快速康复外科理念在膝关节镜手术围手术期护理中的应用

  目的  探讨快速康复理念在膝关节镜手术围手术期护理中的应用效果。  方法  选择合肥京东方医院于2019年4月—2020年8月收治的行膝关节镜手术患者66例，采用随机数字表法分为观察组(33例，常规护理+快速康复理念)和对照组(33例，常规护理)，对比2组患者术前的基本资料(包括年龄、性别、疼痛情况及膝关节活动情况等)，术后并发症发生率，疼痛评分(VAS评分)，活动度评分(膝关节功能HSS评分)，住院时间及护理满意度情况，探讨快速康复理念在膝关节镜围手术期护理中应用的效果。  结果  相较于对照组，观察组患者的术后并发症发生率低(0.00% vs. 18.18%, P < 0.05)，术后膝关节疼痛明显减轻(0.67±0.65)分vs. (2.67±0.48)分, P < 0.05]，观察组患者住院时间较对照组短(5.84±0.71)d vs. (11.90±1.42)d, P < 0.05]，膝关节术后活动度较对照组高(92.48±2.42)分vs. (79.27±2.85)分, P < 0.05]，观察组患者住院期间满意度明显较高，2组比较差异有统计学意义(P < 0.05)。  结论  快速康复护理的应用能够减少膝关节镜患者术后并发症的发生，减轻患者术后疼痛，缩短住院时间的同时，提高患者膝关节活动度及护理满意度。 

Application of the concept of rapid rehabilitation surgery in perioperative nursing of knee arthroscopy

  Objective  To explore the application effect of rapid rehabilitation concept in perioperative nursing of knee arthroscopic surgery.  Methods  A total of 66 patients undergoing knee arthroscopic surgery in Hefei BOE Hospital from April 2019 to August 2020 were randomly divided into the observation group (33 cases, the concept of routine nursing + rapid rehabilitation) and the control group (33 cases, routine nursing). The preoperative basic information (including age, gender, pain and knee joint activity, etc.), postoperative complication rate, pain score (VAS score), range of motion score (HSS score), length of hospital stay and nursing satisfaction of the two groups were compared to explore the application effect of rapid rehabilitation concept in perioperative nursing of knee arthroscopy.  Results  Compared with the control group, the incidence of postoperative complications in the observation group was lower (0.00% vs. 18.18%, P < 0.05), and postoperative knee pain was significantly reduced (0.67±0.65) points vs. (2.67±0.48) points, P < 0.05]. The average length of stay in the observation group was shorter than that in the control group (5.84±0.71) d vs. (11.90±1.42) d, P < 0.05], and the range of motion after knee joint surgery was better (92.48±2.42) points vs. (79.27±2.85) points, P < 0.05]. The satisfaction of the observation group was significantly higher than that of the control group during hospitalization (P < 0.05).  Conclusion  The application of rapid rehabilitation nursing can reduce the incidence of postoperative complications in patients undergoing knee arthroscopy, reduce postoperative pain and the average length of stay, improve knee joint activity and increase patient satisfaction.