老年医学与保健2025，Vol.31Issue(2)：528-532,5.
中医特色加速康复护理模式在老年股骨粗隆间骨折围手术期中的应用
Application of enhanced recovery after surgery nursing model with traditional Chinese medicine characteristics in perioperative period of intertrochanteric femoral fracture in the elderly
摘要
Abstract
Objective To explore the application effect of enhanced recovery after surgery(ERAS)nursing model with traditional Chinese medicine(TCM)characteristics in the perioperative period of elderly patients with intertrochanteric femoral fracture.Methods A total of 60 elderly patients with intertrochanteric fracture who underwent surgical treatment in Suzhou Hospital of Traditional Chinese Medicine from January 2023 to January 2024 were selected as the research subjects.According to the random number table method,they were divided into control group and observation group,with 30 cases in each group.Both groups received the same treatment.The control group received routine nursing,and the observation group did ERAS nursing with TCM characteristics.The changes in nausea,vomiting,hunger,thirst,negative emotions,and coagulation func-tion were observed and compared between the two groups before and after treatment.Results Before the operation,there was no statistically significant difference in the scores of thirst/hunger between the two groups(P＞0.05).After the operation,the scores of hunger/thirst in both groups were higher than those in the same group before the operation(P＜0.05),while the scores in the observation group were lower than those in the control group(P＜0.05).Before the operation,the degrees of nausea and vomiting in both groups were grade 0.After the operation,the degrees of nausea and vomiting in both groups in-creased compared with those in the same group before the operation(P＜0.001),while the degrees in the observation group were significantly milder than that in the control group(P＜0.05).Before the operation,there was no statistically significant difference in the scores of SAS and SDS between the two groups(P＞0.05).After the operation,the scores of SAS and SDS in both groups were higher than those in the same group before the operation(P＜0.05),while the scores in the observation group were lower than those in the control group(P＜0.05).Before the operation,there was no statistically significant difference in the values of APTT and PT between the two groups(P＞0.05).After the operation,the values of APTT and PT in both groups were higher than those in the same group before the operation(P＜0.05),while the values in the observation group were higher than those in the control group(P＜0.05).Additionally,the absolute difference in PT values before and after the operation in the observation group was significantly greater than that in the control group(P＜0.05).Conclusion ERAS nursing model with TCM characteristics can alleviate postoperative gastrointestinal discomfort,reduces negative emotions,improves coagulation func-tion,prevents thrombosis,and promotes functional recovery in elderly patients with intertrochanteric femoral fracture.关键词
老年/股骨粗隆间骨折/加速康复外科/围手术期/护理Key words
elderly/intertrochanteric femoral fracture/enhanced recovery after surgery/perioperative period/nursing引用本文复制引用
程洁,曾莹莹,许苏梁,刘锦涛,沈明娥..中医特色加速康复护理模式在老年股骨粗隆间骨折围手术期中的应用[J].老年医学与保健,2025,31(2):528-532,5.基金项目
第四批江苏省名老中医药专家传承工作室建设项目基金(苏中医科教[2021]7号) （苏中医科教[2021]7号）
江苏省科教能力提升工程:江苏省医学重点学科和医学重点实验室建设项目(苏卫科教[2022]17号) （苏卫科教[2022]17号）
2024年度苏州市中医医院院级青年课题"基于ERAS理念研究中医特色护理在老年股骨粗隆间骨折围术期的应用"(苏中院[2024]45号) （苏中院[2024]45号）
2024年度"苏州市中西医结合科研基金"项目"中医特色延续护理在老年股骨粗隆间骨折手术患者中的应用与疗效评估"(SYWD2024339) （SYWD2024339）
