ERAS在全髋关节置换术后并发症预防中的效果评价

目的 研究快速康复外科（enhanced recovery after surgery，ERAS）方法在全髋关节置换术预防并发症的临床效果。 方法 选取河北医科大学第三医院行全髋关节置换术的患者作为研究对象，按照随机对照的原则分为研究组与对照组。研究组为实施ERAS护理方案组，对照组为常规护理组，评估并记录2 组患者术后1、3、7 d及1个月的疼痛评分、术后相关并发症（深静脉血栓、泌尿系感染、坠积性肺炎、压疮、便秘）、Harris髋关节功能评分；并对住院时间、住院费用和患者满意度进行比较。 结果 研究组的VAS评分与对照组比较，2组的VAS评分随时间的延长而降低，2组在组间、时点间、组间·时点间交互作用方面差异有统计学意义（P＜0.05）,术后并发症发生率均低于对照组，Harris评分高于对照组，差异均有统计学意义(P＜0.05)。研究组住院时间及住院平均费用均少于对照组，而患者满意度高于对照组 ，差异均有统计学意义(P＜0.05)。 结论 ERAS应用于全髋关节置换术后的患者中，可减少术后并发症的发生，促进患者髋关节功能恢复，增加患者及家属的满意度。

Evaluation of the effect of enhanced recovery after surgery concept on prevention of complications after total hip arthroplasty

Objective To study the effect of enhanced recovery after surgery(ERAS) method on the prevention of complication saftertotal hip arthroplasty(THA).Methods Patients who underwent THA from the Third Hosipital of Hebei Medical Univerisity were selected as research subjects. According to the principle of random control, the patients were divided into research group and control group. The research group was given ERAS nursing program, while the control group was given conventional nursing. The visual analogue scale(VAS) pain scores, postoperative complications(deep venous thrombosis, urinary tract infection, falling pneumonia, pressure sores, constipation) and Harris hip function scorewere recorded. The length of hospitalstay, average hospitalization expenses and patient satisfaction were compared.Results VAS scores of the two groups decreased over time, and the difference of interaction between groups, time points and time points between groups were statistically significant(P＜0.05). The incidence of complications in the research group was lower than that in the control group, while Harris score was higher than that in the control group, with significant difference(P＜0.05). The length of hospital stay and hospitalization expenses in the research group were less than those in the control group, while the patient satisfaction was higher than that in the control group, suggesting significant difference(P＜0.05).Conclusion ERAS can reduce the incidence of postoperative complications, promote recovery of patients after THA, and improve the satisfaction of patients and their families.