Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1824-1827
ZHAO Zhi, PEI Li-jia, LIU Yang, HUANG Jun-mei, ZHOU Xin-she. Effect of preoperative and postoperative intervention of ERAS on rehabilitation effect and quality of life in elderly patients after total knee arthroplasty[J]. Chinese Journal of General Practice, 2022, 20(11): 1824-1827. doi: 10.16766/j.cnki.issn.1674-4152.002711
Citation: ZHAO Zhi, PEI Li-jia, LIU Yang, HUANG Jun-mei, ZHOU Xin-she. Effect of preoperative and postoperative intervention of ERAS on rehabilitation effect and quality of life in elderly patients after total knee arthroplasty[J]. Chinese Journal of General Practice, 2022, 20(11): 1824-1827. doi: 10.16766/j.cnki.issn.1674-4152.002711
shu

Effect of preoperative and postoperative intervention of ERAS on rehabilitation effect and quality of life in elderly patients after total knee arthroplasty

doi: 10.16766/j.cnki.issn.1674-4152.002711

  • Department of Orthopedics, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2021A0807

 2020byzd225sk

  • Received Date: 2021-12-23
    Available Online: 2022-12-30
    Abstract
  •   Objective  To investigate the effect of preoperative and postoperative intervention of enhanced recovery after surgery (ERAS) on rehabilitation effect and quality of life in elderly patients after total knee arthroplasty (TKA).  Methods  Forty-two elderly patients who underwent TKA in the First Affiliated Hospital of Bengbu Medical College from July 2019 to December 2020 were divided into two groups according to random number table. The study group received intervention of ERAS, and the control group received routine nursing. The rehabilitation effect and quality of life of the two groups were observed.  Results  The VAS pain scores of the study group [(4.38±1.12) points, (2.71±1.09) points] were significantly lower than those of the control group [(6.24±1.47) points, (5.87±2.10) points] at 12 and 48 hours after operation (all P < 0.05). The range of motion (ROM) of the two groups increased gradually after operation, and the ROM of the study group [(96.62±7.31)°, (117.83±4.29)°] were significantly higher than that of the control group [(83.28±6.74)°, (108.27±5.28)°] at 2 weeks and 1 month after operation (all P < 0.05). The score of hospital for special surgery knee score (HSS) of patients in the two groups increased gradually after surgery, and the score of the study group [(65.84±7.73) points, (86.74±7.48) points] were significantly higher than that of the control group [(55.28±6.13) points, (75.33±6.13) points] at 1 month and 6 months after surgery (all P < 0.05). Two weeks after operation, the total scores of material life, physical function, psychological function, social function and quality of life in the study group were significantly higher than those in the control group (all P < 0.05). The satisfaction of the study group was 95.24%, which was significantly higher than that of the control group (61.90%, P < 0.05).  Conclusion  ERAS intervention in elderly patients after TKA can significantly shorten hospitalization time, reduce the incidence of complications, and promote the recovery of knee function.

     

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