股骨颈骨折术后应用传统康复模式与ERAS模式的早期疗效分析  

Analysis of the Early Efficacy of Applying the Traditional Rehabilitation Model and the ERAS Model after Femoral Neck Fracture Surgery

作　　者：孟德峰 王玉召[1] 钟浩 杨帆[1] 王栋[1] 吴齐 刘诗惠 王铀 张岩峰 Meng Defeng;Wang Yuzhao;Zhong Hao(Department of Trauma Neurosurgery,Chinese People’s Liberation Army 948th Army Hospital,Tacheng,Xinjiang,833000,China)

机构地区：[1]中国人民解放军陆军第948医院创伤神经外科,新疆塔城地区833000

出　　处：《黑龙江医学》2023年第24期3013-3015,共3页Heilongjiang Medical Journal

基　　金：中国人民解放军陆军后勤课题(QJGYYXYJZX-012)。

摘　　要：目的:探讨股骨颈骨折行髋关节置换术后应用传统康复模式与加速康复外科(ERAS)模式对于术后康复的早期疗效。方法:选取2019年12月—2021年8月中国人民解放军第948医院收治的119例股骨颈骨折行髋关节置换术的患者作为研究对象,按照干预模式及术后处理方式分为传统康复组(49例)和ERAS组(70例),围手术期分别给与传统康复模式及ERAS模式处理,观察两组患者生命体征,并发症及术后住院时间,同时进行跟踪随访3个月,通过患者功能恢复及生活质量等对比分析早期疗效。结果:两组患者术前资料对比分析各项指标,差异无统计学意义(P>0.05)。在不同围手术期干预下,传统康复组在初次下地时间,出院时间明显高于ERAS组,差异有统计学意义(t=5.674、4.231,P<0.05);随访3个月中,两组患者中传统康复组术后1周,1个月,2个月中Harris评分明显低于ERAS组,差异有统计学意义(t=4.680、4.875、4.446,P<0.05)。结论:股骨颈骨折行髋关节置换围手术期采用ERAS模式较传统模式更加安全有效,加速患者术后康复,减少住院时间,提高患者早期生活质量、临床诊疗效率和水平。Objective:To investigate the early efficacy of the traditional rehabilitation model versus the enhanced recovery after surgery(ERAS)model for postoperative rehabilitation after hip arthroplasty for femoral neck fractures.Methods:119 patients with femoral neck fractures undergoing hip arthroplasty admitted to the hospital from December 2019 to August 2021 were selected and divided into traditional rehabilitation group(49 cases),and ERAS group(70 cases)according to the different intervention models and postoperative management.During the perioperative period,the patients were treated with conventional rehabilitation mode and ERAS mode,respectively.The patients’vital signs,complications and postoperative hospitalization time were observed in both groups,and the patients were followed up for 3 months,and the early efficacy was analyzed by functional recovery and quality of life.Results:There was no statistically significant difference in the preoperative indices between the two groups(P>0.05).With different perioperative interventions,time to first landing,and time to discharge were significantly higher in the traditional rehabilitation group than in the ERAS group,with statistically significant differences(t=5.674,4.231,P<0.05).At three months of follow-up,the Harris score was significantly lower in the group than in the ERAS group at 1 week,1 month,and 2 months postoperatively,and the difference was statistically significant(t=4.680,4.875,4.446,P<0.05).Conclusion:The use of ERAS mode in the perioperative period of hip replacement for femoral neck fracture is safer and more effective than the traditional mode,which accelerates the postoperative recovery of patients,reduces the hospitalization time,improves the early quality of life of patients,and improves the efficiency and level of clinical treatment.

关 键 词：股骨颈骨折 髋关节置换 传统康复模式 加速康复外科模式 

分 类 号：R683.42[医药卫生—骨科学]