加速康复外科管理措施提高老年肩峰下撞击综合征病人肩关节镜下肩峰成形术后效果

doi:10.3969/j.issn.1003-9198.2023.01.015

Abstract

Abstract: Objective To analyze the effects of enhanced recovery after surgery(ERAS) measures in the elderly patients with subacromial impingement syndrome(SAIS) undergoing arthroscopic acromioplasty. Methods The clinical data of 38 elderly patients with SAIS receiving arthroscopic acromioplasty in our hospital from July 2017 to November 2021 was retrospectively collected. All the patients were divided into the traditional group(18 cases) and the ERAS group(20 cases) according to different perioperative management. The scores of the modified UCLA Shoulder Rating Scale(UCLA scale) and visual analogue scale (VAS) before operation, at discharge, 1,2,3 months after discharge and the postoperative hospital stay, and the incidence of complications were observed and compared between the two groups. Results The scores of UCLA scale and VAS were significantly improved in both groups after operation. The UCLA score in the ERAS group at discharge and 1 month after discharge was significantly higher than that in the traditional group, and the VAS score in the ERAS group was lower than that in the traditional group 1 month after discharge (P<0.05 or P<0.01). There was significant difference in hospital stay between the two groups (P<0.05),while the incidence rate of complications showed no statistical difference. Conclusion ERAS management may relieve the pain, accelerate shoulder rehabilitation and shorten the postoperative hospital stay time in the elderly patients with SAIS undergoing arthroscopic acromioplasty.

Key words: aged, enhanced recovery after surgery, arthroscopic acromioplasty, subacromial impingement syndrome

CLC Number:

R 687.4

FAN Yu-dong, CHEN Bing-qian, SHAO Yun-chao, XIA Qing. Effects of enhanced recovery after surgery on the efficacy of arthroscopic acromioplasty in elderly patients with subacromial impingement syndrome[J]. Practical Geriatrics, 2023, 37(1): 62-65.

References

[1] 张振伟,柯玉海,陈培莲.老年肩关节疾患的鉴别与微创治疗[J].老年医学与保健,2018,24(5):484-486.
[2] 殷悦,费敏,陆伟峰,等.早期经口进食对髋膝关节置换术后恶心呕吐的影响[J].临床麻醉学杂志,2020,36(11):1116-1118.
[3] 高天昊,白玉龙.肩袖损伤康复治疗进展[J].中国康复医学杂志,2016,31(11):1264-1268.
[4] 张一翀,陈建海.美国肩肘外科治疗师协会:关于肩关节镜下肩袖修复术后康复共识声明[J].中华肩肘外科电子杂志,2018,6(1):59-63.
[5] 张一翀,陈建海.美国肩肘外科治疗师协会:关于肩关节镜下肩袖修复术后康复的共识声明(续)[J].中华肩肘外科电子杂志,2018,6(2):139-150.
[6] TREVOR A L.The relationship of pain intensity, physical impairment,and pain-related fear to function in patients with shoulder pathology[J]. J Orthop Sports Phys Ther,2009,39(4):270-277.
[7] KOHAN E M,ALEEM A W,CHAMBERLAIN A M,et al.The influence of mental health on outcomes following total shoulder arthroplasty[J]. Semin Arthroplasty,2020,30(1):18-27.
[8] WANG Y,LIU Y,LI X,et al.Prospective assessment and risk factors of sleep disturbances in total hip and knee arthroplasty based on an enhanced recovery after surgery concept[J]. Sleep Breath,2021,25(3):1231-1237.
[9] 余刚,徐斌,涂俊.关节镜肩袖修补术后快速康复与延迟康复的Meta分析[J].中国运动医学杂志,2016,35(9):887-894.
[10] IREM D, GUL B,AHMET A.Comparison of slow and accelerated rehabilitation protocol after arthroscopic rotator cuff repair:pain and functional activity[J]. Acta Orthop Traumatol Turc,2011,45(1):23-33.
[11] 李建实.系统锻炼对肩关节镜下肩袖修补术康复的影响[J].中国卫生标准管理,2021,12(2):61-65.
[12] 王守立,周晓波,刘福存,等.不同时间点给予帕瑞昔布在肩关节镜术后的镇痛作用[J].中国内镜杂志,2019,25(9):1-6.
[13] AUYONG D B, HANSON N A , JOSEPH R S,et al.Comparison of anterior suprascapular,supraclavicular,and interscalene nerve block approaches for major outpatient arthroscopic shoulder surgery a randomized,double-blind,noninferiority trial[J].Anesthesiology,2018,129(1):47-57.

[1]	LI Jiang, QIU Yan, WANG Ting, WANG Dan, YU Yifan, PU Lingli, BU Ling. Correlation between preoperative SII/ALB and clinicopathologic features in elderly patients with lung adenocarcinoma [J]. Practical Geriatrics, 2024, 38(9): 893-896.
[2]	DAI Jing, CUI Yan. Correlation between glycosylated hemoglobin variability and cognitive dysfunction in elderly patients with type 2 diabetes mellitus [J]. Practical Geriatrics, 2024, 38(9): 931-935.
[3]	ZHENG Hong, QI Zhenbo, XU Peng, XU Jie, YU Xinyu, ZANG Yanan, ZHANG Zhaoyan. Effects of hypnotics on cognition function and daytime sleepiness in the elderly [J]. Practical Geriatrics, 2024, 38(9): 936-939.
[4]	ZHANG Xingxing, ZHANG Haiyang, HE Xiaojing, LU Xiang. Investigation on the relationship between different physical indexes and the risk of diabetes mellitus in the elderly [J]. Practical Geriatrics, 2024, 38(9): 940-943.
[5]	NI Hongyan, CHEN Yun, ZHANG Qibing, MA Yiming, XIE Chenglan. Effects of electroacupuncture on cognitive function and inflammatory factors in elderly patients undergoing lower limb orthopedic surgery during the perioperative period [J]. Practical Geriatrics, 2024, 38(9): 944-947.
[6]	LI Xiaomin, LI Xiaolin, LI Jie, WU Lei, HAO Ranran. Efficiency influencing factors of transanal double-balloon enteroscopy in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 958-961.
[7]	CAI Huicui, CHEN Yan, WANG Yan, YE Jinjun, ZHU Yuying. Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy [J]. Practical Geriatrics, 2024, 38(9): 968-972.
[8]	WANG Xiaojiao, WANG Ning, CUI Hong, YE Tong, WANG Xiaoming. Influence of exercise rehabilitation in elderly patients with mild to moderate chronic heart failure [J]. Practical Geriatrics, 2024, 38(8): 775-778.
[9]	SHEN Chenjun, WANG Xiaoqing, TANG Degang, NING Ping. Correlation between standardized uric acid and renal function in elderly patients with chronic kidney disease aged 90 and over [J]. Practical Geriatrics, 2024, 38(8): 779-782.
[10]	HAO Shijie, ZOU Jianpeng, WEI Chen, LIU Qingjiang. Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease [J]. Practical Geriatrics, 2024, 38(8): 783-787.
[11]	XIANG Chao, LUO Caidong. Analysis of the diagnostic value of T wave change of avL lead for the degree of coronary artery stenosis in elderly patients with coronary heart disease [J]. Practical Geriatrics, 2024, 38(8): 788-791.
[12]	LI Huiying, CAI Lili, ZHU Qiwei. Predictive value of plasma N-terminal pro-brain natriuretic peptide for prognosis in patients aged ≥80 years old with left ventricular hypertrophy [J]. Practical Geriatrics, 2024, 38(8): 797-801.
[13]	WANG Xinping, XIE Baimei, WEI Guo, YE Xiaoli, ZHAO Yayun, TAN Xiaotian. Expression levels and clinical significance of serum S100A9 and sCD163 in elderly patients with idiopathic interstitial pneumonia [J]. Practical Geriatrics, 2024, 38(8): 802-807.
[14]	LIU Meijuan, WANG Ning, WANG Dong, LU Fangzhou, LIU Juan. Effect of low-dose lidocaine combined with propofol on motor evoked potential in elderly patients undergoing intracranial tumor resection [J]. Practical Geriatrics, 2024, 38(8): 808-811.
[15]	LI Jingbing, WANG Huijun, WANG Shaoying, ZHAO Can, WANG Lidi, CAO Yujiao. Impacts of pentoxifylline combined with lipoic acid intervention on physical function and quality of life in elderly patients with frailty syndrome [J]. Practical Geriatrics, 2024, 38(8): 812-815.

Effects of enhanced recovery after surgery on the efficacy of arthroscopic acromioplasty in elderly patients with subacromial impingement syndrome

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10