摘要
目的 探讨加速康复外科（ERAS）理念在老年髋部骨折患者围术期手术室护理中的应用效果。方法 选取2023年1月-2024年12月我院收治的100例老年髋部骨折手术患者，按随机数字表法分为观察组（50例，ERAS手术室护理）与对照组（50例，常规手术室护理）。比较两组手术相关指标、术后恢复指标、并发症发生率及护理满意度。结果 观察组手术准备时间、术中液体输注量显著少于对照组（P＜0.05）；观察组术后首次下床活动时间、住院时间显著短于对照组（P＜0.05）；观察组并发症发生率（6.0%vs22.0%）显著低于对照组，护理满意度（96.0%vs82.0%）显著高于对照组（P＜0.05）。结论 老年髋部骨折患者围术期手术室应用ERAS护理，可缩短手术准备时间，加速术后康复进程，降低并发症风险，提升护理满意度，具有较高的临床应用价值。
关键词： 加速康复外科；老年患者；髋部骨折；围术期；手术室护理
Abstract
Objective To evaluate the application of Accelerated Recovery Surgery (ERAS) principles in perioperative care for elderly hip fracture patients. Methods A total of 100 elderly hip fracture surgical patients admitted to our hospital between January 2023 and December 2024 were randomly assigned using a digital randomization system into an observation group (50 cases, ERAS-guided care) and a control group (50 cases, conventional care). Comparative analysis was conducted on surgical indicators, postoperative recovery metrics, complication rates, and nursing satisfaction levels. Results The observation group demonstrated significantly shorter preoperative preparation time and reduced intravenous fluid administration compared to the control group (P <0.05). Both groups showed comparable outcomes in initial ambulation time and hospital stay duration (P <0.05). However, the ERAS group exhibited a markedly lower complication rate (6.0% vs 22.0%) and higher nursing satisfaction (96.0% vs 82.0%) than the control group (P <0.05). Conclusion The implementation of ERAS-based perioperative care for elderly hip fracture patients can effectively shorten preparation time, accelerate postoperative rehabilitation, reduce complication risks, and improve nursing satisfaction, demonstrating significant clinical value.
Key words： Accelerated rehabilitation surgery; Elderly patients; Hip fracture; Perioperative; Operating room nursing
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