[1]王卫严世贵夏萍张涛潘胜东王良静.膝关节置换手术日间化路径探讨[J].中国卫生质量管理,2023,30(10):043-45.[doi:10.13912/j.cnki.chqm.2023.30.10.10 ]
　WANG Wei,YAN Shigui,XIA Ping.Exploration of Ambulatory Approach for Knee Joint Replacement[J].Chinese Health Quality Management,2023,30(10):043-45.[doi:10.13912/j.cnki.chqm.2023.30.10.10 ]
点击复制

膝关节置换手术日间化路径探讨
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年10期
页码:
043-45
栏目:
医疗质量
出版日期:
2023-10-15

文章信息/Info

Title:
Exploration of Ambulatory Approach for Knee Joint Replacement
作者:
王卫严世贵夏萍张涛潘胜东王良静
浙江大学医学院附属第二医院
Author(s):
WANG Wei; YAN Shigui; XIA Ping
Medical Department,the Second Affiliated Hospital, School of Medicine, Zhejiang University
关键词:
膝关节置换; 加速康复外科; 倾向评分匹配; 日间手术
Keywords:
Knee Joint Replacement; Enhanced Recovery After Surgery; Propensity Score Matching; Ambulatory Surgery
分类号:
R197.323；R687.4
DOI:
10.13912/j.cnki.chqm.2023.30.10.10
文献标志码:
A
摘要:
目的分析膝关节置换日间化的优势，探讨膝关节置换日间手术开展的可行路径。方法纳入某院2021年10月31日-2022年10月31日开展日间膝置换患者16例，利用倾向评分匹配按1：2匹配普通膝置换患者32例，利用SPSS 22.0软件对两组患者基线数据和手术结果指标进行统计学分析。结果日间膝置换患者平均住院天数缩短为（2.4±0.5） d,术前等待时间缩短为0天，术后住院时间缩短为（2.4±0.5） d，相比普通膝置换患者，均具有统计学意义（P＜0.05）。结论在条件成熟、多学科支持、手术技术提升的情况下，膝关节置换日间化较普通膝置换更具优势，值得推广。
Abstract:
ObjectiveTo analyze the advantages of ambulatory knee joint replacement and explore the feasible path of ambulatory knee joint replacement. MethodsSixteen patients with ambulatory knee joint replacement from October 31st, 2021 to October 31st, 2022 were included, and 32 patients with ordinary knee joint replacement were matched with propensity score matching according to 1:2. The baseline data and surgical related indicators of the two groups of patients were statistically analyzed with SPSS 22.0 software.ResultsThe average hospital stay of patients with ambulatory knee joint replacement was shortened to (2.4 ± 0.5) days, the waiting time before surgery was shortened to 0 days, and the hospital stay after surgery was shortened to (2.4±0.5) days, which was statistically significant compared with patients with ordinary knee joint replacement (P<0.05).Conclusion Under the conditions of mature conditions, multidisciplinary support and improved surgical techniques, the ambulatory knee joint replacement has more advantages than the ordinary knee joint replacement which is worth promoting.

参考文献/References:

［1］LAN RH, KAMATH AF. Does the timing of pre-operative medical evaluation influence perioperative total hip arthroplasty outcomes［J］. Open Orthop J, 2017, 11: 195-202. ［2］蔡立柏, 刘延锦, 孟吉平,等. 全膝关节置换术后恐动症多学科协作管理模式构建［J］. 中国卫生质量管理, 2020, 27(3): 83-98. ［3］程金炎, 沈 慧, 陈晓虹,等. 缩短髋关节置换术患者平均住院日［J］. 中国卫生质量管理, 2020, 27(3): 88-92. ［4］程金炎, 沈 慧, 陈晓虹,等. 提高髋关节置换术患者功能锻练依从率［J］. 中国卫生质量管理, 2019, 26(3): 102-105. ［5］BOVONRATWET P, SHEN TS, AST MP，et al. Reasons and risk factors for 30-Day readmission after outpatient total knee arthroplasty: a review of 3 015 cases［J］. J Arthroplasty, 2020, 35(9): 2451-2457. ［6］浙江省卫生健康委医政医管与药政处. 浙江省三级医院2021年度DRG质量绩效分析报告［R］.2021. ［7］HONG J, HUANG Y, MA C，et al. Risk factors for anterior shoulder instability: a matched case-control study［J］. J Shoulder Elbow Surg, 2019, 28(5): 869-874. ［8］MESHRAM P, PALANISAMY JV, SEO JY，et al. Combined intravenous and intraarticular tranexamic acid does not offer additional benefit compared with intraarticular use alone in bilateral TKA: a randomized controlled trial［J］. Clin Orthop Relat Res, 2020, 478(1): 45-54. ［9］PALANNE R, RANTASALO M, VAKKURI A，et al. Effects of anaesthesia method and tourniquet use on recovery following total knee arthroplasty: a randomised controlled study［J］. Br J Anaesth, 2020, 125(5): 762-772. ［10］FILLINGHAM YA, RAMKUMAR DB, JEVSEVAR DS，et al. The efficacy of tranexamic acid in total knee arthroplasty: a network meta-analysis［J］. J Arthroplasty, 2018, 33(10): 3090-3098.

相似文献/References:

[1]费鸿翔侯冷晨李济宇秦环龙王清江*盛伟琪.以加速康复外科临床路径体系提升医院内涵质量建设[J].中国卫生质量管理,2019,26(06):035.[doi:10.13912/j.cnki.chqm.2019.26.6.10]
[2]杨艳英 杨静 勾冯茜.导航护士在加速康复外科中的作用：以腹腔镜肝切除围手术期为例[J].中国卫生质量管理,2020,27(02):019.[doi:10.13912/j.cnki.chqm.2020.27.2.07]
[3]张琼吕德珍余娜赵玉李群苗素琴.构建ERAS理念下机器人手术管理模式[J].中国卫生质量管理,2020,27(06):091.[doi:10.13912/j.cnki.chqm.2020.27.6.23]
　ZHANG Qiong,LV Dezhen,YU Na,et al.Constructing the Management Model of Robot Surgery under ERAS Concept[J].Chinese Health Quality Management,2020,27(10):091.[doi:10.13912/j.cnki.chqm.2020.27.6.23]
[4]李佳音王清江曾福安杨文劼朱帅盛伟琪.基于加速康复外科理念的乳腺良性肿瘤日间手术临床路径探索[J].中国卫生质量管理,2021,28(04):016.[doi:10.13912/j.cnki.chqm.2021.28.4.05 ]
　LI Jiayin,WANG Qingjiang,ZENG Fuan.Clinical Pathway of Ambulatory Surgery for Benign Breast Tumors Based on the Concept of Enhanced Recovery after Surgery[J].Chinese Health Quality Management,2021,28(10):016.[doi:10.13912/j.cnki.chqm.2021.28.4.05 ]
[5]成月佳徐云华侯旭敏茅腾徐婷婷吴镜湘侯冷晨余松轩.矩阵式管理在胸部手术加速康复外科的实践效果研究[J].中国卫生质量管理,2021,28(12):001.[doi:10.13912/j.cnki.chqm.2021.28.12.01 ]
　CHENG Yuejia,XU Yunhua,HOU Xumin.Practice of Enhanced Recovery After Surgery in Thoracic Surgery Based on Matrix Management Mode[J].Chinese Health Quality Management,2021,28(10):001.[doi:10.13912/j.cnki.chqm.2021.28.12.01 ]
[6]谢周龙龙李倩张蓉厉斌璐洪莉顾炜珺陈盛梅董昱余松轩马轶美严志龙.加速康复外科理念在儿童日间手术围术期的应用[J].中国卫生质量管理,2021,28(12):004.[doi:10.13912/j.cnki.chqm.2021.28.12.02 ]
　XIE Zhoulonglong,LI Qian,ZHANG Rong.Application of Enhanced Recovery After Surgery Concept in Perioperative Management of Children's Ambulatory Surgery[J].Chinese Health Quality Management,2021,28(10):004.[doi:10.13912/j.cnki.chqm.2021.28.12.02 ]
[7]庄英朱晓萍陈亚梅尹小兵胡龙军钱明平余松轩侯冷晨张戟.基于加速康复外科的结直肠肿瘤中心化建设[J].中国卫生质量管理,2021,28(12):008.[doi:10.13912/j.cnki.chqm.2021.28.12.03 ]
　ZHUANG Ying,ZHU Xiaoping,CHEN Yamei.Construction of Colorectal Tumor Center Based on Enhanced Recovery After Surgery[J].Chinese Health Quality Management,2021,28(10):008.[doi:10.13912/j.cnki.chqm.2021.28.12.03 ]
[8]袁筱祺李群侯冷晨张英滕秩轶胡琦敏苏琦.加速康复外科理念在重症肺炎患者中的应用[J].中国卫生质量管理,2021,28(12):011.[doi:10.13912/j.cnki.chqm.2021.28.12.04 ]
　YUAN Xiaoqi,LI Qun,HOU Lengchen.Application of the Concept of Enhanced Recovery After Surgery in Patients with Severe Pneumonia[J].Chinese Health Quality Management,2021,28(10):011.[doi:10.13912/j.cnki.chqm.2021.28.12.04 ]
[9]郭晓岚李粉娜王珍卫攀.基于ERAS理念构建AMI患者Ⅰ期心脏康复路径化管理模式[J].中国卫生质量管理,2022,29(03):077.[doi:10.13912/j.cnki.chqm.2022.29.3.21 ]
　GUO Xiaolan,LI Fenna,WANG Zhen.Construction of the Path-Based Management Mode of Phase I Cardiac Rehabilitation for AMI Patients Based on ERAS Concept[J].Chinese Health Quality Management,2022,29(10):077.[doi:10.13912/j.cnki.chqm.2022.29.3.21 ]
[10]王晴陈雁王清张转运张偌翠庄珊珊.基于加速康复外科的日间腹腔镜胆囊切除术患者疼痛管理最佳证据总结[J].中国卫生质量管理,2023,30(01):026.[doi:10.13912/j.cnki.chqm.2023.30.1.07 ]
　WANG Qing,CHEN Yan,WANG Qing.Summary of the Best Evidence for Pain Management in Patients Undergoing Ambulatory Laparoscopic Cholecystectomy Based on Accelerated Rehabilitation Surgery[J].Chinese Health Quality Management,2023,30(10):026.[doi:10.13912/j.cnki.chqm.2023.30.1.07 ]

更新日期/Last Update: 2023-10-15