| 朱巧峰,邹三明,张宇博.加速康复外科理念在三踝骨折中的应用疗效分析.骨科,2021,12(4): 362-365. |
| 加速康复外科理念在三踝骨折中的应用疗效分析 |
| Application of Concept of Enhanced Recovery after Surgery in Three-ankle Fracture |
| 投稿时间：2021-02-03 |
| DOI：10.3969/j.issn.1674-8573.2021.04.013 |
| 中文关键词: 加速康复外科 三踝骨折 疗效 |
| 英文关键词: Enhanced recovery after surgery Three-ankle fracture Curative effectiveness |
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| 中文摘要: |
| 目的 探讨加速康复外科（enhanced recovery after surgery，ERAS）理念在三踝骨折治疗中的临床疗效。方法 选取2018年8月至2020年8月在我院行手术治疗的76例三踝骨折病人，依据病人住院号后两位数字，参照随机数字表法将其分为对照组及观察组，每组38例。对照组采用常规围手术期处理方法，观察组应用ERAS理念进行围手术期处理。观察比较两组病人入院第1天、术前3 d、术后6 h、12 h、24 h及出院时的疼痛视觉模拟量表（visual analogue score，VAS）评分、住院时间、术后3个月美国足踝外科协会（American Orthopaedic Foot and Ankle Society，AOFAS）踝-后足功能评分、术后并发症和病人满意度。结果 观察组术前3 d、术后6 h、12 h、24 h及出院时的VAS评分、住院时间以及术后3个月AOFAS评分、病人满意度均优于对照组，差异均有统计学意义（P均＜0.05）。观察组在伤口感染、下肢深静脉血栓形成、关节僵硬等并发症发生率上明显低于对照组，差异均有统计学意义（P均＜0.05）。结论 ERAS在三踝骨折围手术期的应用，可促进病人踝关节功能恢复，缩短住院时间，降低术后并发症，提高病人满意度。 |
| 英文摘要: |
| Objective To discuss the effect of enhanced recovery after surgery (ERAS) concept in the treatment of three-ankle fracture. Methods Seventy-six patients with three-ankle fracture were selected from August 2018 to August 2020. Based on the patient's hospitalization numbers, the patients were divided into control group and observation group according to random number table method. Control group was given routine perioperative management (38 cases), and the concept of ERAS was incorporated into the perioperative treatment of the observation group (38 cases). The visual analogue score (VAS) on the first day of admission, 3 days before operation, 6 h, 12 h and 24 h after operation and time of discharge, the time of hospitalization, the American Orthopaedic Foot and Ankle Society (AOFAS) score at 3rd month after operation, postoperative complications, and patient satisfaction in two groups were compared. Results The VAS score at 3rd day before operation, at 6th h, 12th h and 24th h after operation and the time of discharge, the length of hospital stay, the AOFAS score at 3rd month after operation and the satisfaction of patients in the observation groupwere better than those in the control group, and the differences were statistically significant (P＜0.05). The incidence of wound infection, lower extremity deep venous thrombosis, joint stiffness and other complications in the observation group was significantly lower than that in the control group (P＜0.05). Conclusion The application of accelerated rehabilitation surgery in the perioperative period of three-ankle fracture can promote the recovery of ankle joint function, shorten the hospitalization time, reduce postoperative complications and improve patient satisfaction. |
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