初次全膝关节置换术后放置与不放置引流对术后快速康复的影响

doi:10.3969/j.issn.1006-9771.2021.08.011

Abstract

Abstract:

Objective To explore the effect of placing drainage or not on rapid rehabilitation after total knee arthroplasty (TKA). Methods From January, 2018 to September, 2020, 80 patients with knee osteoarthritis who underwent primary TKA in our hospital were analyzed retrospectively, and they were divided into groups A and B, with 40 cases in each group. Drainage was placed routinely in group A and not in group B. The postoperative serum inflammatory factors, postoperative pain score, postoperative complication rate, postoperative time out of bed, hospital stay, knee function score, range of motion of knee and World Health Organization Quality Of Life-abbreviated version score (WHOQOL-BREF) were compared between two groups. Results There was no significant difference in the levels of C-reactive protein between two groups on the 1st to 3rd day after operation (t < 0.410, P > 0.05). There was no significant difference in Visual Analogue Score between two groups from 12 h to 48 h after operation (t < 0.300, P > 0.05). The incidences of postoperative complications were 5.0% in group A and 2.5% in group B, with no significant difference between two groups (χ² = 0.346, P > 0.05). The time of getting out of bed and hospital stay was significantly shorter in group B than in group A (t > 4.863, P < 0.001). The scores of knee joint function, range of motion of knee and WHOQOL-BREF significantly increased after operation in both groups (t > 6.099, P < 0.001), however, there was no significant difference between two groups (P > 0.05). Conclusion Placement or non-placement of drainage after primary TKA does not affect postoperative complications, knee joint function and quality of life of patients with knee osteoarthritis, however, non-placement of drainage can promote postoperative recovery and discharge.

Key words: knee osteoarthritis, total knee arthroplasty, drainage

LIU Si-hai,WANG Fei,HAN Xin-zuo,CUI Zhi-gang,QI Pan,MIN Hong-wei,LIU Ke-min. Effect of Placing Drainage or Not on Rapid Rehabilitation after Primary Total Knee Arthroplasty[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 962-965.

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References 20

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组别	n	性别(n)		年龄(岁)	ASA分级(n)
组别	n	男	女	年龄(岁)	II级	III级
A组	40	23	17	67.25±12.65	12	28
B组	40	22	18	67.61±12.73	13	27
t/χ²值		0.202		0.127	0.228
P值		0.653		0.899	0.633

组别	n	第1天	第2天	第3天
A组	40	6.47±1.65	6.13±1.50	5.40±1.34
B组	40	6.32±1.80	6.01±1.64	5.27±1.49
t值		0.389	0.341	0.410
P值		0.699	0.734	0.683

组别	n	术后12 h	术后24 h	术后36 h	术后48 h
A组	40	3.52±0.97	2.97±0.84	2.52±0.79	2.15±0.78
B组	40	3.46±0.91	2.92±0.85	2.49±0.74	2.10±0.71
t值		0.285	0.265	0.175	0.300
P值		0.776	0.792	0.861	0.765

组别	n	切口感染	下肢深静脉血栓	总发生率
A组	40	1(2.50%)	1(2.50%)	2(5.00%)
B组	40	0(0)	1(2.50%)	1(2.50%)
χ²值		1.013	-	0.346
P值		0.314	-	0.556

组别	n	离床活动时间	住院时间
A组	40	3.28±1.30	16.65±3.06
B组	40	1.93±1.18	13.21±2.47
t值		4.863	5.532
P值		< 0.001	< 0.001

Effect of Placing Drainage or Not on Rapid Rehabilitation after Primary Total Knee Arthroplasty

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组别	n	手术前	手术后	t值	P值
A组	40	71.59±8.40	89.41±9.25	9.020	< 0.001
B组	40	71.93±8.34	89.87±9.12	9.181	< 0.001
t值		0.182	0.224
P值		0.856	0.823

组别	n	手术前	手术后	t值	P值
A组	40	65.24±2.83	85.05±6.47	6.099	< 0.001
B组	40	65.43±2.70	86.38±6.51	6.237	< 0.001
t值		0.307	0.916
P值		0.759	0.362

组别	n	时间	生理	心理	环境	社会关系
A组	40	手术前	70.81±5.20	70.23±5.14	70.34±4.91	70.58±5.09
A组	40	手术后	83.64±6.42	84.07±6.17	82.16±5.23	83.24±5.50
B组	40	手术前	70.96±5.17	70.45±5.13	70.48±4.99	70.20±5.16
B组	40	手术后	84.05±6.59	84.39±6.28	82.47±5.38	83.62±5.71
t^a值			9.822	10.900	10.421	10.685
P^a值			< 0.001	< 0.001	< 0.001	< 0.001
t^b值			9.884	10.872	10.334	11.028
P^b值			< 0.001	< 0.001	< 0.001	< 0.001
t^c值			0.129	0.192	0.126	0.332
P^c值			0.897	0.849	0.900	0.741
t^d值			0.282	0.230	0.261	0.303
P^d值			0.797	0.819	0.795	0.763

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