| 基于中医整体观联合ERAS在老年骨质疏松性骨折患者围术期中的实践 |
| Based on the holistic view of traditional Chinese medicine combined with ERAS in the perioperative period of elderly patients with osteoporotic fractures |
| DOI： |
| 中文关键词: 整体观 中医护理 快速康复理念 骨质疏松 椎体成形术 围手术期 |
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| 中文摘要: |
| 目的 探讨基于中医整体观联合快速康复外科理念（ERAS）在老年骨质疏松性骨折患者中的影响。方法 选取2024年6月至2024年12月我院收治的 88 例椎体成形术患者，随机分为常规围术期护理组（常规组）和中医护理联合ERAS理念的围术期护理组（改良组），比较两组患者的术后并发症发生率、术后首次下床时间、在院治疗时间、VAS、JOA、ODI评分以及出院前NSNS评分。结果 改良组术后并发症发生率(6.82%)明显低于常规组(22.73%),差异有统计学意义（P＜0.05）。将中医护理联合ERAS理念后，患者术后首次下床时间、在院治疗时间[(2.09±0.06)h、(2.68±0.22)d]均低于常规组[(2.57±0.16)h、(4.18±0.45)d]，差异有统计学意义（P＜0.05）。改良组VAS及ODI评分均低于常规组，且JOA评分及出院前NSNS评分均高于常规组，差异有统计学意义（P＜0.05）。结论 基于中医整体观下联合ERAS理念能加快老年骨质疏松性骨折患者术后恢复,减少术后并发症的发生,并能改善患者的舒适度和腰椎功能，提高整体护理满意度。 |
| 英文摘要: |
| Objective To explore the influence of the holistic view of traditional Chinese medicine combined with the concept of Enhanced Recovery after Surgery (ERAS) in elderly patients with osteoporotic fractures. Methods A total of 88 patients who underwent vertebroplasty and were admitted to our hospital from June 2024 to December 2024 were selected and randomly divided into the conventional perioperative nursing group (conventional group) and the perioperative nursing group combining traditional Chinese medicine nursing with the ERAS concept (modified group). The incidence of postoperative complications, the time of first getting out of bed after surgery, the length of hospital treatment, VAS, JOA, ODI scores and NSNS scores before discharge were compared between the two groups of patients. Results The incidence of postoperative complications in the modified group (6.82%) was significantly lower than that in the conventional group (22.73%), and the difference was statistically significant (P < 0.05). After integrating traditional Chinese medicine nursing with the ERAS concept, the time for patients to get out of bed for the first time after surgery and the duration of hospital treatment [(2.09±0.06)h, (2.68±0.22)d] were both lower than those in the conventional group [(2.57±0.16)h, (4.18±0.45)d], and the differences were statistically significant (P < 0.05). The VAS and ODI scores of the modified group were both lower than those of the conventional group, and the JOA score and the NSNS score before discharge were both higher than those of the conventional group. The differences were statistically significant (P < 0.05). Conclusion Based on the holistic view of traditional Chinese medicine and combined with the ERAS concept, it can accelerate the postoperative recovery of elderly patients with osteoporotic fractures, reduce the occurrence of postoperative complications, improve the comfort and lumbar function of patients, and enhance the satisfaction of overall nursing. |
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