快速通道康复临床路径在全膝关节置换术后的应用

摘要

Objective:To investigate the influence of clinical pathway‐controlled fast‐track rehabilitation on the early recovery of knee function after total knee arthroplasty(TKA) .Methods:From Jan 1 ,2014 to Aug 30 ,2014 ,40 patients received clinical pathway‐controlled fast‐track rehabilitation after TKA .From Jan 1 ,2013 to Dec 30 ,2013 ,42 patients received traditional reha‐bilitations after TKA .The Knee Society Score(KSS) and the range of motion(ROM ) were employed to evaluate the knee func‐tion before TKA and at 2 weeks and 3 months after TKA .Results:There was no significant difference in the KSS score and ROM before TKA .At 2 weeks and 3 months after TKA ,KSS score of function and ROM in patients with the fast‐track path‐way were higher than those in patients with the traditional pathway(P<0 .05) .But there was no significant difference in the KSS score of pain .Conclusions:Clinical pathway‐controlled fast‐track rehabilitation after TKA can improve the recovery of the early‐stage knee function .%目的：探讨快速通道康复临床路径对全膝关节置换术后患者膝关节早期功能的影响。方法：选择2014年1月1日—8月30日收治的40例全膝关节置换术后采用快速通道康复临床路径的患者为快速通道康复组，2013年1月1日—12月30日收治的42例术后采用传统康复路径的患者为传统康复组。采用美国膝关节协会评分（Knee Society Score ，KSS）和关节活动度（range of motion ，ROM ）对2组患者全膝关节置换术前、术后2周及3个月情况进行比较。结果：2组术前KSS评分、ROM差异均无统计学意义。术后2周及3个月，快速通道康复组患者术后KSS功能评分及ROM 均优于传统康复组，差异均有统计学意义（P＜0．05）；2组术后KSS疼痛评分差异无统计学意义。结论：对全膝关节置换术后患者应用快速通道康复临床路径进行复健，可以提高术后早期膝关节功能。