加速康复外科在骨科中的应用被引量：15

Application of enhanced recovery after surgery in orthopedics

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摘要目的评价加速康复外科(ERAS)在骨科的应用价值。方法按照纳入和排除标准选取吐鲁番市人民医院2018年7~12月160例行三、四类择期手术治疗的骨科疾病患者,入组患者按就诊顺序,奇数为对照组,偶数为ERAS组,每组各80例;对照组按照骨科目前常规方式进行围手术期处理,ERAS组采用ERAS理念和方法进行围手术期处理,比较两组患者的康复情况。结果ERAS组术后第3天疼痛评分为(3.17±0.63)分,明显低于对照组的(3.44±0.78)分,差异有统计学意义(P<0.05);ERAS组术后胃肠道不良反应、麻醉不良反应、术后并发症发生率分别为3.75%、2.50%、1.25%,均明显低于对照组的20.00%、12.50%、8.75%,差异均有统计学意义(P<0.05);ERAS组患者的住院时间、住院费用分别为(18.21±8.49)d、(22 209.12±6 853.58)元,均明显少于对照组的(20.99±8.11)d、(24 806.99±7 718.20)元,差异均有统计学意义(P<0.05);ERAS组术后第3天和出院时住院满意度分别为96.25%、95.00%,均明显高于对照组的86.25%、82.50%,差异均有统计学意义(P<0.05)。结论加速康复外科在骨科手术患者中能够明显减少术后不良反应及并发症、缩短患者康复时间、降低住院费用,提高患者对住院的满意度,改善患者术后生活质量。 Objective To evaluate the application value of enhanced recovery after surgery(ERAS)in orthopaedics.Methods According to the inclusion exclusion criteria,160 patients with orthopaedic diseases who underwent the third and fourth types of elective surgery and admitted to the People's Hospital of Turpan from July 2018 to December 2018 were selected as the subjects.The patients were enrolled in the order of the treatment:the odd number into the control group,and the even number into the ERAS group,with 80 cases in each group.The control group were treated in the perioperative period according to the current routine of orthopedics in Department of Orthopaedics.The ERAS group was treated with the ERAS concept and method for perioperative treatment.The rehabilitation of the two groups was compared.Results The pain score on the third day after operation in the ERAS group was 3.17±0.63,which was significantly lower than 3.44±0.78 in the control group(P<0.05).The incidence of postoperative gastrointestinal adverse reactions,anesthetic adverse reactions,and postoperative complications in the ERAS group were 3.75%,2.50%,and 1.25%,respectively,which were significantly lower than corresponding 20.00%,12.50%,and 8.75%in the control group(all P<0.05).The hospitalization time and hospitalization expenses of patients in the ERAS group were(18.21±8.49)days and(22 209.12±6 853.58)yuan,respectively,which were significantly less than the corresponding(20.99±8.11)days and(24 806.99±7 718.20)yuan in the control group(P<0.05).The hospitalization satisfaction on the third day after operation and discharge in the ERAS group were 96.25%and 95.00%,respectively,which were significantly higher than 86.25%and 82.50%of the control group(P<0.05).Conclusion Enhanced recovery after surgery can significantly reduce postoperative adverse reactions and complications,shorten the recovery time of patients,reduce hospitalization costs,improve patient satisfaction with hospitalization,and improve postoperative quality of life in patients undergoing orthopedic surgery.

作者李强刘益锋木热提·卡哈尔刘竹祖丽娅·沙塔尔徐海涛 LI Qiang;LIU Yi-feng;MURETI Kahaer;LIU Zhu;ZULIYA Shataer;XU Hai-tao(Department of Orthopaedics,the People's Hospital of Turpan,Turpan 838000,Xinjiang,CHINA;Department of Orthopaedics,Hunan Provincial Brain Hospital,Changsha 410005,Hunan,CHINA)

机构地区吐鲁番市人民医院骨科湖南省脑科医院骨科

出处《海南医学》 CAS 2019年第18期2415-2417,共3页 Hainan Medical Journal

基金新疆自治区区域协同创新专项项目(编号:2018E02101)

关键词骨科加速康复外科疗效满意度并发症 Orthopedics Enhanced recovery after surgery Efficacy Satisfaction Complications

分类号 R68 [医药卫生—骨科学]

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参考文献1

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