| 李林霞,方诗元,谢凯.快速康复外科理念在老年髋部骨折围手术期的应用[J].安徽医药,2020,24(7):1343-1345. |
| 快速康复外科理念在老年髋部骨折围手术期的应用 |
| Application of ERAS mode in the perioperative period of senile hip fracture |
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| DOI：10.3969/j.issn.1009?6469.2020.07.018 |
| 中文关键词: 髋骨折/康复 老年人 围手术期 快速康复外科 |
| 英文关键词: Hip fractures/rehabilitation Aged Perioperative period Enhanced recovery after surgery |
| 基金项目:安徽省科技攻关项目( 1401045022) |
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| 摘要点击次数: 1870 |
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| 中文摘要: |
| 目的观察临床上将快速康复外科( Enhanced Recovery After Surgery，ERAS)理念运用于老年髋部骨折病人围手术期的临床疗效。方法选取 2016年 l月至 2018年 1月，期间中国科学技术大学附属第一医院创伤骨科手术治疗的 60例老年髋部骨折病人作为研究对象，运用随机数字表法分为 ERAS组和常规组， ERAS组围手术期予以优质护理，优化术式，强调镇痛，早期康复锻炼；常规护理组予以外科病房一般常规护理及常规术式等。结果 ERAS组在肺部感染、褥疮等相关并发症发生率分析结果优于常规组( P＝0.047)； ERAS组髋关节 Harris评分( 30.1±6.5)分、 VAS评分( 2.7±0.5)分；常规组髋关节 Harris评分(43.6±5.2)分、 VAS评分( 4.8±0.9)分。 ERAS组优于常规组，差异有统计学意义( P＜0.05)。结论临床上在老年髋部骨折的围手术期康复过程中， ERAS模式效果好，具有降低髋部骨折病人在围手术期并发症的发生率的优势，同时促进病人的快速康复，值得临床推广。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of the ERAS mode in elderly patients with hip fracture during perioperative period.Methods According to the exclusion criteria，60 elderly patients with hip fracture admitted to the Trauma Orthopedics De?partment of Anhui Provincial Hospital from January 2016 to January 2018 were selected and randomly divided into ERAS groupand routine group.ERAS group was given high?quality nursing during perioperative period，which optimized operation mode，empha?sized analgesia and early rehabilitation exercise.Patients in routine nursing group were given routine nursing and routine operationin surgical ward.Results The incidence of complications such as pulmonary infection and bedsore in ERAS group was better than that in conventional group(P＜0.05)； Harris score of hip joint was(30.1±6.5)，VAS score was(2.7±0.5)in ERAS group；Harris score of hip joint was(43.6±5.2)and VAS score was(4.8±0.9)in conventional group.The results in the ERAS group were superi? or to those of the conventional group(P＜0.05).Conclusion ERAS mode has a good effect in the perioperative rehabilitation of elderly patients with hip fracture，which has the advantage of reducing the incidence of perioperative complications，and at the same time promotes the rapid rehabilitation of patients，and is worthy of clinical promotion. |
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