快速康复理念在老年人工髋关节置换术患者围手术期护理中的临床研究(1)
[摘要] 目的 探讨快速康复理念在老年人工髋关节置换术患者围手术期护理中的效果。 方法 将2017年6月～2018年4月我院接诊的39例患者纳入本研究。按照干预方法不同将患者为观察组21例和对照组18例。观察组：快速康复理念。对照组：传统模式。比较两组手术时间和住院时间、疼痛情况、髋关节功能评分、并发症发生情况。 结果 观察组平均手术时间、平均住院时间均低于对照组(P<0.05)；观察组干预后疼痛评分低于干预前和对照组(P<0.05)；观察组干预后髋关节功能评分高于干预前和对照组(P<0.05)；观察组并发症发生率低于对照组(P<0.05)。 结论 快速康复理念能够改善老年患者人工髋关节置换术围手术期护理效果，患者手术时间短，住院时间少，疼痛轻，髋关节功能改善较好，而且并发症明显减少，应用价值较高。
[关键词] 快速康复理念；人工髋关节置换术；围手术期；髋关节功能；并发症
[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701(2018)26-0151-04
Clinical study on rapid rehabilitation concept in the perioperative nursing of artificial hip joint replacement in elderly patients
YI Qianzhen DU Lingling
Second Department of Orthopaedics， Yichun People's Hospital in Jiangxi Province， Yichun 336000， China
[Abstract] Objective To explore the clinical effect of rapid rehabilitation concept in perioperative nursing of artificial hip joint replacement in elderly patients. Methods A total of 39 patients admitted in our hospital from June 2017 to April 2018 were enrolled in the study. According to the different intervention methods， the patients were divided into the observation group(n=21) and the control group(n=18). The observation group was treated with the concept of rapid recovery. The control group was given traditional mode. The operation time and hospitalization time， pain， hip function score and complications were compared between the two groups. Results The average operation time and average hospitalization time of the observation group were lower than those of the control group(P<0.05). The pain score of the observation group after intervention was lower than that before intervention and that of the control group(P<0.05). The hip function score of the observation group after the intervention was higher than that before the intervention and that of the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group(P<0.05). Conclusion The rapid rehabilitation concept can improve the perioperative nursing effect of artificial hip joint replacement in elderly patients. The patients have short operation time， less hospital stay， less pain， better hip function improvement， and significantly reduced complications. It has high application value.
[Key words] Rapid rehabilitation concept； Artificial hip joint replacement； Perioperative period； Hip function； Complications
快速康復外科理念(fast track surgery，FTS)是指在术前、术中及术后应用各种已证实有效的方法(强化心理疏导、术前术后配合指导、饮食管理、疼痛管理、个体化功能锻炼指导等)以减少手术应激及并发症，加速患者术后的康复[1-2]。随着我国人口老龄化进程的加快，人工髋关节置换术在老年患者人群中的应用越来越广泛，在老年人工髋关节置换术患者围手术期中引入快速康复外科理念，能有效降低患者术后早期并发症的发生，减轻关节疼痛，加快患者康复进程，缩短住院时间，节省医疗费用，提高患者满意度和就医体念[4-6]，现报道如下。, 百拇医药(易钱贞 杜玲玲)
[关键词] 快速康复理念；人工髋关节置换术；围手术期；髋关节功能；并发症
[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701(2018)26-0151-04
Clinical study on rapid rehabilitation concept in the perioperative nursing of artificial hip joint replacement in elderly patients
YI Qianzhen DU Lingling
Second Department of Orthopaedics， Yichun People's Hospital in Jiangxi Province， Yichun 336000， China
[Abstract] Objective To explore the clinical effect of rapid rehabilitation concept in perioperative nursing of artificial hip joint replacement in elderly patients. Methods A total of 39 patients admitted in our hospital from June 2017 to April 2018 were enrolled in the study. According to the different intervention methods， the patients were divided into the observation group(n=21) and the control group(n=18). The observation group was treated with the concept of rapid recovery. The control group was given traditional mode. The operation time and hospitalization time， pain， hip function score and complications were compared between the two groups. Results The average operation time and average hospitalization time of the observation group were lower than those of the control group(P<0.05). The pain score of the observation group after intervention was lower than that before intervention and that of the control group(P<0.05). The hip function score of the observation group after the intervention was higher than that before the intervention and that of the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group(P<0.05). Conclusion The rapid rehabilitation concept can improve the perioperative nursing effect of artificial hip joint replacement in elderly patients. The patients have short operation time， less hospital stay， less pain， better hip function improvement， and significantly reduced complications. It has high application value.
[Key words] Rapid rehabilitation concept； Artificial hip joint replacement； Perioperative period； Hip function； Complications
快速康復外科理念(fast track surgery，FTS)是指在术前、术中及术后应用各种已证实有效的方法(强化心理疏导、术前术后配合指导、饮食管理、疼痛管理、个体化功能锻炼指导等)以减少手术应激及并发症，加速患者术后的康复[1-2]。随着我国人口老龄化进程的加快，人工髋关节置换术在老年患者人群中的应用越来越广泛，在老年人工髋关节置换术患者围手术期中引入快速康复外科理念，能有效降低患者术后早期并发症的发生，减轻关节疼痛，加快患者康复进程，缩短住院时间，节省医疗费用，提高患者满意度和就医体念[4-6]，现报道如下。, 百拇医药(易钱贞 杜玲玲)