Effect of list-based enhanced recovery after surgery on functional recovery in patients with knee osteoarthritis undergoing arthroscopic surgery
Objective To observe the effect of list-based enhanced recovery after surgery(ERAS)on functional recovery in patients with knee osteoarthritis(KOA)undergoing arthroscopic surgery.Methods A total of 150 patients with KOA who underwent arthroscopic surgery at Yaan People's Hospital from June 2021 to October 2023 were selected as the study subjects.They were divided into a conventional procedure group and an list-based ERAS group using the random number table method,with 75 patients in each group.The conventional procedure group carried out routine perioperative measures,while the ERAS group integrated the task list into the preoperative,intraoperative,and postoperative stages of ERAS.Pain was assessed using visual analogue scale(VAS)at various time points before and after surgery.The Lysholm score,International Knee Documentation Committee(IKDC2000)subjective score,Fugl-Meyer balance scale score,and Berg balance scale(BBS)score were compared on day 1 preoperative and 3 and 6 weeks postoperative.Results In terms of pain,there was no significant difference in VAS scores between the two groups one day before surgery(P＞0.05).At 6 h,24 h,48 h and 72 h after surgery,the VAS scores in the list-based ERAS group were lower than those in the conventional procedure group,and the differences were statistically significant(P＜0.05).In terms of functional recovery,there was no significant difference between the two groups in IKDC2000 subjective score,Lysholm score,Fugl-Meyer balance score and BBS score on the 1st day before surgery(P＞0.05).At 3 and 6 weeks after surgery,Lysholm score and BBS score in the list-based ERAS group were higher than those in the conventional procedure group,and the difference was statistically significant(P＜0.05).IKDC2000 subjective score and Fugl-Meyer balance score were higher than those in the conventional procedure 6 weeks after surgery,and the difference was statistically significant(P＜0.05).Conclusion List-based ERAS can effectively relieve postoperative pain and accelerate the recovery of postoperative balance and motor function.
List-basedEnhanced recovery after surgeryKnee osteoarthritisArthroscopic surgeryFunction recovery
万方数据
维普
