加速康复外科理念对髋关节置换术病人术后并发症预防效果的观察

Preventive effect of enhanced recovery after surgery on postoperative complications in patients under⁃going hip arthroplasty

目的分析加速康复外科(enhanced recovery after surgery,ERAS)理念对髋关节置换术(total hip arthroplasty,THA)病人术后并发症的预防效果。方法回顾性分析我院2014年1月至2018年12月收治的200例行THA病人的临床资料,将术后采用常规护理的病人纳入对照组(100例),术后采用ERAS理念护理的病人纳入观察组(100例)。观察两组病人术后并发症发生情况、髋关节功能康复情况和功能独立性。结果术后6个月,观察组并发症发生率为4.00%,明显低于对照组的14.00%,差异有统计学意义(P<0.05);观察组Harris髋关节功能评分(Harris hip score,HHS)为(93.86±4.37)分,高于对照组的(77.64±8.74)分,差异有统计学意义(P<0.05);观察组功能独立性评定量表(functional indepen⁃dence measure,FIM)评分为(116.78±3.99)分,高于对照组的(94.09±6.82)分,差异有统计学意义(P<0.05)。结论ERAS理念可有效预防THA病人术后并发症,并且有助于提升病人髋关节功能康复效果及功能独立性。

Objective To analyze the preventive effect of enhanced recovery after surgery(ERAS)on postoperative complications in patients undergoing hip arthroplasty.Methods The clinical data of 200 patients with hip arthroplasty in our hospital from January 2014 to December 2018 were retrospectively analyzed.The patients who received routine nursing care after operation served as the control group,and those who were given ERAS concept nursing after operation were enrolled in the observation group.Harris hip score(HHS)and functional independence measure(FIM)were used to evaluate the functional recovery and functional independence of the patients.Results At 6th month after operation,the incidence of complications in the observation group was 4.00%,which was significantly lower than that in the control group(14.00%,P<0.05);the HHS score in the observation group was(93.86±4.37),which was higher than that in the control group(77.64±8.74)with the difference being statistically significant(P<0.05);the FIM score in the observation group was(116.78±3.99),which was higher than that in the control group(94.09±6.82)with the difference being statistically significant(P<0.05).Conclusion ERAS can help to prevent postoperative complications in patients undergoing hip arthroplasty,as well as improve the joint function rehabilitation effect and functional independence.