加强恢复计划的有效性与进行膝关节置换手术的患者的常规护理相比:系统性审查和元分析
Yanyan Ju1, Guangling Wang1, Xinglei Xiao2
1Orthopedics Ward, Jiangsu Provincial People's Hospital, Nanjing, 210010, China.
BMC musculoskeletal disorders
|July 4, 2025
概括
与常规护理相比,增强的康复计划显著减少了膝关节置换患者的住院时间. 这种方法有望改善手术后患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 基于证据的医学基于证据的医学.
- 进行元分析分析.
背景情况:
- 增强恢复计划 (ERP) 是多模式的外科手术期间护理策略.
- 它们在膝关节置换手术中的有效性需要全面评估.
研究的目的:
- 为了比较增强恢复计划与全膝关节置换患者的常规护理的有效性.
- 分析结果,包括住院时间,行走时间,疼痛,感染和血栓形成.
主要方法:
- 在PubMed,Scopus,Web of Science和Cochrane图书馆进行系统的文献搜索,截至2024年12月20日.
- 包括11个随机对照试验,涉及1003名患者.
- 对结果的元分析,将ERP与常规护理进行比较.
主要成果:
- 增强的康复计划显著减少了住院时间,平均为2.42天 (p < 0.05).
- 在行走的时间,视觉模拟尺度 (VAS) 疼痛得分或感染和血栓形成的风险方面没有发现显著差异.
- 亚组分析表明,ERP在BMI≤30Kg/m2的患者,65岁以上的患者以及在更大的研究中 (>100名参与者) 的患者中更有效.
结论:
- 增强的康复计划通过减少膝关节置换手术后住院时间来提供显著的好处.
- 虽然其他结果没有达到统计学意义,但趋势表明潜在的好处,可能受到研究样本大小的限制.
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