Evaluation of the Curative Effect of "Xingnao Kaiqiao" Acupuncture Based on Brunnstrom Staging on Upper Limb and Hand Motor Function in the Recovery Period after Stroke

Objective: To observe the effects of Xingnao Kaiqiao acupuncture(醒脑开窍针) on the motor function of upper limb and hand in the recovery period after stroke. Methods: Seventy-six cases of hemiplegia patients with ischemic stroke were divided into the treatment group and the control group(n=38 in each). Based on the Brunnstrom's stage of Xingnao Kaiqiao acupuncture combined with rehabilitation training was used in the treatment group, and the control group was given rehabilitation training. FuglMeyer Assessment of the upper extremity(FMA-UE), Action Research Arm Test(ARAT) and Simple Test for Evaluating hand Function(STEF) were adopted separately to compare scores before treatment and 8 weeks after treatment. Results: The difference was not statistically significant in the two groups of patients for comparison of FMA-UE, ARAT and STEF scores before treatment(P>0.05). The difference was statistically significant in the two groups of score comparison of FMA-UE, ARAT and STEF after treatment(P<0.05). Conclusion: The Xingnao Kaiqiao acupuncture has its unique advantages in improving recovery of motor function of upper limb and hand in recovery period after stroke.

Effect of Nursing Intervention in Operating Room for Patients with Gastric Cancer during Anesthesia Recovery Period

Objective: To analyze the effect of nursing intervention in operating room for gastric cancer patients in anesthesia recovery period. Methods: From June 2021 to December 2021, 78 patients who underwent gastric cancer surgery in our hospital were selected for research. Combined with the random number table method, they were divided into the control group (providing routine nursing care in operating room) and the observation group (providing nursing intervention in operating room) with 39 patients in each group respectively. The body temperature of the two groups during operation, during abdominal closure and after operation, the time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization, degree of satisfaction with nursing work was compared. Results: Compared with the control group, the body temperature in the observation group tended to be more normal during operation, during abdominal closure and after operation (P 0.05). The time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization in the observation group were shorter than those in the control group (P 0.05). The satisfaction degree of the observation group with nursing work was higher than that of the control group (P 0.05). Conclusion: Nursing intervention in operating room is effective for gastric cancer patients in anesthesia recovery period, which can maintain their perioperative temperature stability, promote their postoperative recovery and enhance their satisfaction with nursing work. It is worth adopting.

Conditional Generative Adversarial Network Enabled Localized Stress Recovery of Periodic Composites

Structural damage in heterogeneousmaterials typically originates frommicrostructures where stress concentration occurs.Therefore,evaluating the magnitude and location of localized stress distributions within microstructures under external loading is crucial.Repeating unit cells(RUCs)are commonly used to represent microstructural details and homogenize the effective response of composites.This work develops a machine learning-based micromechanics tool to accurately predict the stress distributions of extracted RUCs.The locally exact homogenization theory efficiently generates the microstructural stresses of RUCs with a wide range of parameters,including volume fraction,fiber/matrix property ratio,fiber shapes,and loading direction.Subsequently,the conditional generative adversarial network(cGAN)is employed and constructed as a surrogate model to establish the statistical correlation between these parameters and the corresponding localized stresses.The stresses predicted by cGAN are validated against the remaining true data not used for training,showing good agreement.This work demonstrates that the cGAN-based micromechanics tool effectively captures the local responses of composite RUCs.It can be used for predicting potential crack initiations starting from microstructures and evaluating the effective behavior of periodic composites.

Effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery

Objective:To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.Methods:A total of 120 patients undergoing nasal endoscopic surgery were included,and all patients were under trachea intubation and general anesthesia.The patients were randomized into an observation group and a control group,with 60 patients in each group.Patients in the control group received conventional anesthesia resuscitation,while patients in the observation group received acupoint massage plus acupoint sticking therapy on the basis of conventional anesthesia resuscitation.Changes in the heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP) were observed at three time points including the end of the surgery (TO),the removal of the tracheal tube (T1) and 10 min after the removal of the tracheal tube (T2).The awakening and tube removal time,choking cough and restlessness,and adverse reactions (dizziness,nausea and vomiting) in 24 h post-surgery period were compared.Results:At T1 and T2,the comparisons of HR,SBP and DBP between the two groups showed statistical significance (all P＜0.05).Intra-group comparisons showed that the HR,SBP and DBP of the control group at T1 and T2 were significant different from those at TO (all P＜0.05).There were significant differences in the awakening time and tube removal time between the two groups (both P＜0.05).The incidences of choking cough and restlessness were 8.3％ and 3.3％ respectively in the observation group,versus 53.3％ and 30.0％ in the control group,and the between-group comparisons showed statistical significance (both P＜0.05).The incidences of dizziness,nausea and vomiting in 24 h post-surgery period were 3.3％,5.0％ and 0.0％ respectively in the observation group,versus 43.3％,33.3％ and 25.0％ in the control group,and the between-group comparisons showed statistical significance (all P＜0.05).Conclusion:Acupoint massage plus acupoint sticking therapy can effectively regulate the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery,and maintain a stable internal environment.

Clinical Study of Applying Enhanced Recovery after Surgery Concept in Single-Segment Lumbar Spinal Stenosis Surgery

Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surgery (ERAS) principles provides a new approach to postoperative recovery in patients. This study aims to investigate the clinical application effects of ERAS principles in single-level lumbar spinal stenosis surgery. Methods: This study included 64 patients who underwent lumbar fusion surgery in the Spinal Surgery Department of Baise People’s Hospital from July 2022 to July 2024. These patients were divided into an experimental group (ERAS group, 33 cases) and a control group (conventional group, 31 cases) based on perioperative care, receiving ERAS principles and traditional treatment, respectively. A comparison was made between the two groups in terms of gender, age, BMI, intraoperative blood loss, postoperative length of hospital stay, postoperative complications, hospital costs, VAS scores (preoperative/postoperative day 3), and ODI scores (preoperative/postoperative day 3). Results: There were no significant differences in gender, age, and BMI between the ERAS group and the conventional group (gender: χ2 = 0.5008, P = 0.4792;age: 54.55 ± 8.51 years vs. 57.39 ± 8.16 years, P = 0.0892;BMI: 25.11 ± 2.70 vs. 24.77 ± 2.75, P = 0.3098). However, during surgery, patients in the ERAS group had significantly less blood loss than those in the conventional group (197.58 ± 195.51ml vs. 438.71 ± 349.22 ml, P = 0.0006), and the postoperative length of hospital stay was significantly shorter (7.00 ± 2.24 days vs. 11.55 ± 5.23 days, P = 0.0000). On postoperative day 3, VAS scores were significantly better in the ERAS group compared to the conventional group (3.70 ± 0.88 vs. 4.32 ± 0.87, P = 0.0031), and the ODI scores showed significant improvement as well (46.00 ± 3.04 vs. 48.00 ± 3.39, P = 0.0078). Although there were no significant differences in postoperative complications and hospital costs (complications: 3 cases vs. 0 cases, P = 0.2154;hospital costs: 63524.29 ± 17891.80 RMB vs. 58733.84 ± 13280.82 RMB, P = 0.1154), ERAS demonstrated better postoperative recovery outcomes in single-level lumbar spinal stenosis surgery. Conclusion: The study results support the implementation of ERAS principles in single-level lumbar spinal stenosis surgery to promote rapid recovery, reduce healthcare resource consumption, and improve overall patient satisfaction.

Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy

AIM To evaluate the safety and feasibility of enhanced recovery after surgery(ERAS) for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy.METHODS The clinical data of 42 patients who were divided into an ERAS group(n = 20) and a control group(n = 22) were collected. The observed indicators included operation conditions, postoperative clinical indexes, and postoperative serum stress indexes. Measurement data following a normal distribution are presented as mean ± SD and were analyzed by t-test. Count data were analyzed by χ~2 test.RESULTS The operative time, volume of intraoperative blood loss, and number of patients with conversion to opensurgery were not significantly different between the two groups. Postoperative clinical indexes, including the time to initial anal exhaust, time to initial liquid diet intake, time to out-of-bed activity, and duration of hospital stay of patients without complications, were significantly different between the two groups(t = 2.045, 8.685, 2.580, and 4.650, respectively, P < 0.05 for all). However, the time to initial defecation, time to abdominal drainage-tube removal, and the early postoperative complications were not significantly different between the two groups. Regarding postoperative complications, on the first and third days after the operation, the white blood cell count(WBC) and C reactive protein(CRP) and interleukin-6(IL-6) levels in the ERAS group were significantly lower than those in the control group.CONCLUSION The perioperative ERAS program for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy is safe and effective and should be popularized. Additionally, this program can also reduce the duration of hospital stay and improve the degree of comfort and satisfaction of patients.

Surrounding rock deformation and stress evolution in pre-driven longwall recovery rooms at the end of mining stage

Two case studies were conducted in the Shennan mining area of Shaanxi Province,China to evaluate the surrounding rock deformation and stress evolution in pre-driven longwall recovery rooms· These studies mainly monitored the surrounding rock deformation and coal pillar stress in the recovery rooms of the N1206 panel of 2-2 coal seam at Ningtiaota Coal Mine and the 15205 panel of 5-2 coal seam at Hongliulin Coal Mine.The monitoring results showed that the surrounding rock deformation of the main recovery room and the coal pillar stress in the N1206 and 15205 panels began to increase significantly when the face was 36 m and 42 m away from the terminal line,respectively.After the face entered the main recovery room,the maximum roof-to-floor convergence in the N1206 and 15205 panels was 348.03 mm and 771.24 mm,respectively,and the coal pillar stresses increased more than 5 MPa and 7 MPa,respectively.In addition,analysis of the periodic weighting data showed that the main roof break position of the N1206 and 15205 panels after the longwall face entered the main recovery room was-3.8 m and-8.2 m,respectively.This research shows that when the main roof breaks above the coal pillar,the surrounding rock deformation of the main recovery room and the coal pillar stress increase sharply.The last weighting is the key factor affecting the stability of the main recovery room and the coal pillar;main roof breaks at disadvantageous positions are the main cause of the support crushing accidents.

Enhanced recovery after surgery strategy to shorten perioperative fasting in children undergoing non-gastrointestinal surgery:A prospective study

BACKGROUND Enhanced recovery after surgery strategies are increasingly implemented to improve the management of surgical patients.AIM To evaluate the effects of new perioperative fasting protocols in children≥3 mo of age undergoing non-gastrointestinal surgery.METHODS This prospective pilot study included children≥3 mo of age undergoing nongastrointestinal surgery at the Children’s Hospital(Zhejiang University School of Medicine)from January 2020 to June 2020.The children were divided into either a conventional group or an ERAS group according to whether they had been enrolled before or after the implementation of the new perioperative fasting strategy.The children in the conventional group were fasted using conventional strategies,while those in the ERAS group were given individualized fasting protocols preoperatively(6-h fasting for infant formula/non-human milk/solids,4-h fasting for breast milk,and clear fluids allowed within 2 h of surgery)and postoperatively(food permitted from 1 h after surgery).Pre-operative and postoperative fasting times,pre-operative blood glucose,the incidence of postoperative thirst and hunger,the incidence of perioperative vomiting and aspiration,and the degree of satisfaction were evaluated.RESULTS The study included 303 patients(151 in the conventional group and 152 in the ERAS group).Compared with the conventional group,the ERAS group had a shorter pre-operative food fasting time[11.92(4.00,19.33)vs 13.00(6.00,20.28)h,P<0.001],shorter preoperative liquid fasting time[3.00(2.00,7.50)vs 12.00(3.00,20.28)h,P<0.001],higher preoperative blood glucose level[5.6(4.2,8.2)vs 5.1(4.0,7.4)mmol/L,P<0.001],lower incidence of thirst(74.5%vs 15.3%,P<0.001),shorter time to postoperative feeding[1.17(0.33,6.83)vs 6.00(5.40,9.20),P<0.001],and greater satisfaction[7(0,10)vs 8(5,10),P<0.001].No children experienced perioperative aspiration.The incidences of hunger,perioperative vomiting,and fever were not significantly different between the two groups.CONCLUSION Optimizing fasting and clear fluid drinking before non-gastrointestinal surgery in children≥3 mo of age is possible.It is safe and feasible to start early eating after evaluating the recovery from anesthesia and the swallowing function.

Clinical Application and Research Progress of Accelerated Rehabilitation Surgery in Perioperative Period of Advanced Gastric Cancer in the Elderly

Enhanced recovery after surgery (ERAS) has been used in various surgical professions in recent years and is widely accepted by doctors. This concept not only helps patients speed up postoperative recovery, reduce the incidence of related complications and shorten hospital stays, but also has been proved to be effective and safe in the perioperative application of gastric cancer. This article reviews the clinical application and research progress of enhanced recovery after surgery in the perioperative period of advanced gastric cancer in the elderly.

Enhanced recovery after surgery pathways for patients undergoing laparoscopic appendectomy:A systematic review and meta-analysis

Objective:To compare the benefits of enhanced recovery after surgery(ERAS)pathways with traditional pathways for adult patients undergoing laparoscopic appendectomy.Methods:We looked for publications using the keywords“Enhanced Recovery After Surgery,”“Fast-track Surgery,”“Laparoscopic Appendectomy,”and“Laparoscopic Appendicectomy”in PubMed/Medline,Embase,and the Cochrane library.Operative time,lesser length of stay,oral intake timing,readmission rate,pain/satisfaction levels,readmission rate,and surgical site infections were recorded and analyzed.Results:A total of 95 articles from registers and 161 articles from databases were identified.Three eligible studies were included.The ERAS pathways had a lesser length of stay[Z=2.06,MD=−1.05,95%CI=(−2.04,−0.05),P=0.04]and an earlier start to postoperative feeds[Z=6.22,MD=−267.49,95%CI=(−351.80,−183.19),P<001].Conclusions:ERAS pathways have a shorter length of stay and earlier postoperative feed initiation for adult patients undergoing laparoscopic appendectomy compared with standard care.Both approaches have similar operative time,surgical site infection incidence,and readmission rate.Clinical registration:This review is registered with INPLASY202280005.

极低剂量右美托咪定对老年患者全身麻醉苏醒期呛咳的影响

目的探讨极低剂量右美托咪定对老年患者颈动脉支架置入术(CAS)全身麻醉苏醒期呛咳的影响。方法选择择期行CAS的无症状单侧重度颈动脉狭窄老年患者111例,男75例,女36例,年龄≥65岁,BMI 18~32 kg/m^(2),ASAⅡ或Ⅲ级。采用随机数字表法将患者分为两组:右美托咪定组(D组,n=55)和对照组(C组,n=56)。D组于麻醉诱导前给予右美托咪定0.2~0.5μg/kg,麻醉诱导后至手术结束前30 min静脉输注极低剂量右美托咪定0.1~0.2μg·kg^(-1)·h^(-1);C组不给予右美托咪定。两组麻醉方案及术中用药方案相同。记录麻醉诱导前15 min(T_(0))、麻醉诱导后5 min(T_(1))、支架置入前5 min(T_(2))、支架置入后5 min(T_(3))、气管拔管后5 min(T_(4))的MAP和HR。记录术中丙泊酚和瑞芬太尼用量、麻醉苏醒期呛咳、躁动、呼吸抑制(SpO_(2)<90%)、拔管时间以及术后穿刺处感染、术后24 h VAS疼痛评分、术后恶心呕吐的发生情况。结果与C组比较,D组T_(1)、T_(2)时MAP明显升高,T_(3)、T_(4)时MAP明显降低,T_(1)、T_(3)、T_(4)时HR明显减慢(P<0.05),术中丙泊酚和瑞芬太尼用量明显减少(P<0.05),麻醉苏醒期呛咳、躁动发生率明显降低(P<0.05)。两组呼吸抑制发生率、拔管时间、术后24 h VAS疼痛评分以及术后恶心呕吐发生率差异无统计学意义,两组均未发生术后穿刺处感染。结论极低剂量右美托咪定可有效维持术中血流动力学稳定性,降低麻醉苏醒期呛咳、躁动发生率,且不增加术后不良反应,提高全身麻醉苏醒质量。

全程麻醉护理一体化模式联合预见性护理对小儿麻醉复苏期的影响

目的 探讨全程麻醉护理一体化模式联合预见性护理对小儿麻醉复苏期的影响。方法 前瞻性纳入湖南省儿童医院2021年9月至2022年8月收治的116例拟行心脏手术治疗的患儿进行随机对照研究,通过随机双盲抽签法将其分为对照组与观察组,各58例。对照组接受全程麻醉护理一体化模式护理干预,观察组接受全程麻醉护理一体化模式联合预见性护理干预。比较两组手术结束即刻(L1)、入复苏室即刻(L2)、麻醉清醒时(L3)患者麻醉复苏期体征水平;两组麻醉复苏情况及复苏期间并发症发生情况。结果 整体分析发现,两组心率、平均动脉压时间、组间、交互作用比较,差异有统计学意义(P<0.05),进一步两两比较:组内比较,两组组内各时点麻醉复苏期体征水平比较,差异有统计学意义(P<0.05);组间比较,观察组各时点心率、平均动脉压均高于对照组,差异有统计学意义(P<0.05)。观察组自主呼吸恢复时间、自主睁眼时间、拔管时间、出复苏室时间均短于对照组(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 全程麻醉护理一体化模式联合预见性护理有助于稳定小儿麻醉复苏期体征水平,促进小儿麻醉复苏期恢复,且可降低复苏期间并发症发生率。

快速康复外科理念下日间手术的麻醉与围术期质量控制

日间手术模式是一种加速康复理念下的手术诊疗康复体系,我国的日间手术正处于高速发展状态中,日间手术医疗质量管理也越来越受到重视。本文围绕日间手术的围术期管理进行了阐述,从患者选择、手术麻醉选择、术中管理、术后镇痛、术后恶心呕吐管理和出院随访等方面探讨了日间手术的管理细节,旨在建立统一的日间手术麻醉质量管理模式、进行全面的质量改进,为临床日间手术管理提供更恰当的日间手术管理方法,才能更好地促进日间手术的健康、快速、高效的发展。

快速康复理念下家庭参与式护理模式在 肺结节围术期患者护理中的应用

目的观察肺结节围术期护理中实施快速康复理念下家庭参与式护理模式的效果。方法选取行手术治疗的肺结节患者180例,采取随机数字表法分为对照组和观察组,每组90例。对照组患者应用常规护理,观察组实施快速康复理念下家庭参与式护理模式。比较2组患者术后时间结局指标、术前焦虑情况、家庭负担及术后训练积极性。结果观察组患者胸管留置时间及住院总时间均短于对照组,差异有统计学意义(P<0.05);干预后,观察组患者阿姆斯特丹术前焦虑与信息量表(APAIS)及疾病家庭负担量表(FBS)得分低于对照组,差异有统计学意义(P<0.05);观察组患者术后训练积极度水平高于对照组,差异有统计学意义(P<0.05)。结论实施快速康复理念下家庭参与式护理模式有利于促进肺结节手术患者早期康复,缓解患者术前焦虑情况,减轻家庭负担,提高患者术后康复训练积极性。

老油田“3+2”大幅度提高采收率技术内涵、机理及实践

传统方式的化学驱项目一般采取“2+3”的协同方式,也就是先通过水驱井网调整一次到位,再实施化学驱,受剩余油认识和预测精度的影响,会出现部分低产低效井,化学驱含水谷底平台期短,提高采收率幅度有限。为此,胜利油田通过基础攻关和探索实践,创新提出了化学驱与动态优化调整加合增效的“3+2”大幅度提高采收率技术,该技术是指在化学驱过程中,充分发挥和利用驱油体系扩大波及体积、提高驱油效率、调整动态非均质性的特点,主动培育、壮大动态剩余油富集区(“油墙”),适时井网调整、重构流场、均衡注采,高效动用、采出“油墙”,最大程度延长化学驱含水谷底平台期,实现三次采油和二次采油(“3+2”)适配优化、大幅度提高采收率的目的。通过大量物理模拟和数值模拟研究,明确了“井网-驱油剂-剩余油”适配优化提高采收率的机理。该技术在胜坨油田二区东三段5砂组进行了应用,通过优化“3+2”井网调整方式、驱油体系和注入参数等,预计区块含水谷底平台期从3 a延长至8 a,最终采收率为60.5%,比原方案采收率再提高7.5百分点。该技术是老油田大幅度提高采收率的关键技术,可以为中外同类型油藏延长化学驱见效高峰期提供指导和借鉴。

外侧弓状韧带上腰方肌与腹横肌平面阻滞对腹腔镜肝脏部分切除术后镇痛效果的研究

目的观察超声引导下外侧弓状韧带上前路腰方肌阻滞(QLB-LSAL)与腹横肌平面阻滞(TAPB)对腹腔镜肝脏部分切除术(LPH)后镇痛与恢复质量的影响。方法选择择期行LPH患者58例,采用随机数字表法将患者分为弓状韧带组和腹横平面组,每组29例。弓状韧带组在术前进行双侧QLB-LSAL,腹横平面组在术前进行双侧肋缘下TAPB,2组均每侧给予0.33%的罗哌卡因20 mL,术后均使用自控静脉镇痛(PCIA)。记录2组患者术后2、4、6、12、24和48 h静息和运动数字评价量表(NRS)评分,术前1 d、术后1和3 d进行15项恢复质量量表(QoR-15)评分,围手术期麻醉药物用量,PCIA按压次数,48 h补救镇痛药使用例数,术后恶心呕吐(PONV)发生率及术后首次下床时间。结果与腹横平面组相比,弓状韧带组术后2、4、6、12、24和48 h运动NRS评分,术后2、4、6、12和24 h静息NRS评分降低(P<0.05),术后1 d和3 d QoR-15评分增加(P<0.05),弓状韧带组患者围手术期瑞芬太尼和舒芬太尼用量、术后48 h使用补救镇痛药物比例、镇痛泵按压次数、PONV发生率及术后首次下床时间降低(P<0.05)。结论QLB-LSAL阻滞对LPH术后镇痛效果和恢复质量优于TABP阻滞。

基于精神情感状况导向的照护模式在重症颅脑损伤术后恢复期患者中的应用

目的 探讨基于精神情感状况导向的照护模式在重症颅脑损伤术后恢复期患者中的应用效果。方法 选取2020年2月至2023年2月湖南中医药高等专科学校附属第一医院100例重症颅脑损伤恢复期患者,以奇偶数法分为对照组和干预组,各50例。对照组于术后恢复期给予常规护理干预,干预组在对照组的基础上给予基于精神情感状况导向的照护模式干预,干预1个月。比较两组干预前后负面情绪[焦虑自评量表(SAS)及抑郁自评量表(SDS)]、日常生活活动能力[改良Barthel指数(MBI)]及认知功能[蒙特利尔认知评估量表(Mo CA)]。结果 干预后,两组SAS、SDS评分低于干预前,且干预组低于对照组(P<0.05);两组MBI、Mo CA评分高于干预前,且干预组高于对照组(P<0.05)。结论 基于精神情感状况导向的照护模式可改善重症颅脑损伤术后恢复期患者的负面情绪,提高日常生活活动能力和认知功能。

快速康复外科护理在跟骨骨折患者围术期护理中的应用效果分析

目的:分析快速康复外科护理在跟骨骨折患者围术期护理中的应用效果。方法:选取2021年5月—2022年5月滕州市中心人民医院收治的跟骨骨折患者100例作为研究对象,按照双色球随机原则分为对照组和试验组,各50例。对照组实施围术期常规护理,试验组在对照组基础上实施快速康复护理。比较两组护理效果。结果:试验组伤口肿胀消退时间、首次下床活动时间早于对照组,住院时间短于对照组,差异有统计学意义(P<0.001)。术后,两组跟骨交叉角度、跟骨结节关节角度、跟骨高度、跟骨宽度小于术前,且试验组小于对照组,差异有统计学意义(P<0.05)。试验组足跟恢复优良率高于对照组,差异有统计学意义(P=0.002)。试验组并发症发生率低于对照组,差异有统计学意义(P=0.037)。结论:快速康复外科护理在跟骨骨折患者围术期护理中的应用效果显著,可促进患者康复,改善临床指标,降低并发症发生率。