ERAS理念联合骨科康复护理对股骨颈骨折患者髋关节置换术后疼痛及恢复情况的影响

Effects of ERAS concept combined with orthopedic rehabilitation nursing on pain and recovery after hip arthroplasty in patients with femoral neck fracture

目的探究加速康复外科(ERAS)理念联合骨科康复护理对股骨颈骨折患者髋关节置换术后疼痛及恢复情况的影响。方法选取安徽省马鞍山市中医院2019年1月至2022年3月进行治疗的股骨颈骨折患者80例,采用随机数字表法将其分为对照组和观察组,各40例。对照组给予骨科常规康复护理,观察组给予骨科常规康复护理联合ERAS理念进行干预。干预前后比较两组术后恢复情况,包括髋关节功能、髋关节置换效果、视觉模拟评分法(VAS)评分、术后情况、术后并发症发生情况。结果干预后,观察组各项髋关节功能评分均高于对照组,差异有统计学意义(P<0.05)。干预后,两组各项髋关节置换效果评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组VAS评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,观察组住院天数、术后下床活动时间短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论ERAS理念联合骨科康复护理能够缩短股骨颈骨折患者的术后住院时间和下床所需时间,缓解术后疼痛,减少并发症,促进术后髋关节恢复。

Objective To explore the effects of ERAS concept combined with orthopedic rehabilitation nursing on pain and recovery after hip arthroplasty in patients with femoral neck fracture.Methods A total of 80 patients with femoral neck fracture treated in Maanshan Hospital of Traditional Chinese Medicine in Anhui Province from January 2019 to March 2022 were selected,they were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given orthopaedic routine rehabilitation nursing,and the observation group was given orthopaedic routine rehabilitation nursing combined with ERAS concept.The postoperative recovery of the two groups was compared before and after intervention,including hip function,hip replacement effect,visual analogue scale(VAS)score,postoperative conditions,and postoperative complications.Results After intervention,all hip function scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of hip replacement effect in both groups were higher than that before intervention,and those of observation group were higher than those of the control group,and the differences were statistically significant(P<0.05);VAS scores of the two groups were lower than that before intervention,and those of observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the days of hospitalization and the time of getting out of bed after operation in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion ERAS concept combined with orthopedic rehabilitation nursing can shorten the postoperative hospital stay and time required to get out of bed of patients with neck of femur fracture,alleviate postoperative pain,reduce complications,and promote postoperative hip joint recovery.