本文選題：關(guān)節(jié)成形術(shù)　切入點(diǎn)：置換　出處：《重慶醫(yī)學(xué)》2017年19期

【摘要】：目的探討全膝關(guān)節(jié)置換術(shù)(TKA)后膝關(guān)節(jié)體位對(duì)患者術(shù)后關(guān)節(jié)功能的影響。方法選取該院2015年9月至2016年3月收治的TKA患者86例,根據(jù)患者術(shù)后膝關(guān)節(jié)的不同體位分為觀察組和對(duì)照組(各43例),患者分別采取屈膝位、伸直位,觀察兩組患者術(shù)后引流量、輸血率、并發(fā)癥發(fā)生率及術(shù)后膝關(guān)節(jié)功能恢復(fù)情況。結(jié)果觀察組患者總失血量、隱性失血量、引流量及術(shù)后膝關(guān)節(jié)周徑明顯低于對(duì)照組,術(shù)后血紅蛋白水平明顯高于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者輸血率、切口感染率、深靜脈血栓發(fā)生率、平均住院時(shí)間明顯低于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);兩組患者術(shù)前VAS、AKS、HSS評(píng)分及膝關(guān)節(jié)活動(dòng)度比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后6周觀察組患者AKS、HSS評(píng)分與膝關(guān)節(jié)活動(dòng)度明顯高于對(duì)照組,而VAS評(píng)分明顯低于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 TKA可明顯降低患者疼痛,改善患者膝關(guān)節(jié)功能,而TKA術(shù)后采用屈曲位進(jìn)行康復(fù)有助于減少術(shù)后出血量,促進(jìn)關(guān)節(jié)功能恢復(fù)。
[Abstract]:Objective to investigate the effect of knee position on postoperative joint function after total knee arthroplasty. Methods 86 patients with TKA were selected from September 2015 to March 2016. According to the different postures of the knee joint after operation, the patients were divided into observation group and control group (43 cases in each group). Results the total blood loss, recessive blood loss, drainage volume and postoperative peripheral diameter of knee joint in the observation group were significantly lower than those in the control group, and the postoperative hemoglobin level was significantly higher in the observation group than in the control group. The blood transfusion rate, incision infection rate, the incidence of deep vein thrombosis and the average hospitalization time in the observation group were significantly lower than those in the control group (P 0.05). At 6 weeks after operation, the scores of AKSU HSS and knee joint motion in the observation group were significantly higher than those in the control group, while the VAS score was significantly lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion TKA can significantly reduce the pain of the patients. The knee joint function was improved after TKA, and the recovery of joint function was improved by using flexion position after TKA.
【作者單位】： 遵義醫(yī)學(xué)院附屬醫(yī)院骨一科;遵義醫(yī)學(xué)院附屬醫(yī)院介入科;
【分類號(hào)】：R687.4

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