快速康复外科护理方案对超高龄老年髋部骨折患者围手术期护理的影响

Effect of Rapid Rehabilitation Surgical Nursing Program on Perioperative Nursing of Super-Aged Patients with Hip Fracture

摘要: 目的：探讨快速康复护理方案在超高龄老年髋部骨折围手术期护理中的临床效果。方法：选取我科收治的94例年龄大于80岁的髋部骨折患者，随机分为常规组(47例)和快速康复护理组(47例)，比较两组患者在护理方案实施前后的心理状态、疼痛程度、血清炎症因子、凝血、髋关节功能、下肢深静脉血栓发生率。结果：护理前两组患者焦虑自评量表、抑郁自评量表、视觉模拟评分、IL-6、IL-10、TNF-α、凝血因子水平、Harris评分比较，差异均无统计学意义(P > 0.05)。快速康复护理组护理后焦虑自评量表、抑郁自评量表、视觉模拟评分、IL-6、IL-10、TNF-α、凝血因子水平、深静脉血栓形成显著低于常规组，Harris评分显著高于常规组(P < 0.05)。结论：快速康复护理方案可有效缓解髋部骨折患者的不良情绪和疼痛，减轻炎症，改善术后凝血和髋关节功能，降低术后深静脉血栓的发生率。

Abstract: Objective: To investigate the clinical effect of rapid rehabilitation nursing scheme in perioperative nursing of hip fracture in the elderly. Methods: Ninety-four patients over 80 years old with hip fracture admitted to our department were randomly divided into routine group (47 cases) and rapid rehabilitation nursing group (47 cases), and the psychological state, pain degree, serum in-flammatory factors, coagulation, hip function, and incidence of deep venous thrombosis of lower ex-tremities were compared between the two groups before and after the implementation of the nurs-ing program. Results: There were no significant differences in self-rating anxiety scale, self- rating depression scale, visual analog score, IL-6, IL-10, TNF-α, coagulation factor level and Harris score between the two groups before nursing (P > 0.05). Self-rating anxiety scale, self-rating depression scale, visual analog score, IL-6, IL-10, TNF-α, blood clotting factor level and deep vein thrombosis in rapid rehabilitation nursing group were significantly lower than those in conventional group, and Harris score was significantly higher than that in conventional group (P < 0.05). Conclusion: Fast track surgical nursing program can effectively relieve the bad mood and pain of hip fracture pa-tients, reduce inflammation, improve postoperative coagulation and hip function, and reduce the incidence of postoperative deep vein thrombosis.