全膝置换术是否留置引流管对康复的影响
Impact of indwelling drainage on rehabilitation in total knee arthroplasty
钟宗烨 1刘邦忠 1张键 1陈君 1刘圆圆 1陆志辉 1林岳军 1刘光华1
作者信息
- 1. 复旦大学附属中山医院康复医学科,上海 200032
- 折叠
摘要
[目的]比较全膝置换术(total knee arthroplasty,TKA)后是否留置引流管对膝骨关节炎患者膝功能康复的影响.[方法]回顾性分析2019年7月-2023年1月于本院接受TKA的130例膝骨关节炎患者的临床资料.根据医患沟通结果,65例患者未放置引流管,另外65例放置引流管.比较两组患者围手术期和随访结果.[结果]全部患者均顺利完成手术,无引流组在总失血量[(340.8±101.5)ml vs(389.2±80.8)ml,P=0.049]、术后住院时间[(2.0±0.7)d vs(4.4±0.9)d,P＜0.001]显著少于引流组.两组术后并发症发生率的差异无统计学意义(P＞0.05).随时间推移,两组患者疼痛VAS评分均显著减少(P＜0.05),膝伸屈ROM、AKSS功能评分均显著增加(P＜0.05).术后1个月,无引流组的VAS评分[(1.7±0.7)vs(2.7±1.0),P=0.002]、膝伸屈ROM[(119.8±4.1)° vs(116.3±6.6)°,P＜0.001]显著优于引流组.[结论]相比留置引流管,全膝置换术后无引流管具有减轻患者术后近期疼痛,缩短住院时间的优势.
Abstract
[Objective]To compare the clinical consequences of total knee arthroplasty(TKA)for knee osteoarthritis(KO)with or with-out indwelling drainage tube.[Methods]A retrospective study was conducted on 130 patients who received TKA for KO in our hospital from July 2019 to January 2023.According to the results of doctor-patient communication,65 patients had not drainage placed(the ND group),whereas other 65 patients had drainage placed(the D group).The documents regarding to perioperative period and follow-up were compared between the two groups.[Results]All patients in both groups had TKA performed successfully.The ND group proved significantly superior to the D group in terms of total blood loss[(340.8±101.5)ml vs(389.2±80.8)ml,P=0.049]and postoperative hospital stay[(2.0±0.7)days vs(4.4±0.9)days,P＜0.001],although there was no significant difference in the incidence of postoperative complications between the two groups(P＞0.05).As time went on,the pain VAS scores significantly decreased(P＜0.05),while the knee flexion-extension range of motion(ROM)and AKSS scores significantly increased in both groups(P＜0.05).The ND group proved significantly better than the D group in terms VAS score[(1.7±0.7)vs(2.7±1.0),P=0.002],the knee ROM[DHS(119.8±4.1)° vs(116.3±6.6)°,P＜0.001]1 month postoperatively.[Conclu-sion]Compared with indwelling drainage,no indwelling drainage after total knee arthroplasty has the advantages of reducing short-term post-operative pain and shortening hospital stay.
关键词
留置引流管/膝骨关节炎/全膝关节置换术/疼痛Key words
indwelling drainage/knee osteoarthritis/total knee arthroplasty/pain引用本文复制引用
出版年
2024
NETL
NSTL
万方数据