摘要
目的探讨快速康复理念在骨肉瘤人工膝关节置换术围术期实施方法及效果观察。方法选取中国医科大学附属第四医院骨外科自2013年10月至2017年1月收治的15例采用人工膝关节置换术治疗的骨肉瘤患者设为快速康复组,围术期采用快速康复理念管理;18例采用人工膝关节置换术治疗的骨肉瘤患者设为常规组,实施常规治疗。比较两组的术后康复情况。结果快速康复组患者术后下床活动时间明显早于常规组,并发症明显少于常规组,术后膝关节活动度的优良率明显高于常规组,随访3个月时的膝关节功能评分明显高于常规组,两组间比较,差异均有统计学意义(P<0.05)。结论对骨肉瘤人工膝关节置换术的患者围术期实施快速康复管理,能够促进术后康复。
Objective To investigate the method and effect of rapid rehabilitation in the perioperative period of total knee arthroplasty （TKA）. Methods A retrospective study was performed on 23 patients with osteosarcoma who were admitted and underwent TKA from October 2013 to January 2017. The 15 patients who received the concept of rapid rehabilitation management were in the rapid rehabili- tation group, the other 18 patients who received routine treatment were in the conventional group. The postoperative rehabilitation of the two groups were compared. Results Compared with the patients in the conventional group, the patients in the rapid rehabilitation group had significant advantages such as the postoperative ambulation time was earlier, the excellent rate of motion of the knee joint af- ter operation was higher, and the knee function score at postoperative follow-up of 3 months was higher, all the differences between the two groups had statistical significance （P 〈 0. 05 ）. Conclusion The implementation of rapid rehabilitation management during the perioperative period of total knee arthroplasty for osteosarcoma can promote postoperative rehabilitation.
出处
《临床军医杂志》
CAS
2017年第5期517-519,共3页
Clinical Journal of Medical Officers
关键词
快速康复
骨肉瘤
人工膝关节置换术
Rapid rehabilitation
Osteosarcoma
Total knee arthroplasty
