首页|基于ERAS理念的手术室护理模式在全髋关节置换术患者中的应用效果

基于ERAS理念的手术室护理模式在全髋关节置换术患者中的应用效果

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目的 探讨基于加速康复外科(ERAS)理念的手术室护理模式在全髋关节置换术患者中的应用效果。方法 选取 2021 年7 月至 2022 年 7 月于本院接受诊治的 80 例全髋关节置换术患者作为研究对象,以随机数字表法将其分为对照组和观察组,各40 例。对照组予以常规手术室护理,观察组予以基于ERAS理念的手术室护理模式。比较两组的术后恢复指标、并发症发生情况、髋关节功能、疼痛程度以及应激反应指标。结果 观察组的术后下地活动时间、首次排气时间、首次排便时间以及住院时间均短于对照组,并发症总发生率低于对照组(P<0。05)。护理后,观察组的Harris评分高于对照组,视觉模拟评分法(VAS)评分低于对照组(P<0。05)。护理后,两组的去甲肾上腺素(NE)、C反应蛋白(CRP)、皮质醇(Cor)水平均升高,但观察组低于对照组(P<0。05)。结论 基于ERAS理念的手术室护理模式能明显降低全髋关节置换术患者术后疼痛感及应激反应,改善髋关节功能,促进康复,提升预后效果。
Application effect of operating room nursing mode based on ERAS concept in patients undergoing total hip replacement
Objective To explore the application effect of operating room nursing mode based on enhanced recovery after surgery(ERAS)concept in patients undergoing total hip replacement.Methods A total of 80 patients with total hip replacement who were treated in our hospital from July 2021 to July 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given routine operating room nursing,and the observation group was given operating room nursing mode based on ERAS concept.The postoperative recovery indexes,occurrence of complications,hip joint function,pain degree and stress response indexes were compared between the two groups.Results The postoperative ambulation time,first exhaust time,first defecation time and hospitalization time of the observation group were shorter than those of the control group,and the total incidence of complications was lower than that of the control group(P<0.05).After nursing,the Harris score of the observation group was higher than that of the control group,and the Visual Analogue Scale(VAS)score was lower than that of the control group(P<0.05).After nursing,the levels of noradrenaline(NE),C-reactive protein(CRP)and cortisol(Cor)in the two groups increased,but those in the observation group were lower than the control group(P<0.05).Conclusion The operating room nursing model based on ERAS concept can significantly reduce postoperative pain and stress response in patients undergoing total hip replacement,improve hip joint function,promote rehabilitation,and improve prognosis.

total hip replacementenhanced recovery after surgery conceptoperation room nursinghip functionstress reaction

李瑞、党杉

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西安交通大学医学院附属红会医院手术麻醉二科,陕西 西安,710054

全髋关节置换术 加速康复外科理念 手术室护理 髋关节功能 应激反应

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(16)