Application Research of Multidisciplinary Collaboration under the ERAS Concept with Traditional Chinese Medicine Characteristics in the Perioperative Period of Elderly Patients with Fractures
Objective:To study the application of multidisciplinary collaboration under the enhanced recovery after surgery(ERAS)concept with traditional Chinese medicine(TCM)characteristics in the perioperative period of elderly patients with fractures.Methods:60 patients with intertrochanteric femur fractures were divided into two groups using a random number table method.The observation group underwent multidisciplinary cooperation during the perioperative period,utilizing various appropriate TCM techniques combined with oral administration of TCM for intervention.The control group received conventional treatment.After the intervention,comparisons and evaluations were made across multiple indicators.Results:The time to first ambulation and length of hospital stay were significantly shorter in the observation group compared to the control group(P<0.01).In terms of common complications such as urinary retention,constipation,pressure ulcers,deep vein thrombosis,and sleep disorders,the incidence was significantly lower in the observation group compared with the control group(P<0.05).In terms of pain scores,Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA)psychological state scores,Harris hip scores,and fracture healing X-ray scores,the observation group had significantly better out-comes compared with the control group(P<0.01).Conclusion:The multidisciplinary cooperation model under the ERAS concept with TCM characteristics,combining internal and external treatments,can greatly promote the rapid recovery of elderly patients with fractures.
Elderly fracturesPerioperative periodEnhanced recovery after surgery modelTCM characteristics