快速康复外科理念在闭合性跟骨骨折患者护理中的临床应用

［摘要］ 目的 探究快速康复外科理念（ERAS）在闭合性跟骨骨折患者护理中的应用效果。方法 选取本院2017年7月~2018年12月的全部闭合性跟骨骨折患者27名纳入ERAS系统的为ERAS组；2015年3月~2016年12月的全部30名闭合性跟骨骨折患者未进行ERAS管理的为传统组。其中传统组应用常规的围手术期护理，ERAS组应用ERAS快速外科理念对其进行干预护理。57例跟骨骨折患者均行手术治疗，其Sanders分型为Ⅱ型12例、Ⅲ型27例、Ⅳ型18例。对这57例闭合性跟骨骨折患者从术后疼痛评分、术后康复训练耐受时间、术后伤口肿胀消退时间、住院天数、住院费用、患者满意度等方面进行对比研究分析。结果 ERAS组术后1 d、3 d、1 w的疼痛评分均低于与传统组（P<0.05）；术后康复训练时间上ERAS组优于传统组（P<0.05）；术后肿胀消退时间ERAS组与传统组比较明显缩短（P<0.05），住院天数上ERAS组短于传统组（P<0.05），患者对护理满意度调查ERAS组评分高于传统组（P<0.01）。结论 ERAS快速康复外科理念在治疗闭合性跟骨骨折患者中能够降低住院天数，提高患者对护理治疗的满意度。

Nursing care of enhanced recovery after surgery protocol in patients with closed calcaneal fracture

［Abstract］ Objective To explore the effect of enhanced recovery after surgery protocol in nursing patients with closed calcaneal fracture. Methods Thirty patients with closed calcaneal fractures from July 2017 to December 2018 were enrolled for implementing ERAS protocol as an observation group， and 27 patients with closed calcaneal fractures from March 2015 to December 2016 as control group without ERAS management. Of 57 cases of calcaneal fracture， Sanders classification was 12 cases of type Ⅱ， 27 cases of type Ⅲ and 18 cases of type Ⅳ. The clinical data were analyzed and compared between two groups in terms of pain score， tolerance time of rehabilitation training， time of wound swelling subsidence， hospitalization days， hospitalization expenses and patient satisfaction. Results The pain score of the observation group was significantly lower than that of the control group （P<0.01）|the rehabilitation training time of the observation group was better than that of the control group （P<0.01）|the swelling subsidence time and hospitalization days of the observation group was significantly shorter than that of the control group （P<0.05）|the nursing satisfaction of the observation group was higher than that of the control group （P<0.05）. Conclusion ERAS rapid rehabilitation surgery concept in the treatment of closed calcaneal fracture patients can reduce hospitalization days， improve patient satisfaction with nursing treatment.