ERAS规范化诊疗在老年髋部股骨粗隆间骨折患者中的应用研究
The Application of ERAS Standardized Diagnosis and Treatment in Elderly Patients with Hip Intertrochanteric Fracture
徐修磊 1张晓锐 1宋杰 1许圣犬 1蔡继人1
作者信息
- 1. 新疆生产建设兵团第一师阿拉尔医院,新疆 阿拉尔 843300
- 折叠
摘要
目的:探讨ERAS(加速康复外科)规范化模式在老年髋部股骨粗隆间骨折的临床应用效果.方法:选取2021年3月—2023 年3 月我院收治的 80 例老年髋部股骨粗隆间骨折患者为研究对象,将其分为对照组与观察组,各 40 例.观察组采用ERAS规范化模式治疗,对照组采用常规诊疗,记录患者的治疗情况.结果:术后 1、3、5d,观察组疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).术后 1、6个月,观察组Harris髋关节评分表各个维度评分均高于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率、术后 12 个月内再入院率均低于对照组,组间差异有统计学意义(P<0.05).观察组术前等待时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05).术后 2 周、1、3个月,观察组Barthel指数评定量表评分均高于对照组,组间差异有统计学意义(P<0.05).结论:针对老年髋部股骨粗隆间骨折患者实施ERAS规范化诊疗,有助于改善患者的疼痛程度,提升髋关节功能,有助于取得较好的治疗效果.
Abstract
Objective:To explore the clinical effect of ERAS(enhanced recovery after surgery)standardized model in the elderly patients with hip intertrochanteric fractures.Methods:80 elderly patients with hip intertrochanteric fracture admitted to our hospital from March 2021 to March 2023 were selected as the research objects,and they were divided into a control group and an observation group,with 40 cases in each group.The observation group was treated with ERAS standardized mode,and the control group was treated with routine diagnosis and treatment.The treatment of patients was recorded.Results:The pain Visual Analogue Scale scores of the observation group were lower than those of the control group at 1,3 and 5 days after operation,and the differences were statistically significant(P<0.05).At 1,6 months after operation,the scores of each dimension of Harris Hip Score in the observation group were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of complications and readmission rate within 12 months after surgery in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The preoperative waiting time and hospitalization time of the observation group were shorter than those of the control group,and the differences between the two groups were statistically significant(P<0.05).At 2 weeks,1,3 months after operation,the Barthel Index scores of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The implementation of ERAS standardized diagnosis and treatment for elderly patients with hip intertrochanteric fracture can help to improve the pain degree of patients,improve hip function.
关键词
老年髋部股骨粗隆间骨折/ERAS规范化诊疗/髋功能指标/疼痛度/再入院率Key words
Intertrochanteric fracture of the hip in the elderly/ERAS standardized diagnosis and treatment/Hip function index/Degree of pain/Readmission rate引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据