摘要
目的探讨快速康复理念在超高龄髋关节置换患者围术期的应用。方法回顾性分析2008年8月至2012年10月该科年龄大于或等于85岁行单侧髋关节置换术的患者资料。将行快速康复治疗的42例患者作为试验组,行传统模式治疗的37例患者作为对照组。比较两组患者术后住院时间,术后是否输血,术后并发症,术后疼痛(VAS)、功能(HSS)评价。结果与对照组相比,试验组平均住院时间较对照组缩短,术后发生早期并发症总人数减少,早期疼痛减轻(P<0.05);术后输血患者比例、中晚期并发症及疼痛发生率两组比较差异无统计学意义(P>0.05)。结论在行髋关节置换术的超高龄患者中应用快速康复模式是安全可行的,可以有效减少患者术后并发症,缩短住院时间。
Objective To investigate the application of the fast‐track surgery in the super‐aged with hip replacement .Methods The data in 79 patients aged ≥ 85 years old with unilateral hip replacement in our department from August 2008 to October 2012 were retrospectively analyzed .Among them ,42 cases undergoing the the fast‐track surgery were taken as the experimental group and 37 cases undergoing the traditional treatment as the control group .The hospitalization time ,postoperative blood transfusion , postoperative complications ,postoperative pain（VAS） and function（HSS） evaluation were compared between the two groups .Re‐sults Compared with the control group ,the average hospitalization time in the experimental group was shortened ,the total cases of early postoperative complication occurrence were decreased and early pain was alleviated ,the differences showed the statistical sig‐nificance （P〈 0 .05） ,but the proportion of the patients with postoperative blood transfusion ,middle and late stage complications and pain had no statistically significant differences between the two groupes （P〉0 .05） .Conclusion The application of fast‐track surgery in super‐aged patients undergoing hip replacement operation is safe and feasible ,can effectively the occurrence rate of post‐operative complications and shorten the hospitalization time .
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第36期4881-4883,4886,共4页
Chongqing medicine
