摘要
目的探讨加速康复外科理念在老年股骨粗隆间骨折围术期中的临床效果。方法收集2021年1月至2022年1月在本院就诊的老年股骨粗隆间骨折患者70例,随机分组,即对照组、观察组,均35例。对照组常规护理,观察组采用加速康复外科理念。统计入院时、术前1d、术后1d、术后3d、术后7d的视觉模拟评分法(VAS)评分;统计出院时、术后3月、术后6月、术后12月髋关节功能(Harris)评分;住院时间、骨折愈合时间。结果入院时,两组VAS评分比较,P>0.05,术前1d、术后1d、术后3d、术后7d,观察组VAS评分均低于对照组,P<0.05。两组出院时、术后3月Harris评分比较,P<0.05,两组术后6月、术后12月Harris评分比较,P>0.05。观察组住院时间短于对照组,P<0.05,两组骨折愈合时间比较,P>0.05。观察组术后并发症发生率8.57%低于对照组,P<0.05。结论加速康复外科理念在老年股骨粗隆间骨折围术期中,可减轻围术期期间疼痛,促进患者骨折愈合,改善髋关节功能。
Objective To explore the clinical effect of enhanced recovery after surgery in the perioperative period of elderly intertrochanteric fractures.Methods A total of 70 elderly patients with intertrochanteric fracture of femur treated in our hospital from January 2021 to January 2022 were collected and randomly divided into control group and observation group,35 cases in each group.The control group received routine nursing,while the observation group adopted the concept of enhanced recovery after surgery.The visual analogue scale(VAS)scores at admission,1 day before surgery,1 day after surgery,3 days after surgery,and 7 days after surgery were analyzed.The hip function(Harris)scores at discharge,3 months,6 months and 12 months after operation were analyzed.Hospital stay,fracture healing time.Results At admission,the VAS scores of the two groups were compared(P>0.05).The VAS scores of the observation group were lower than those of the control group 1 day before operation,1 day after operation,3 days after operation,and 7 days after operation(P<0.05).Harris score was compared between the two groups at discharge and 3 months after operation,P<0.05;Harris score was compared between the two groups at 6 months and 12 months after operation,P>0.05.The hospitalization time of the observation group was shorter than that of the control group(P<0.05).The fracture healing time of the two groups was compared(P>0.05).The incidence of postoperative complications in the observation group was 8.57%lower than that in the control group,P<0.05.Conclusion The concept of enhanced recovery after surgery can reduce perioperative pain,promote fracture healing and improve hip function in elderly patients with intertrochanteric fractures.
作者
谢艳红
赵艳敏
陈璐璐
XIE Yan-hong;ZHAO Yan-min;CHEN Lu-lu(Department of Osteology,Kaifeng People's Hospital,Kaifeng 475000,Henan Province,China)
出处
《罕少疾病杂志》
2023年第1期87-88,共2页
Journal of Rare and Uncommon Diseases
关键词
加速康复外科理念
老年股骨粗隆间骨折
围术期
临床效果
Enhanced Recovery after Surgery Concept
Intertrochanteric Fracture of Femur in the Elderly
Perioperative
Clinical Effect
