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热门期刊: 细胞研究(英文版)中华医学杂志(英文版)国际临床研究杂志

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加速康复外科模式下引流管放置与否对初次全膝关节置换术后康复的影响

Effect of drain placement in accelerated rehabilitation surgery mode on rehabilitation after primary totalknee replacement

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DOI 10.12208/j. ijsr.20220085
刊名
International Journal of Surgical Research
年,卷(期) 2022, 5(3)
作者
作者单位

内江市中医医院 四川内江 ;
内江市中医医院 四川内江 ;
内江市中医医院 四川内江 ;
内江市中医医院 四川内江 ;
内江市中医医院 四川内江 ;

摘要
探讨引流管放置与否对初次全膝关节置换术(TKA)后康复的影响。方法 回顾性分析内江市中医医院2020年1月至2022年5月本院膝关节炎初次接受TKA的患者,均行加速康复外科(ERAS)模式进行管理,A组术后放置引流管,B组术后不放置引流管,比较术后患者疼痛评分(VAS)、膝关节功能评分(HSS)、深静脉血栓发生率、切口感染、血清炎症因子CRP指标、下地活动时间、住院时长。结果 术后两组疼痛、膝关节功能、深静脉血栓发生率、切口感染率、血清炎症因子指标(CRP)均无显著性差异,差异无统计学意义(P>0.05)。B组下地活动时间较A组早,B组住院时长较A组住院时长短,差异有统计学意义(P<0.05)。结论 TKA可明显改善膝关节功能,术后引流管放置与否不影响患者术后疼痛、术后并发症、血清炎症因子指标,但不放置引流管可早期下地活动,缩短住院时间,促进患者康复。
Objective To investigate the effect of drainage tube placement on rehabilitation after primary total knee arthroplasty (TKA). Methods: Retrospective analysis was made on the patients who received TKA for the first time in Neijiang Hospital of Traditional Chinese Medicine from January 2020 to May 2022. All patients were managed by the enhanced recovery after surgery (ERAS) model. In group A, drainage tubes were placed postoperatively, while in group B, no drainage tubes were placed postoperatively. The postoperative pain score (VAS), knee joint function score (HSS), incidence of deep vein thrombosis, incision infection, serum inflammatory factor CRP index, time of underground activity Length of hospital stay. Results: There was no significant difference between the two groups in pain, knee joint function, incidence of deep vein thrombosis, wound infection rate, and serum inflammatory factor (CRP) index (P>0.05). The time of ground activity in group B was earlier than that in group A, and the length of hospitalization in group B was longer than that in group A, with a statistically significant difference (P<0.05). Conclusion: TKA can significantly improve the function of knee joint. The placement of drainage tube after operation does not affect the postoperative pain, postoperative complications, and serum inflammatory factor indicators of patients. However, without drainage tube, patients can move to the ground early, shorten the hospital stay, and promote the recovery of patients.
关键词
膝关节炎;全膝关节置换术;引流管;加速康复外科
Knee arthritis; TKA; Drainage tube; ERAS
基金项目
页码 46-49
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