加速康复外科在全膝置换患者康复治疗中的应用

背景：加速康复外科是一种新的外科模式,已成功应用于普外科、胸心外科等领域,但在骨科领域尚未推广应用。目的：评价加速康复外科理念指导下膝关节置换患者围手术期康复治疗的效果。方法：选择45例骨性关节炎行全膝关节表面置换的患者作为实验组,进行加速康复外科理念指导下的置换前后康复治疗,选择30例按传统方法进行置换前后康复治疗的膝关节表面置换患者作为对照。结果与结论：两组患者比较,实验组置换后并发症发生率明显下降,平均住院日及住院费用减少,置换后随访时HSS评分高。提示加速康复外科理念在全膝关节置换患者围手术期康复治疗中的应用加速了患者的康复速度,提高了治疗效果。

Investigation of using fast-track surgery in the rehabilitation process of patients undergoing total knee replacement

BACKGROUND：Fast-track surgery（FTS）,as a new rehabilitation concept,has been successfully used in general surgery,cardiac and thoracic surgery,etc.,but it has not been applied in orthopedics till now.OBJECTIVE：To evaluate the effects of perioperative rehabilitation therapy under the guidance of FTS theory in patients under knee replacement.METHODS：Forty-five cases of osteoarthritis who received total knee replacement were selected as the experimental group,and they were treated under the guidance of FTS theory strictly in the perioperative period.Another 30 cases of patients undergoing total knee replacement who had traditional rehabilitation therapy before and after replacement were taken as the control group.RESULTS AND CONCLUSION：Compared with the control group,the experiment group had a grossly decreased incidence of complications,lowered hospital costs and time of hospitalization,and had remarkably elevated HSS scores in the postoperative follow-ups.The results show that FTS therapy used in perioperative rehabilitation treatment can accelerate the recovery rate of patients,shorten the treatment period and elevate the therapeutic effect.