结合中医药干预加速康复外科方案在髋部大手术患者中的应用

Application of Chinese Medicine Intervention and Accelerated Rehabilitation Surgical Program in Patients Undergoing Major Hip Surgery

目的评估结合中医药干预加速康复外科方案对髖部大手术患者的临床疗效。方法纳入2014年3月1日至2016年3月1日我院行髋部大手术患者87例患者,采用电脑随机分组的方式分为研究组及对照组。研究组采用结合中医药干预加速康复外科方案,对照组采用常规治疗。比较两组患者住院时间、术后卧床时间、术后开始下床活动时间、临床愈合时间,患者术前、术后14d分别由同一研究者采用Harris评分对患者进行评分,统计两组患者并发症发生率。结果两组患者比较,研究组的平均住院时间、术后卧床时间、术后开始下床活动时间、临床愈合时间均少于对照组,差异有统计学意义(P<0.01)。两组患者比较,研究组Harris评分各项评分及总分均优于对照组,差异有统计学意义(P<0.05)。研究组共15例患者发生并发症,发生率为22.7%,对照组共23例发生并发症,发生率为39.5%,差异有统计学意义(P<0.05)。结论结合中医药干预加速康复外科方案对髋部大手术患者有良好的效果,能够提高治疗效果,缩短患者康复时间,增强患者术后机体功能,减少患者的痛苦,降低并发症的发生。

Objective To evaluate the clinical effect of Chinese medicine intervention and accelerating rehabilitation sur-gery program in patients undergoing major hip surgery. Methods 87 patients undergoing major hip surgery in our hospital from March 1,2014 to March 1,2016 were included and divided into experimental group and control group randomly by computer. The treatment group was treated with traditional Chinese medicine intervention and accelerating rehabilitative surgery program,while the control group was treated with conventional therapy. The time of hospitalization,time of bed rest,time of getting out of bed after op-eration and time of clinical healing were compared between two groups. The patients were scored by Harris score 14 days before and after operation by the same researcher,and the incidence of complications in the two groups was statistically analyzed. Results The average hospitalization time,bed rest time,time of getting out of bed after operation and clinical healing time of the study group were significantly lower than those of the control group （ P〈0. 01 ） . Harris score of every item and total score of the study group were significantly higher than those of the control group （ P〈0. 05 ） . The complication rate was 22. 7%（ 15 cases ） in the study group and 39. 5%（23 cases）in the control group,statistically significant（P〈0. 05）. Conclusion The application of traditional Chinese medicine intervention and accelerated rehabilitation surgical program on major hip surgery patients can improve the thera-peutic effect,shorten the rehabilitation time,enhance the function of body after surgery,reduce suffering and reduce the incidence of complications.