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引流管对单髁膝关节置换术后疼痛及功能恢复的影响

THE EFFECTS OF DRAINAGE TUBE ON PAIN AND FUNCTIONAL RECOVERY AFTER UNICOMPARTMENTAL KNEE ARTHROPLASTY.

作者信息

Fu Ting, Ren Shuzhen, Nie Yu

机构信息

Fuyang People's Hospital, Fuyang, Anhui, China.

Fuyang Second People's Hospital, Fuyang, Anhui, China.

出版信息

Acta Ortop Bras. 2024 Mar 22;32(1):e266853. doi: 10.1590/1413-785220243201e266853. eCollection 2024.

Abstract

OBJECTIVE

The objective of this study was to evaluate the impact of drainage tube placement on postoperative pain, recovery, and opioid consumption within a 72-hour period following unicompartmental knee arthroplasty (UKA).

METHODS

Patients with medial knee osteoarthritis who underwent UKA from January 2019 to August 2020 were enrolled in the study and divided into two groups based on whether they received a drain postoperatively.

RESULTS

The drainage group had significantly lower VAS scores on day 1, day 2, and day 3, in addition to significantly smaller changes in the circumference of the knee joint within 3 days postoperatively (P <0.05). The ROM in the drainage group significantly increased at 3 days and 1 month post-surgery, with a statistically significant difference in morphine consumption between the two groups at 3 days (P<0.05). The incidence of postoperative nausea and vomiting (5 cases) and wound bleeding (1 case) was lower in the drainage group compared to the non-drainage group (P<0.05).

CONCLUSIONS

The placement of a drainage tube in UKA may reduce the swelling of knee joint and pain, which not only reduces the use of Opioid but also facilitates early functional activities of the knee joint.

摘要

目的

本研究的目的是评估单髁膝关节置换术(UKA)后72小时内放置引流管对术后疼痛、恢复及阿片类药物使用量的影响。

方法

纳入2019年1月至2020年8月接受UKA的内侧膝关节骨关节炎患者,并根据术后是否接受引流分为两组。

结果

引流组在术后第1天、第2天和第3天的视觉模拟评分(VAS)显著更低,此外术后3天内膝关节周长变化也显著更小(P<0.05)。引流组术后3天和1个月时的关节活动度(ROM)显著增加,两组在术后3天的吗啡使用量有统计学显著差异(P<0.05)。与非引流组相比,引流组术后恶心呕吐发生率(5例)和伤口出血发生率(1例)更低(P<0.05)。

结论

UKA中放置引流管可能减轻膝关节肿胀和疼痛,这不仅减少了阿片类药物的使用,还促进了膝关节的早期功能活动。

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