Application of enhanced recovery after surgery in the perioperative period of femoral intertrochanteric fractures in elderly patients
10.3760/cma.j.issn.0254-9026.2018.12.011
- VernacularTitle:加速康复外科理念在老年转子间骨折围术期中的应用
- Author:
Wei WANG
1
;
Jun YANG
;
Xin ZHANG
;
Zhongxin LIU
;
Zhan WANG
;
Lifeng DING
Author Information
1. 中国医科大学附属盛京医院骨科
- Keywords:
Rehabilitation;
Hip fracture;
Perioperative
- From:
Chinese Journal of Geriatrics
2018;37(12):1340-1342
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of enhanced recovery after surgery (ERAS)in the perioperative period of intertrochanteric femoral fractures in elderly patients. Methods A retrospective analysis of 100 elderly patients with intertrochanteric femoral fractures at Shenyang Shengjing Hospital from January 2014 to January 2017 was conducted. According to the treatment , patients were divided into two groups :an ERAS group and a routine group (n = 50 ,each ). Hospitalization times ,postoperative pain visual analogue scales (VAS ) ,complication rates ,operation times ,evaluated byHarris hip scores and other parameters were compared between the two groups. Results All patients were followed up for 20 months(mean=18.7 months). The hospitalization time and postoperative pain VAS score were shorter or lower in the ERAS group than in the routine group [(6.06±1.89)d vs. (8.02 ± 1.89)d ,3.02 ± 1.79 vs.3.66 ± 1.06 ,both P＜ 0.05].There was a significant difference in rates of complications (delirium and urinary tract infection )between the groups (P＜ 0.05).There was no statistically significant difference in operation time or Harris hip score between the groups one year after surgery (both P ＞ 0.05 ). Conclusions ERAS in treating intertrochanteric femoral fractures in the elderly can significantly reduce the length of hospital stay , postoperative pain and complications ,and should be recommended.
