加速康复外科理念对膝关节前交叉韧带重建术后功能的影响

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Abstract Objective To evaluate the clinical efficacy of the concept of accelerating rehabilitation in the perioperative period after anterior cruciate ligament (ACL) reconstruction of the knee.Methods A total of 60 patients with anterior cruciate ligament injury arranging for anterior cruciate ligament reconstruction in Dongguan Kanghua Hospital from June 2017 to June 2018 were selected and divided into rehabilitation group and enhanced recovery after surgery(ERAS) group according to the random number table method,with 30 cases in each group.The traditional rehabilitation group was given routine rehabilitation measures,and the ERAS group was implemented with ERAS concept during perioperative period.All patients had the same chief physician to complete the operation.and recorded changes in visual analogue score ( VAS ) before surgery and 3,12,24,28,72 h after surgery.The time required for knee flexion at 30°,60°,90° and 120° was recorded,and the time required for knee flexion of 30°,60°,90°and 120°after the surgery;recorded the stays of hospitalization of patients and the changes in Lysholm function scores before,and 1,3,6,and 12 mouths after surgery.Results The VAS score at 3,12,24,28 and 72 h in ERAS group were lower than those in traditional rehabilitation group,the differences were statistically significant (P＜0.05).The postoperative knee flexion time of 30°,60°,90° and 120° and the length of hospital stay were shorter in ERAS group than in traditional rehabilitation group,with statistically significant differences (P＜0.05).The Lysholm function score of ERAS group at 1,3 and 6 months after surgery were higher than those of the traditional rehabilitation group,with statistical significances (P＜0.05).There was no significant difference in Lysholm function score between the two groups 12 months after surgery (P＞0.05).Conclusion Using the concept of ERAS to intervene in the perioperative period of knee anterior cruciate ligament (ACL)reconstruction can effectly reduce postoperative pain,shorten the length of hospital stays,accelerate the rehabilitation of affected limbs,and quickly restore knee function.

Key words： Anterior cruciate ligament rupture Arthroscopy Ligament reconstruction Enhanced recovery after surgery

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	Articles by authors
	GUO Baozhen
	DU Jinnan
	WANG Lihua

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GUO Baozhen,DU Jinnan,WANG Lihua. Effect of enhanced recovery after surgery on the function of knee Anterior Cruciate Ligament reconstruction[J]. 中国当代医药, 2022, 29(3): 63-66.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I3/63

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