中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (17): 3065-3068.doi: 10.3969/j.issn.1673-8225.2012.17.007

• 人工假体 artificial prosthesis • 上一篇    下一篇

全膝关节置换后快速康复外科治疗45例*★

陈小勇，赵建宁，王与荣，包倪荣   

  1. 南京大学医学院临床学院解放军南京军区南京总医院骨科，江苏省南京市  210002
  • 收稿日期:2011-08-16 修回日期:2011-10-24 出版日期:2012-04-22 发布日期:2012-04-22
  • 通讯作者: 包倪荣，博士，主治医师，南京大学医学院临床学院 解放军南京军区南京总医院骨科，江苏省南京市 210002 bnrbnr@sina.com
  • 作者简介:陈小勇★，男，1984年生，安徽省芜湖市人，汉族，南京大学在读硕士，主要从事关节外科的研究。dr_cxy@163.com
  • 基金资助:

    国家自然科学基金资助项目(81000814)。

Application of fast track surgery in 45 patients with total knee replacement 

Chen Xiao-yong, Zhao Jian-ning, Wang Yu-rong, Bao Ni-rong   

  1. Department of Orthopedics, Nanjing General Hospital of Chinese People’s Liberation Army Nanjing Military Command, Clinical School of Nanjing University, Nanjing   210002, Jiangsu Prouince, China
  • Received:2011-08-16 Revised:2011-10-24 Online:2012-04-22 Published:2012-04-22
  • Contact: Bao Ni-rong, Doctor, Attending physician, Department of Orthopedics, Nanjing General Hospital of Chinese People’s Liberation Army Nanjing Military Command, Clinical School of Nanjing University, Nanjing 210002, Jiangsu Province, China bnrbnr@sina.com
  • About author:Chen Xiao-yong★, Studying for master’s degree, Department of Orthopedics, Nanjing General Hospital of Chinese People’s Liberation Army Nanjing Military Command, Clinical School of Nanjing University, Nanjing 210002, Jiangsu Province, China dr_cxy@163.com
  • Supported by:

     the National Natural Science Foundation of China, No. 81000814*

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摘要：

背景：近年来国内一些医院开始了快速康复外科的研究与应用。
目的：观察快速康复外科对全膝关节置换临床疗效的影响。
方法：45例行全膝关节置换的膝关节骨性关节炎患者，按照快速康复外科理念对其进行置换前、置换中和置换后管理，以HSS评分、关节活动度和目测类比疼痛评分对膝关节功能及疼痛程度进行评价。
结果与结论：患者置换后平均HSS评分和关节活动度均显著高于置换前水平，同时置换后平均目测类比疼痛评分显著低于置换前水平，显示膝关节置换后功能恢复良好、疼痛减轻。未发生感染、下肢深静脉血栓及肺栓塞等并发症。结果表明，快速康复外科应用于全膝关节置换，HSS评分、关节活动度及疼痛评分较置换前明显改善，减少了手术应激及术后并发症，加速了患者康复，增强了治疗效果。
关键词：快速康复外科；全膝关节置换；膝关节；功能恢复；疼痛；并发症
缩略语注释：TKA：total knee arthroplasty，全膝关节置换；FST：fast track surgery，快速康复外科
doi:10.3969/j.issn.1673-8225.2012.17.007

关键词: 快速康复外科, 全膝关节置换, 膝关节, 功能恢复, 疼痛, 并发症

Abstract:

BACKGROUND: In recent years, some domestic hospitals focus on the research and application of fast track surgery. 
OBJECTIVE: To study the clinical effect of fast track surgery in patients with total knee replacement.
METHODS: Totally 45 cases with knee osteoarthritis were treated with total knee replacement, and then preoperative, intraoperative and postoperative measures were taken in accordance with the concept of fast track surgery. Knee function and pain were evaluated using HSS, range of motion and visual analog scale pain scores.
RESULTS AND CONCLUSION: The average postoperative range of motion and HSS score were significantly higher than the preoperative levels, while the postoperative visual analog scale pain scores were evidently lower than the preoperative ones, which demonstrating the knee function recovery and pain relief were rapid and well. There were no complications in infection, deep vein thrombosis and pulmonary embolism. The application of fast track surgery in total knee replacement can improve the score of HSS, range of motion and visual analog scale, decrease the complication and surgical stress, accelerate rehabilitation of patients and enhance the therapeutic effect.

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