摘要
目的研究旨在探讨ERAS理念在老年患者髋关节置换术中麻醉管理的应用效果,为临床提供参考。方法研究对象为2018年11月-2020年5月收治的择期行髋关节置换术患者200例,年龄>60岁,入选病人按数字表法随机分为两组:ERAS方案组(A组,n=100)和常规方案组(B组,n=100),比较两组手术病人(实施ERAS围术期策略vs常规外科策略)住院时间、住院费用和并发症发生率等。结果两组患者年龄、身高、体重比较差异均无统计学意义;A、B两组患者术前1 d疼痛评分没有显著差别,比较差异无统计学意义;A组患者手术当天、术后1 d均显著高于B组,比较差异有统计学意义(P<0.05);B组患者术后褥疮、下肢深静脉血栓(DVT)、感染等并发症的发生例数均明显少于A组,比较差异有统计学意义(P<0.05);B组患者的手术时间、住院时间均明显短于A组,比较差异有统计学意义(P<0.05)。结论对接受人工髋关节置换术的老年患者进行ERAS理念的麻醉管理可有效减少术后并发症,提高治疗效果,改善预后,缩短患者平均住院时间,为临床提供参考。
Objective This research aims to discuss the clinical effect of the accelerated rehabilitation surgery(ERAS) concept on the management of anesthesia in hip replacement surgery in elderly patients, and provide a reference for the clinic. Methods The research subjects were 200 patients with hip replacement who were admitted to our hospital between Nov 2018 and May 2020, aged>60 years, and the selected patients were randomly divided into two groups according to the digital table method: ERAS program group(Group A, n=100) and the conventional regimen group(group B, n=100), comparing the hospitalization time, hospitalization cost and complication rate of the two groups of surgical patients(performing perioperative strategy vs conventional surgical strategy of ERAS). Results There was no statistically significant difference in age, height, and weight between the two groups of patients;there was no significant difference in pain scores on the 1 st day before and after the operation between the A and B groups;the difference between the two groups was not statistically significant;Compared with group B, the difference was statistically significant(P<0.05);the number of complications of postoperative bedsore, deep vein thrombosis(DVT), infection and other complications in group B patients was significantly less than that in group A. Academic significance(P<0.05);the operation time and hospitalization time of patients in group B were significantly shorter than those in group A, the difference was statistically significant(P<0.05). Conclusions Anesthesia management of the ERAS concept for elderly patients undergoing artificial hip replacement can effectively reduce postoperative complications, improve treatment effects, improve prognosis, shorten the average hospital stay of patients, and provide clinical reference.
作者
孙鑫
赵杨
安万丰
吴晓秋
刘凤娟
王宏伟
SUN Xin;ZHAO Yang;AN Wanfeng(Harbin 242 Hospital,Harbin 150066,China)
出处
《航空航天医学杂志》
2021年第9期1032-1034,共3页
Journal of Aerospace medicine
基金
黑龙江省卫生计生委科研课题,课题编号:2018317。
