摘要
近年来,随着加速康复外科(enhanced recovery after surgery,ERAS)模式的广泛应用,髋、膝关节置换术(total hip/knee arthroplasty,THA/TKA)患者的住院时间(length of stay,LOS)已明显缩短,但仍有部分患者因为各种原因而不能早期出院。本文广泛查阅近三年来研究ERAS模式下THA/TKA患者LOS术前预测因素的回顾性及前瞻性研究,对其进行整理和综合分析。对ERAS模式下THA/TKA患者LOS延长的术前预测因素如患者特征及合并症的研究现状做一综述。
In the last few years,hospital length of stay(LOS) after total hip/knee arthroplasty(THA/TKA) has decreased following the implementation of enhanced recovery after surgery(ERAS) program. However,there are still some patients can not discharge at early time for a variety of reasons. Literatures concerning the factors which influence LOS in primary THA/TKA,especially the retrospective and prospective control trials in the last three years,were extensively and comprehensively reviewed in this paper. Preoperative predictors such as patient characteristics and comorbidities of prolonged LOS in ERAS program for THA/TKA were investigated.
出处
《中国骨与关节外科》
2016年第6期530-535,540,共7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(2013020007)
关键词
加速康复外科
全髋关节置换术
全膝关节置换术
住院时间
术前预测因素
Enhanced Recovery After Surgery
Total Hip Arthroplasty
Total Knee Arthroplasty
Length Of stay
Preoperative Predictor