快速康复外科理念在老年全髋关节置换术后患者中的应用  

Application of fast track surgery for aged patients after total hip arthroplasty

作　　者：王晓燕[1] 宋丽霞[1] 向凝[1] 刘喜梅[1] 

机构地区：[1]深圳市第三人民医院,518000

出　　处：《辽宁医学杂志》2016年第4期36-39,共4页Medical Journal of Liaoning

摘　　要：目的探讨老年全髋关节置换术后患者应用快速康复外科理念的临床效果。方法临床选择2013年6月～2015年6月本院收治的老年全髋关节置换术患者90例,其中2013年6月至2014年5月实施常规护理作为对照组,2014年6月至2015年6月期间实施快速康复外科理念作为观察组,每组均为45例,比较两组住院平均成本、住院时间、首次术后下床时间、术后不同时段自理能力以及并发症情况。结果观察组的住院平均成本、住院时间、首次术后下床活动时间等指标显著优于对照组,P〈0.05;观察组术后3日、10日的自理能力评分显著高于对照组,P〈0.05;观察组术后并发症情况显著低于对照组,P〈0.05。结论全髋关节置换术后高龄患者应用快速康复外科理念可加速病情康复,减少术后并发症及降低医疗成本,效果满意,值得临床推广。Objective The objective of this study is to investigate the clinical effect of applying fast track surgery for aged patients after total hip arthroplasty. Methods 90 cases of aged patients received total hip arthroplasty in our hospital from June 2013 to June 2105 were chosen. Conventional nursing was applied to control group with patients from June 2013 to May 2014 ,while fast track surgery was applied to observation group with patients from June 2014 to June 2015 ,with 45 cases in each group. The average cost of hospitalization, length of stay, first postoperative ambulation time, self-care ability after operation and postoperative complication rate of the two groups were compared. Results Indicators such as, the average cost of hospitalization, length of stay and first postoperative ambulation time of observation group were obviously better than control group （ P 〈 0. 05 ）. Self-care ability scores of 3 days and 10 days after operation of observation group were obviously higher than control group （ P 〈 0. 05 ）. And Postoperative complication rate of observation group was obviously lower than that of control group （P 〈 0. 05）. Conclusion Applying fast track surgery for aged patients after total hip arthroplasty can accelerate rehabilitation, decrease postoperative complications and reduce the cost of hospitalization, ensuring satisfied effect. It is worthy of clinical promotion.

关 键 词：全髋关节置换术 高龄 快速康复外科理念 

分 类 号：R473.6[医药卫生—护理学]