加速康复在军事训练所致急性跟腱断裂患者术后康复中的应用研究  

Application of Enhanced Recovery After Surgery(ERAS)in postoperative rehabilitation of patients with acute Achilles tendon rupture caused by military training

作　　者：高旗 刘立洋 李磊 王伟 Gao Qi;Liu Liyang;Li Lei;Wang Wei(Qingdao Special Service Recuperation Center of PLA Navy,Qingdao 266071,China)

机构地区：[1]海军青岛特勤疗养中心,山东青岛266071 [2]联勤保障部队北戴河康复疗养中心

出　　处：《海军医学杂志》2024年第6期561-564,共4页Journal of Navy Medicine

基　　金：全军保健专项课题(20BJZ08)。

摘　　要：目的 探讨加速康复在军事训练所致急性跟腱断裂患者术后康复中的应用效果。方法 选取2021年2月至2021年11月海军青岛特勤疗养中心骨关节康复科收治的军事训练所致急性闭合性跟腱断裂术后患者40例,采用随机数字表法分为2组,每组各20例,观察组采取加速康复模式,对照组采取传统康复模式。比较2组患者术后3个月治疗效果和并发症发生率,术后6个月、12个月的跟腱完全断裂(ATRS)和跟腱修复(Leppilahti)评分,以及末次随访肌力恢复情况。结果术后3个月,与对照组相比,观察组康复有效率更高、并发症发生率更低(P<0.05);术后6个月、12个月观察组ATRS、Leppilahti评分均高于对照组,术后12个月2组患者ATRS、Leppilahti评分较术后6个月均有升高(P<0.05);观察组肌力恢复优良率(95.0%)高于对照组优良率(65.0%),差异有统计学意义(P<0.05)。结论 加速康复在军事训练所致急性跟腱断裂患者术后康复中效果理想,能够改善患者治疗效果,提升患者肌肉力量,降低踝关节并发症发生率。Objective To explore the effect of Enhanced Recovery After Surgery(ERAS)on postoperative rehabilitation of patients with acute Achilles tendon rupture caused by military training.Methods Forty patients with acute closed Achilles tendon rupture caused by military training who received rehabilitation training after surgery at Qingdao Special Service Sanatorium Center of PLA Navy from February 2021 to November 2021 were enrolled in this study.They were randomly divided into two groups using a random number table method,with 20 patients in each group.Traditional rehabilitation and ERAS were given for the control group and observation group,respectively.Therapeutic effect and complications at 3 months after surgery,Achilles tendon complete rupture score(ATRS)and Achilles tendon repair(Leppilahti)score at 6 and 12 months after surgery,and the recovery of muscle strength at the last follow-up were compared between the two groups.Results The observation group had higher effective rate of postoperative rehabilitation and lower incidence of complications than the control group at 3 months after surgery(P<0.05).The ATRS and Leppilahti score in the observation group were higher than those in the control group at 6 and 12 months after surgery,and the ATRS and Leppilahti score in the two groups at 12 months after surgery were significantly higher than those at 6 months after surgery(P<0.05).The excellent and good rate of muscle strength recovery in the observation group was higher than that in the control group(95.0%vs.65.0%,P<0.05).Conclusion ERAS has a significant effect on postoperative rehabilitation of patients with acute Achilles tendon rupture caused by military training.It can effectively improve therapeutic effect,promote postoperative muscle strength recovery,and reduce the incidence of ankle complications.

关 键 词：加速康复 跟腱断裂 军事训练伤 

分 类 号：R873.5[医药卫生—运动医学]