关键词:

"> ">［关键词］ ">加速康复, 全膝关节置换术, 围手术期

Abstract:

〔Abstract〕 Objective： To explore the application effect of enhanced recovery after surgery（ERAS） concept in perioperative period of unilateral total knee arthroplasty（TKA）. Methods： The case data of patients undergoing unilateral TKA in the Department of Orthopedics of Panzhihua Central Hospital from January 2017 to April 2021 were retrospectively analyzed. The 175 patients were divided into a control group（80 cases） and an experimental group（95 cases） by random number table method. The lengths of hospitalizations， the operation times， the times of ambulation， the intraoperative rehydration， the perioperative blood transfusion rates， the urinary catheter retention rates， the visual analogue scale （VAS） scores， the HSS knee scores and postoperative laboratory indexes were assessed between the two groups. Results： Compared with the control group， the length of hospitalization in the experimental group was significantly shortened， the amount of intraoperative rehydration was significantly reduced， the time for ambulation was significantly earlier， and the retention rate of urinary catheter and blood transfusion rates in the perioperative period were significantly reduced， and the differences were statistically significant（P<0.05）. The postoperative VAS scores of the experimental group were lower than those of the control group， and the postoperative HSS scores were higher than those of the control group， and the differences were statistically significant（P<0.05）. The hemoglobin and hematocrit of the experimental group were higher than those of the control group at the same period， and the C-reactive protein was lower than that of the control group at the same period， and the differences were statistically significant（P<0.05）. Conclusion： The application of ERAS concept in the perioperative period of TKA can effectively relieve the pain of patients， improve joint function， shorten the hospitalization time， and promote the recovery of patients， which is worthy of clinical application.

Key words:

"> ">〔Key words">〕 enhanced recovery after surgery">, total knee arthroplasty">, perioperative period