Effects of enhanced recovery nursing after surgery on knee function among patients with anterior cruciate ligament reconstruction under arthroscope
10.3760/cma.j.issn.1674-2907.2019.02.005
- VernacularTitle:加速康复外科护理对关节镜下前交叉韧带重建术后患者膝关节功能的影响
- Author:
Dongmei ZHAO
1
;
Weiting LI
;
Zhen ZENG
;
Xuetao YANG
;
Dongying YAO
;
Pengcheng LI
Author Information
1. 四川大学华西医院骨科,成都 610041
- Keywords:
? Anterior cruciate ligament;
? Arthroscopes;
? Rehabilitation;
? Knee joint;
? Enhanced recovery after surgery
- From:
Chinese Journal of Modern Nursing
2019;25(2):151-154
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of enhanced recovery after surgery (ERAS) intervention on functional rehabilitation among patients with anterior cruciate ligament (ACL) reconstruction under arthroscope. Methods? From January 2013 to April 2016, we selected 120 patients with ACL reconstruction under arthroscope in Department of Orthopedics in West China Hospital of Sichuan University by convenience sampling. All of the patients were divided into two groups according to the admission time including control group (n=60, traditional rehabilitation) and observation group (n=60, ERAS intervention). We compared the ankle swelling, effusion and the knee flexion as well as knee rehabilitation effect of patients in two groups with the Judet score and the Lysholn score after surgery. Results? The early ankle swelling of patients in observation group was more obvious than that in control group, and there were 12 cases with joint puncture drainage after surgery in observation group and 5 cases in control group with no statistical difference (χ2=3.358, P=0.067). There were 6 cases with knee functional disorder after surgery in control group reaching the excellent knee function after manual release. The excellent rates of knee function activity in observation group were respectively 83.33% and 96.67% three and six months after surgery superior than those (58.33% and 83.33%) in control group with statistical differences (χ2=9.076, 5.926; P＜0.05). The excellent rates of scores of knee function in observation group were respectively 80.00%, 91.67% three and six months after surgery higher than those (56.67% and 78.33%) in control group with statistical differences (χ2=7.548, 4.183;P＜ 0.05). Conclusions? The application of ERAS intervention in ACL reconstruction under arthroscope can effectively improve early function and scope of activity of knee, however the complications may occur, such as ankle swelling and effusion.
