前交叉韧带重建术的快速康复护理
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南京军区重大研究专项项目(12MA011)。


Enhanced recovery care of anterior cruciate ligament reconstruction
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    摘要:

    目的:探究前交叉韧带受损患者经手术治疗期间施以快速康复护理的过程及作用。方法:收集2017年4月至2019年10月于中国人民解放军联勤保障部队第904医院接受手术治疗的罹患前交叉韧带损伤的患者62例,对其进行随机分组,对照组施以常规护理,观察组在其基础上施以快速康复护理,比较两组护理效果、临床相关指标差异性、并发症发生率。结果:观察组护理效果优于对照组(P<0.05),且临床恢复相关用时较对照组更短,膝关节功能恢复评分(8.68±1.02)明显高于对照组(P<0.05)。观察组患者出现术后并发症发生率较对照组低(P<0.05)。结论:前交叉韧带患者在手术治疗期间和术后开展快速康复护理能促进患者膝关节功能恢复,预防并发症,适合临床推广。

    Abstract:

    Objective: To clarify the process and effect of enhanced recovery care of damaged anterior cruciate ligament patients after operation. Methods: Sixty-two patients with anterior cruciate ligament reconstruction in the hospital were randomly divided into two groups from April, 2017 to October, 2019 were randomly divided into a control group and an observation group. Th e control group was treated with basic treatment, and the control group was given enhanced recovery care on the basis of basic treatment. Th e effects of two groups’ care were compared, and clinical observation and their differences were marked and analyzed. Total probability of complications in different groups was calculated. Results: Patients in the observation group performed better than those in the control group(P<0.05) and the recovery time of the observation group was shorter than that in the control group. Th e knee joints had higher satisfactory functional restoration(8.68±1.02) than the control group(P<0.05). Th e probability of complication was lower than that in the control group(P<0.05). Conclusion: Anterior cruciate ligament reconstruction with enhanced recovery care effectively improves the knee joint recovery and prevent the occurrence of the complications, which will benefit in clinical application.

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