
浏览全部资源
扫码关注微信
西南医科大学附属医院骨与关节外科
纸质出版日期:2020,
扫 描 看 全 文
[1]郑舒凌,张建华,邹龙飞,薛浩,王治.CPM联合雾化吸入对膝关节置换术后康复疗效评价及住院天数影响因素分析[J].西南医科大学学报,2020,43(03):280-284.
ZHENG Shuling, ZHANG Jianhua, ZOU Longfei, et al. An evaluation of rehabilitation-promoting effect of CPM plus aerosol inhalation after knee arthroplasty and analysis of factors influencing the length of hospital stay[J]. Journal of Southwest Medical University, 2020,43(3):280-284.
[1]郑舒凌,张建华,邹龙飞,薛浩,王治.CPM联合雾化吸入对膝关节置换术后康复疗效评价及住院天数影响因素分析[J].西南医科大学学报,2020,43(03):280-284. DOI:
ZHENG Shuling, ZHANG Jianhua, ZOU Longfei, et al. An evaluation of rehabilitation-promoting effect of CPM plus aerosol inhalation after knee arthroplasty and analysis of factors influencing the length of hospital stay[J]. Journal of Southwest Medical University, 2020,43(3):280-284. DOI:
目的:研究CPM(continuous passive motion)联合雾化对膝关节置换术后的康复效果及住院天数延长的影响因素分析。方法:选取2016年1月至2018年6月收治的行膝关节置换210例患者进行回顾性病例分析
比较CPM雾化组与对照组在术前、术后48 h及出院时膝关节活动度、美国特种外科医院膝关节评分(hospital for special surgery knee score
HSS)、坠积性肺炎、尿路感染、肠梗阻、血栓及患者住院天数方面是否存在统计学差异。住院天数延长logistic回归分析中也选取同一间段收治的行膝关节置换病例300例(包含前1组病例)
分别对性别、年龄、肺部感染、尿路感染、血栓、出院时HSS评分、伤口愈合不良等10项临床可能危险因素进行单因素及多因素logistic回归分析。结果:CPM雾化可明显提高患者术后膝关节活动度
提高膝关节功能评分
减少坠积性肺炎、尿路感染及血栓形成的发生概率(差异有统计学意义
P<0.05)。高龄、肺部感染、尿路感染、血栓形成、低HSS评分、伤口愈合不良及糖尿病是住院时间延长的影响因素(P <0.05)。结论:CPM联合雾化可提高患者术后康复效果与速度
改善患者术后膝关节活动度及HSS评分
也可减少肺部感染、尿路感染及血栓等术后并发症
维持机体各器官功能而间接提高患者康复疗效和减少住院天数。
Objective:To investigate the rehabilitation-promoting effect of continuous passive motion(CPM)plus aerosol inhalation after knee arthroplasty and analyze the influencing factors for prolonged length of hospital stay. Methods:A retrospective case-control study was performed on 210 patients who had been admitted to our hospital for knee arthroplasty between January 2016 and June 2018. Comparisons were made to determine the significance of differences between the CPM plus aerosol inhalation group and the control group in terms of range of knee motion
Hospital for Special Surgery(HSS)knee score
and incidence rates of hypostatic pneumonia
urinary tract infection
intestinal obstruction
and thrombosis prior to operation
48 h post operation
and at discharge
as well as length of hospital stay. A logistic regression analysis of prolonged length of hospital stay included 300 patients(including the abovementioned 210 patients)who were admitted to our hospital for knee arthroplasty between January2016 and June 2018. Univariate and multivariate logistic regression analyses were performed on 10 clinically potential risk factors such as sex
age
pulmonary infection
urinary tract infection
thrombosis
HSS knee score at discharge
and undesirable wound healing. Results:CPM plus aerosol inhalation significantly increased the range of knee motion
improved knee function score
and reduced the incidence rates of hypostatic pneumonia
urinary tract infection
and thrombosis(P < 0.05). The risk factors for prolonged length of hospital stay were old age
pulmonary infection
urinary tract infection
thrombosis
low HSS knee score
undesirable wound healing
and diabetes(P <0.05). Conclusion:CPM plus aerosol inhalation can improve the speed and outcome of postoperative rehabilitation
increase the postoperative range of knee motion and HSS knee score of patients
reduce postoperative complications such as pulmonary infection
urinary tract infection
and thrombosis
and maintain the function of the organs in the body
thus indirectly promoting rehabilitation outcome and shortening the length of hospital stay.
CPM雾化吸入人工膝关节置换康复
Continuous passive motionAerosol inhalationKnee arthroplastyRehabilitation
0
浏览量
20
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621