超早期规范化物理治疗对缩短全膝关节置换术平均住院日的影响

关键词：超早期  物理治疗  膝关节置换  平均住院日

Keywords:ultra-early period  physical therapy  total knee arthroplasty  average length of stay

摘要：

      摘要 目的：观察超早期规范化物理治疗对全膝关节置换术患者平均住院日的影响。 方法：筛选符合研究条件的85例患者，分为试验组（50例）和对照组（35例），两组患者均给予骨科术后常规治疗，在此基础上试验组进行超早期规范化物理治疗。比较两组患者单次平均总住院日及术后平均住院日，术前、术后第1天—第3天及出院当天两组患者手术侧膝关节主动活动范围、“起立-行走计时测试”时间，以及术后平均住院日与关节主动活动范围和“起立-行走计时测试”时间的关系。 结果：治疗前两组患者的年龄、术前住院日和“起立-行走试验”时间差异均无显著性意义（P＞0.05）。与对照组相比，试验组单次平均总住院日（9.92±2.57）d和术后平均住院日（5.04±1.17）d均明显降低，差异有显著性意义（P＜0.01）；试验组术后第1天—第3天及出院当天的膝关节主动活动度明显改善、“起立-行走试验”时间缩短，差异有显著性意义（P＜0.05）。术后平均住院日与术后出院当天“起立-行走计时测试”时间呈正相关，与术后出院当天手术侧膝关节主动关节活动度呈负相关（P＜0.05）。 结论：超早期规范化康复治疗能可改善术后膝关节主动活动度，缩短术后平均住院时间和单次平均总住院日。

Abstract:

      Abstract Objective: To investigate the effect of ultra-early standardized physical therapy on shortening the length of hospitalization for total knee arthroplasty (TKA). Method: Eighty-five qualified cases were divided into treatment group (n=50) and control group (n=35). All patients were treated with routine treatment after surgery. The treatment group received ultra-early standardized physical therapy. The total length of stay, the average length of stay (ALOS) after surgery, the active range of motion (AROM) and the time “up & go” test (TUGT) were compared between the two groups. Correlation between length of stay， range of motion, and walking time were analysis. Result: Before treatment, all parameters had no significant differences between the two groups (P＞0.05). The total length of stay and the length of stay after surgery were 9.92±2.57 days and 5.04±1.17 days in the treatment group, which were significantly less than those in the control group (P＜0.01); the AROM and TUGT in treatment group were significantly better than those in the control group at the 1st day, 2nd day, 3rd day and at discharge (P<0.05). The length of stay after surgery was positively correlated with the TUGT at discharged (P＜0.05), but negatively correlated with the AROM at discharged (P＜0.05). Conclusion: Ultra-early standardized rehabilitation could improve the AROM of the knee, which would be benefit to shorten the length of stay after surgery and the total length of stay.