摘要
目的 分析对接受膝关节镜下前交叉韧带重建术治疗的患者实施快速康复外科围术期护理的效果。方法 抽取2023年2月-2024年2月期间在我院接受膝关节镜下前交叉韧带重建术治疗的患者76例，以随机信封法分组，接受围手术期常规护理的患者为对照组（n=38），接受快速康复外科围术期护理的患者为观察组（n=38），对比术后各时间节点（6h、12h、24h、48h）疼痛水平[视觉模拟量表（VAS）]、并发症发生率，随访1个月，对比膝关节功能（Lysholm膝关节功能评定量表）。结果 （1）术后12h、24h及48h，观察组VAS评分照术后6h时均明显下降，且比对照组低（P＜0.05）；（2）观察组并发症发生率：2.63%，低于对照组（P＜0.05）；（3）术后1个月时，观察组Lysholm评分照术后3d时明显上升，且高于对照组（P＜0.05）。结论 对接受膝关节镜下前交叉韧带重建术治疗的患者实施快速康复外科围术期护理可显著缓解患者术后疼痛水平，降低并发症发生风险，促进膝关节功能改善。
关键词： 快速康复外科护理；膝关节镜下前交叉韧带重建术；疼痛水平；膝关节功能
Abstract
Objective To analyze the effect of rapid rehabilitation surgery for patients treated with endoscopic anterior cruciate ligament knee reconstruction. Methods 76 patients treated with knee endoscopic anterior cruciate ligament reconstruction in our hospital from February 2023 to February 2024, patients receiving perioperative care were in the control group (n=38), and patients receiving perioperative care in rapid rehabilitation surgery were in the observation group (n=38). At all postoperative nodes (6h, 12h, 24h, 48h), knee function (Lysholm Knee function rating scale). Results (1) the VAS score decreased at 12h, 24h and 48h after the operation, and was lower than that of the control group (P <0.05); (2) the complication rate in the observation group: 2.63%, lower than that of the control group (P <0.05); (3) at 1 month after the operation, the Lysholm score increased significantly at 3d after surgery and higher than that of the control group (P <0.05). Conclusion Rapid rehabilitation surgical perioperative care for patients undergoing endoscopic anterior cruciate ligament reconstruction can significantly relieve the postoperative pain level, reduce the risk of complications, and improve the knee function.
Key words： Rapid rehabilitation surgical care; Arthroscopic anterior cruciate ligament reconstruction of the knee; Pain level; Knee function
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