Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15232, USA.
J Arthroplasty. 2012 Jun;27(6):851-6. doi: 10.1016/j.arth.2012.01.011. Epub 2012 Mar 3.
The isolated effect of physical therapy (PT) on total joint arthroplasty hospital length of stay (LOS) has not been studied. A prospective cohort study was conducted on 136 primary total joint arthroplasties (58 hips, 78 knees). The LOS was determined by the operative start time until the time of discharge. On postoperative day (POD) 0, 60 joints remained in bed, 51 moved to a chair, and 25 received PT (22 ambulated, 3 moved to a chair). Length of stay differed for patients receiving PT on POD 0 (2.8 ± 0.8 days) compared with POD 1 (3.7 ± 1.8 days) (P = .02). There was no difference in PT treatment based on nausea/vomiting, pain levels, or discharge location. Isolated PT intervention on POD 0 shortened hospital LOS, regardless of the intervention performed.
尚未研究物理治疗（PT）对全关节置换术住院时间（LOS）的单独影响。对 136 例初次全关节置换术（58 髋，78 膝）进行了前瞻性队列研究。LOS 通过手术开始时间到出院时间确定。术后第 0 天（POD）时，有 60 个关节仍卧床，51 个关节可移动至椅子上，25 个关节接受了 PT（22 个可走动，3 个可移动至椅子上）。在 POD 0 接受 PT 的患者的住院时间为 2.8 ± 0.8 天，而在 POD 1 接受 PT 的患者的住院时间为 3.7 ± 1.8 天（P =.02）。PT 治疗的依据不是恶心/呕吐、疼痛程度或出院地点。无论干预措施如何，在 POD 0 时单独进行 PT 干预可缩短住院 LOS。
