快速康复理念在髋关节置换围手术期中的应用

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Abstract Objective To investigate the application of the fast-track surgery in the patients with total hip arthroplasty because of fractured neck of femur.Methods Seventy-nine patients undergoing primary THR were recruited prospectively.After randomization，one group with thirty-nine patients undergoing the fast-track surgery were taken as the experimental group and forty patients undergoing the traditional treatment as the control group.We compared the length in bed，complications，pain，physical activities of daily living and postoperative function.Results All patients were followed up for 6 months.The length of bed of traditional recoery group was about (3.5±1.0)days，and the length of bed of fast-track recoery group was about (2.1±0.6)days(P＜0.001).The time of activities was about (25.5±14.4)h，and the fasttrack group was about (37.4±10.4)h (P＜0.001).Postoperative complications occurred in 5 patients in the fast-track group，while 10 cases in the traditional group(P＜0.001).The difference on the pain was not significant.The results showed that the scores of Harris were significantly higher in the fast-track recovery group than the traditional group on the day of discharge，3 months after operation and at the end of the 6 month after operation(P＜0.001).Conclusion Compared with conventional care，fast-track surgery in patients undergoing total hip arthroplasty is safe and feasible.The application of FTS contributed to significant reduction of length in bed and complications.There is significant difference regarding mobilization，postoperative function besides pain.

Key words： total hip arthroplasty fast-tract surgery neck of femur fracture

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2017/V23/I2/110

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