Journal of Tissue Engineering and Reconstructive Surgery ›› 2023, Vol. 19 ›› Issue (5): 492-.

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Effect of fasting time on postoperative rehabilitation of elderly patients in perioperative rapid rehabilitation integrated management system of hip and knee arthroplasty #br#

Effect of fasting time on postoperative rehabilitation of elderly patients in perioperative rapid rehabilitation

integrated management system of hip and knee arthroplasty

  

  • Online:2023-10-09 Published:2023-11-01

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Abstract:

Objective　To explore the effect of preoperative fasting time on postoperative rehabilitation of elderly patients in
perioperative rapid recovery comprehensive management system of hip and knee replacement. Methods　According to different
preoperative fasting time management methods, elderly patients (>80 years old) who underwent hip and knee replacement from
July 2018 to June 2021 were randomly divided into control group and fast recovery group. A total of 380 patients in the control
group were given the control fasting program, and 380 patients in the fast recovery group were given the personalized fasting program according to the fast recovery concept and refined nursing process, basically referring to no clear fluid 2 hours before operation, no semi-fluid 4 hours before operation, and no solid diet 6 hours before operation. The actual fasting time, the proportion
of patients requiring fluid rehydration before operation, the incidence of aspiration, the incidence of postoperative gastrointestinal
symptoms such as nausea and vomiting, the postoperative ground time, the postoperative hospital stay and the joint function score
during follow-up were compared between the two groups. Results　The fasting time of the control group was significantly longer
than that of the fast recovery group. The proportion of patients requiring fluid rehydration before operation in control group was
significantly higher than that in fast recovery group. There was no intraoperative and postoperative aspiration in the two groups.
The incidence of postoperative nausea and vomiting in control group was significantly higher than that in fast recovery group. The
postoperative ground time in the control group was significantly longer than that in the fast recovery group. The average length
of postoperative hospital stay in the control group was higher than that in the fast recovery group, but there was no statistical
significance. There was no significant difference in joint function score between the control group and the fast recovery group at
6 weeks after operation. Conclusion　Using the concept of fast recovery and fine nursing, personalized setting of fasting time
before hip and knee replacement can significantly reduce the incidence of postoperative gastrointestinal discomfort, improve the
short-term recovery speed, shorten the postoperative hospital stay, but has no significant effect on the joint function of patients 6
weeks and more after surgery.

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