加速康复外科理念在3级创伤急救中心建设中的应用效果  

Application Effect of Enhanced Recovery After Surgery in the Construction of Level 3 Trauma Emergency Center

作　　者：王小平[1] WANG Xiaoping(Department of Emergency Trauma Surgery,Nanfeng County People’s Hospital,Fuzhou 344000 China)

机构地区：[1]江西省南丰县人民医院急诊创伤外科,江西抚州344000

出　　处：《中国伤残医学》2025年第5期68-72,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨加速康复外科理念(ERAS)在3级创伤急救中心建设中的应用效果。方法:回顾性分析2023年5月—2024年5月南丰县人民医院收治的64例创伤骨折患者资料,根据治疗方式的不同将其分为传统急救组和康复急救组,各32例。传统急救组采用传统救治体系进行治疗,康复急救组采用传统急救体系联合ERAS的综合救治体系进行治疗。比较两组治疗消耗时间、术后恢复时间、手术治疗费用、术后不同时间段疼痛程度、术后生活能力、术后生活质量和术后并发症发生情况。结果:康复急救组手术前等候时间、手术前检查的时间、手术时间均短于传统急救组,差异均有统计学意义(P<0.05)。康复急救组术后首次进食的时间、术后首次下床行走时间、术后住院天数均短于传统急救组,差异均有统计学意义(P<0.05);两组手术治疗费用比较,差异无统计学意义(P>0.05)。术后12h,两组疼痛视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);术后24h、48h,康复急救组的VAS评分均低于传统急救组,差异均有统计学意义(P<0.05)。康复急救组的术后改良Barthel指数、生活质量综合评定问卷-74评分均高于传统急救组,差异均有统计学意义(P<0.05)。康复急救组术后并发症发生率为15.62%,低于传统急救组的28.12%,但两组比较,差异无统计学意义(P>0.05)。结论:加速康复外科理念能有效缩短创伤患者的治疗消耗时间、术后恢复时间,减轻患者的术后疼痛,促进患者术后生活能力、生活质量恢复,对3级创伤急救中心建设具有积极作用。Objective:To explore and analyze the integration of accelerated rehabilitation surgery(ERAS)into the construction of level 3 trauma emergency center.Methods:A retrospective analysis was conducted on the data of 64 patients with traumatic fractures admitted to Nanfeng County People’s Hospital from May 2023 to May 2024,according to the different treatment methods,they were divided into a traditional emergency group and a rehabilitation emergency group,with 32 cases in each group.The traditional emergency group adopts a traditional treatment system,while the rehabilitation emergency group adopts a comprehensive treatment system of the traditional emergency system compounded with ERAS for treatment.The treatment time,postoperative recovery time,surgical treatment cost,pain degree at different time points after surgery,postoperative living ability,postoperative quality of life and the incidence of postoperative complications were compared between the two groups.Results:The waiting time before surgery,the examination time before surgery and the surgery time of the rehabilitation emergency group were shorter than those of the traditional emergency group,with statistical significance(P<0.05).The first time of eating,the first time of getting out of bed and walking and the length of hospital stay of the rehabilitation emergency group were shorter than those of the traditional emergency group,with statistical significance(P<0.05);there was no statistically significant difference in surgical treatment costs between the two groups(P>0.05).After 12 hours postoperatively,there was no statistically significant difference in the Pain Visual Analogue Scale(VAS)scores between the two groups(P>0.05);while at 24 and 48 hours after surgery,the VAS scores of the rehabilitation emergency group were lower than those of the traditional emergency group,with statistical significance(P<0.05).The postoperative Modified Barthel Index,Generic Quality of Life Inventory-74 scores of the rehabilitation emergency group were higher than those of

关 键 词：创伤骨折 加速康复外科 3级创伤急救中心 应用效果 

分 类 号：R68[医药卫生—骨科学]