快速康复干预模式在骨折患者围术期中的应用效果及对术后康复的影响  

Effect of enhanced recovery afteRsurgery on the perioperative period of fractures and its impact on postoperative rehabilitation

作　　者：王雯[1] 钱佳兰 罗瑶 WANG Wen;QIAN Jialan;LUO Yao(Department of Orthopedics,Liyang People’s Hospital,Jiangsu,Liyang 213300,China)

机构地区：[1]江苏省溧阳市人民医院骨科,213300

出　　处：《河北医药》2024年第11期1694-1697,共4页Hebei Medical Journal

基　　金：溧阳市人民医院院级课题(编号:2023YJKT006)。

摘　　要：目的探讨快速康复干预模式在骨折患者围术期中的应用效果及对术后康复的影响。方法纳入溧阳市人民医院骨科2020年1月至2022年12月收治的骨折患者120例为研究对象,将其随机分为2组,每组60例。对照组采取常规干预模式,观察组实施快速康复干预模式,比较2组干预效果。结果观察组围术期的总失血量和显性失血量少于对照组(P<0.05)。2组隐性失血量比较,差异无统计学意义(P>0.05)。术后1个月、3个月和6个月,观察组疼痛水平低于对照组(P<0.05)。2组生活质量评分较干预前均升高,且观察组高于对照组(P<0.05)。观察组术后并发症发生率为3.33%,低于对照组的20.00%(P<0.05)。观察组干预满意度评分高于对照组(P<0.05)。结论将快速康复干预模式用于骨折患者围术期中,能有效减少患者围术期失血量,降低患者疼痛水平和术后并发症发生率,提高患者生活质量和干预满意度。Objective To explore the application effect of enhanced recovery afteRsurgery(ERAS)on the perioperative period of fractures and its impact on postoperative rehabilitation.Methods A total of 120 fracture patients admitted to the Department of Orthopaedics of Liyang People’s Hospital from January 2020 to DecembeR2022 were included in the study.They were randomly assigned into the control group and observation group,with 60 cases in each group.Conventional interventions and ERAS-based interventions were applied to control group and observation group,respectively.Intervention effects of the two groups were compared.Results The total and dominant blood loss during the perioperative period in the observation group were significantly loweRthan those of the control group(P<0.05).There was no significant difference in the occult blood loss between the two groups(P>0.05).At 1 month,3 months,and 6 months afteRsurgery,the pain levels in the observation group were significantly loweRthan those in the control group(P<0.05).Scores of the quality of life in both groups significantly increased compared to those before intervention,which were significantly higheRin the observation group than those of the control group(P<0.05).The incidence of postoperative complications in the observation group was significantly loweRthan that of control group(3.33%vs 20.00%,P<0.05).The scores of the intervention satisfaction were significantly higheRin the observation group than those of the control group(P<0.05).Conclusion ERAS-based intervention in the perioperative period of fractures can effectively reduce perioperative blood loss,pain levels and postoperative complications,and improve quality of life and intervention satisfaction.

关 键 词：骨折 术后康复 快速康复干预模式 疼痛水平 并发症 

分 类 号：R248.2[医药卫生—中医临床基础]