Effect study of dexamethasone combined with rapid rehabilitation training on function and analgesia after total knee arthroplasty
Objective To explore the effect of rapid rehabilitation training combined with dexametha-sone on knee joint function and analgesia after total knee arthroplasty(TKA).Methods A total of 64 patients with TKA in the hospital from June 2021 to June 2022 were prospectively selected and randomly divided into the study group(n=32)and the control group(n=32).The control group only received rapid rehabilitation training,while the study group received intravenous drip of dexamethasone sodium phosphate injection on the basis of rapid rehabilitation training.The differences of knee joint function(KSS)score,knee joint range of motion(ROM),pain visual simulation(VAS)score and nausea and vomiting reaction were compared between the two groups at each follow-up time.Results The KSS score and ROM of knee joint in the study group were significantly higher than those in the control group,while the nausea and vomiting reaction and the VAS score in the first 3 days after operation were significantly lower than those in the control group,with statistical significance(P＜0.05).There was no significant difference in VAS scores between the two groups at 14th postoperative day(P＞0.05).Conclusion Perioperative dexamethasone combined with rapid rehabilitation training can significantly improve the knee function of patients after TKA,and dexamethasone has obvious ad-vantages in early postoperative analgesia and antiemesis.
万方数据
维普
