Huang Shu, Xie Yong, Huang Zhiyan, Wu Jiangyi, Yang Junjun, Tan Qiaoyin, Chen Guanyu, Yuan Jun, Liu Xiaoni, Wu Hui, Liu Baorong, Zhou Yizhao, Li Sihong, Li Xiaosheng, Zhang Guimin, Liu Xiangyang, Wang Jing
Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China.
Lunan Pharmaceutical Group Co. Ltd., Linyi 276000, China.
Bioinorg Chem Appl. 2021 Nov 19;2021:7832216. doi: 10.1155/2021/7832216. eCollection 2021.
In this study, we performed a retrospective and prospective study of preoperative predictors of the length of stay (LOS) in three groups of surgical patients and conducted a clinical retrospective study of the current research status of preoperative predictors of LOS prolongation in three groups of patients under ERAS (enhanced recovery after surgery) mode, such as patient characteristics and comorbidities. Information such as patients' exercise preferences, exercise time, frequency and duration, footwear, location of knee osteoarthritis, whether there is a past history of knee injury, and smoking and drinking history was collected, and the research data of 312 patients undergoing the three operations were analyzed by SPSS. Meniscal injury-knee arthroscopy sample included a total of 104 people. Surgical sample for anterior cruciate ligament reconstruction included a total of 100 subjects. Knee osteoarthritis-knee replacement surgery sample included 148 people who were divided into two groups in a ratio of 1 : 1: one group used Mailuo Shutong pills during hospitalization (intervention group) and the other group did not (control group). The research conclusions are as follows. . (1) Samples from different causes of injury showed significant differences for all injured sites. (2) Samples with different smoking and drinking histories all showed significant differences for the causes of injury. (3) Exercise hobby, exercise frequency, duration of each exercise and duration of exercise, and warm-up time before exercise all showed positive correlation. . (4) Samples from different causes of injury showed significant differences for all the injured sites. (5) Age has a significant negative influence on the wearing of shoes at ordinary times. (6) Exercise hobby: the warm-up time before exercise had a significant negative influence on the injured area. (7) Two groups of analysis items of exercise frequency, exercise duration and exercise duration, preexercise warm-up time, and exercise hobby were typically positively correlated. . (8) There was a significant difference of 0.01 between the hospitalization days of the intervention group and the control group ( < 0.01), and the hospitalization days of the intervention group were significantly lower than those of the control group. These results indicated that Mailuo Shutong pills were of great significance for the treatment of orthopedic patients during the operation period in that it could effectively shorten the hospital stay of all orthopedic patients and strengthen the accelerated rehabilitation. (9) There was a significant positive correlation between the history of knee joint surgery and the use time of Mailuo Shutong pills. (10) There was a markable positive correlation between occupation and sports hobbies, sports time, frequency and duration, and footwear. There was a significant negative correlation between occupation and preexercise warm-up. (11) Exercise time, frequency, and duration have significant positive influence on BMI.
在本研究中,我们对三组手术患者住院时间(LOS)的术前预测因素进行了回顾性和前瞻性研究,并对加速康复外科(ERAS,即术后加速康复)模式下三组患者LOS延长的术前预测因素的当前研究状况进行了临床回顾性研究,如患者特征和合并症。收集了患者的运动偏好、运动时间、频率和持续时间、鞋类、膝关节骨关节炎位置、是否有膝关节损伤既往史以及吸烟和饮酒史等信息,并使用SPSS对312例接受这三种手术的患者的研究数据进行了分析。半月板损伤 - 膝关节镜检查样本共有104人。前交叉韧带重建手术样本共有100名受试者。膝关节骨关节炎 - 膝关节置换手术样本有148人,按1∶1比例分为两组:一组在住院期间使用脉络舒通丸(干预组),另一组未使用(对照组)。研究结论如下。(1)不同损伤原因的样本在所有损伤部位均显示出显著差异。(2)不同吸烟和饮酒史的样本在损伤原因方面均显示出显著差异。(3)运动爱好、运动频率、每次运动持续时间和运动总时长以及运动前热身时间均呈正相关。(4)不同损伤原因的样本在所有损伤部位均显示出显著差异。(5)年龄对平时穿鞋有显著负面影响。(6)运动爱好:运动前热身时间对损伤部位有显著负面影响。(7)运动频率、运动持续时间和运动总时长、运动前热身时间以及运动爱好这两组分析项目通常呈正相关。(8)干预组和对照组的住院天数存在显著差异(P<0.01),干预组的住院天数显著低于对照组。这些结果表明,脉络舒通丸对骨科患者手术期治疗具有重要意义,因为它可以有效缩短所有骨科患者的住院时间并加强加速康复。(9)膝关节手术史与脉络舒通丸使用时间之间存在显著正相关。(10)职业与运动爱好、运动时间、频率和持续时间以及鞋类之间存在显著正相关。职业与运动前热身之间存在显著负相关。(11)运动时间、频率和持续时间对BMI有显著正向影响。