组予以围手术期ERAS护理。比较两组患者术后膝关节整体功能评分(Lysholm)、膝关节损伤与骨关节炎评分(KOOS)及护理满意度。结果术后第6个月,试验组跛行评分、肿胀评分、疼痛评分高于对照组,差异有统计学意义(P<0.05);试验组各项KOOS评分高于对照组,差异有统计学意义(P<0.05);试验组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论ERAS理念在关节镜下行自体腘绳肌腱重建ACL患者围手术期的应用有良好效果,患者术后膝关节整体功能康复效果较好,生活质量及护理满意度均显著提升,值得推广。Objective To investigate the efficacy of perioperative nursing rehabilitation of patients with reconstruction of anterior cruciate ligament(ACL)of knee with autogenous hamstring tendon under arthroscopy with the concept of enhanced recovery after surgery(ERAS).Methods A total of 92 patients with ACL injury admitted to and treated in the Department of Orthopedics in Jiangmen Wuyi Hospital of Traditional Chinese Medicine from January 2019 to January 2021 were selected,and they were divided into two groups according to the random number table method,46 cases in each group.Patients in both groups were treated with reconstruction of ACL with autogenous hamstring tendon under arthroscopy.The control group was treated with perioperative conventional nursing,while the experimental group was treated with perioperative ERAS nursing.The overall knee function score(Lysholm),knee injury and osteoarthritis outcome score(KOOS)and nursing satisfaction were compared between the two groups of patients.Results At the 6th month after operation,the lameness scores,swelling scores and pain scores of the experimental group were higher than those of the control group,with statistically significant differences(P<0.05).The KOOS scores of the experimental group were higher than those of the control group,with statistically significant difference(P<0.05).The total nursing satisfaction of the experimental group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion The application of the concept of ERAS in perioperative nursing rehabilitation of patients with reconstruction of ACL with autogenous hamstring tendon under arthroscopy has good efficacy.After operation,the rehabilitation efficacy of the overall knee function is better.And the quality of life and nursing satisfaction of patients are both obviously improved,and therefore this treatment model is worthy of promotion.

关 键 词：关节镜 自体腘绳肌腱 重建膝前交叉韧带 加速康复外科 膝关节功能 护理康复 

分 类 号：R473.6[医药卫生—护理学]