Application of Accelerated Rehabilitation Surgery Concept in Rehabilitation Nursing of Patients with KneeOsteoarthritis After Total Knee Replacement
加速康复外科理念在膝骨关节炎患者全膝关节置换术后康复护理中的应用

摘要

目的 针对加速康复外科理念在膝骨关节炎患者全膝关节置换术后康复护理中的应用价值展开分析。 方法 选取 2022 年 4 月-2023 年 4 月期间在我院行全膝关节置换术的 112 例膝骨关节炎患者作为研究对象，采用 抛币法分为对照组和研究组，各 56 例，对照组给予常规护理，研究组采用加速康复外科理念护理干预，比较两 组患者各项临床指标、主动屈膝角度、主动伸膝角度及入院时、出院时视觉模拟评分（VAS）、膝关节评分（HSS）。 结果 研究组住院时间、术后首次下床时间均短于对照组，主动屈膝角度、主动伸膝角度优于对照组（P＜0.05）； 入院时，两组患者 VAS、HSS 对比无明显差异（P＞0.05），出院时，研究组 VAS 评分低于对照组，HSS 评分高 于对照组（P＜0.05）。结论 在膝骨关节炎患者全膝关节置换术后康复护理中应用加速康复外科理念，有助于缓 解患者疼痛，缩短患者住院时间，对促进患者康复，改善患者膝关节功能有积极意义，值得推广。

Abstract

Objective To analyze the application value of accelerated rehabilitation surgery concept in postoperative rehabilitation care of knee osteoarthritis patients undergoing total knee arthroplasty. Method A total of 112 patients with knee osteoarthritis who underwent total knee arthroplasty in our hospital from April 2022 to April 2023 were selected as the study subjects. They were divided into a control group and a study group using coin toss method, with 56 patients in each group. The control group received routine nursing care, while the study group received nursing interventions based on the concept of accelerated rehabilitation surgery. The clinical indicators, active knee flexion angle, active knee extension angle, and visual analog score (VAS) at admission and discharge were compared between the two groups Knee joint score (HSS). Result The hospitalization time and first postoperative bedtime of the study group were shorter than those of the control group, and the active knee flexion angle and active knee extension angle were better than those of the control group (P<0.05); At admission, there was no significant difference in VAS and HSS between the two groups of patients (P>0.05). At discharge, the VAS score of the study group was lower than that of the control group, while the HSS score was higher than that of the control group (P<0.05).
Conclusion   Applying the concept of accelerated rehabilitation surgery in the rehabilitation care of patients with total knee arthroplasty for knee osteoarthritis can help alleviate pain, shorten hospital stay, promote patient recovery, and improve knee joint function. It is worth promoting.