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快速康复外科护理在跟骨骨折患者围术期护理中的应用效果分析

Analysis on Application Effect of Enhanced Recovery After Surgery Care in Perioperative Care of Patients with Calcaneus fracture

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【作者】 王莹魏文芳

【Author】 Wang Ying;Wei Wenfang;Department of Foot and Ankle Surgery, Tengzhou Central People’s Hospital;

【通讯作者】 魏文芳;

【机构】 滕州市中心人民医院足踝外科

【摘要】 目的:分析快速康复外科护理在跟骨骨折患者围术期护理中的应用效果。方法:选取2021年5月—2022年5月滕州市中心人民医院收治的跟骨骨折患者100例作为研究对象,按照双色球随机原则分为对照组和试验组,各50例。对照组实施围术期常规护理,试验组在对照组基础上实施快速康复护理。比较两组护理效果。结果:试验组伤口肿胀消退时间、首次下床活动时间早于对照组,住院时间短于对照组,差异有统计学意义(P<0.001)。术后,两组跟骨交叉角度、跟骨结节关节角度、跟骨高度、跟骨宽度小于术前,且试验组小于对照组,差异有统计学意义(P<0.05)。试验组足跟恢复优良率高于对照组,差异有统计学意义(P=0.002)。试验组并发症发生率低于对照组,差异有统计学意义(P=0.037)。结论:快速康复外科护理在跟骨骨折患者围术期护理中的应用效果显著,可促进患者康复,改善临床指标,降低并发症发生率。

【Abstract】 Objective: To analyze the application effect of enhanced recovery after surgery care in perioperative care of patients with calcaneus fracture. Methods: A total of 100 patients with calcaneus fracture admitted to Tengzhou Central People’s Hospital from May 2021 to May 2022 were selected as the study subjects. They were divided into control group and experimental group according to the two-color sphere random principle, with 50 cases in each group. The control group was given routine perioperative care and the experimental group was given enhanced recovery after surgery care on the basis of the control group. The nursing effect of the two groups was compared. Results: The time of wound swelling disappearance and the time of first ambulation in the experimental group were earlier than those in the control group, the length of hospital stay in the experimental group was shorter than that in the control group, and the difference was statistically significant(P<0.001). After operation, the calcaneal intersection angle, calcaneal tuberosity joint angle, calcaneal height, and calcaneal width in the two groups were smaller than those before operation, and these indexes in the experimental group were smaller than those in the control group, with a statistically significant difference(P<0.05).The excellent rate of heel recovery in the experimental group was higher than that in the control group, and the difference was statistically significant(P=0.002). The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.037). Conclusion: The application of enhanced recovery after surgery care in perioperative care of patients with calcaneusal fracture has a significant effect, which can promote the recovery of patients, improve clinical indicators, and reduce the incidence of complications.

  • 【文献出处】 中国社区医师 ,Chinese Community Doctors , 编辑部邮箱 ,2024年18期
  • 【分类号】R473.6
  • 【下载频次】16
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