加速康复管理下微创股肌下入路人工全膝关节置换术的早期研究

Early Study of Minimally Invasive Submuscular Total Knee Arthroplasty under Enhanced Recovery after Surgery Management

摘要: 目的：探讨加速康复外科理论在人工全膝关节置换术的早期应用效果。方法：本研究为回顾性研究，自2016年1月至2019年1月，所有符合骨性关节炎的患者排除手术禁忌症，采用数字表法将100例入组者随机分成2组，即加速康复外科手术组(ERAS组) 52例，传统手术组47例。观察并记录两组患者的手术时间；术前、术后24 h的血红蛋白含量(Hb)；术前、术后VAS评分。结果：1) 两组患者的基准资料比较无统计学差异(P > 0.05)；2) 两组术中失血量，术后失血量，总失血量比较均有统计学差异(P < 0.05)；3)两组比较中，术前两组VAS评分比较无统计学差异(P > 0.05)；术后第1 d，术后3 d，术后7 d VAS比较中，具有统计学差异(P < 0.05)；然而术后1月VAS比较中，无统计学差异(P > 0.05)；4) 两组术前HSS评分比较无统计学差异(P > 0.05)。结论：加速康复外科理论在人工全膝关节置换术的早期应用效果在术后早期康复，术后VAS评分优于传统组。

Abstract: Objective: Early application of accelerated rehabilitation surgery theory in total knee arthroplasty (TKA). Methods: The present study is a retrospective analysis. From January 2016 to January 2019, all patients with osteoarthritis were randomly divided into two groups, 52 cases of ERAS group and 47 cases of traditional operation group. To observe and record the operation time, the hemoglobin content before and 24 hours after operation, the VAS score before and after operation. Results: 1) There was no statistical difference in baseline data between the two groups (P > 0.05). 2) There were significant differences in blood loss during operation, postoperative blood loss and total blood loss between the two groups (P < 0.05). 3) In the two groups, there was no significant difference in the VAS scores between the two groups before operation (P > 0.05). There were significant differences in VAS between the first day, the third day and the seventh day after operation (P < 0.05). However, there was no significant difference in VAS at 1 month after operation (P > 0.05). Conclusions: The effect of early application of accelerated rehabilitation surgery in total knee arthroplasty after operation was better than that in the traditional group.