快速康复理念和技术在骨科围术期应用.docVIP

快速康复理念和技术在骨科围术期应用 　　[摘要]目的 探讨快速康复理念和技术在骨科围术期中的应用。方法 选取我院骨科在2014年6月～2016年6月收治的患者162例，按照随机数字表法分为观察组和对照组，对照组给予常规围术期处理，观察组应用快速康复理念和技术进行护理。比较两组患者术中各项指标、术后住院时间、术后焦虑、疼痛评分及术后1周内并发症发生率。结果 两组患者术中鼻咽部温度比较差异无统计学意义（P0.05），观察组患者术中心率、血压、血糖水平均低于对照组，术后SAS及疼痛评分均低于对照组，术后住院时间短于对照组，并发症发生率低于对照组，差异有统计学意义（P0.05）。结论 快速康复理念和技术在骨科围术期中的应用能够明显改善患者应激状态，降低术后并发症发生率，缩短患者康复时间。 　　[关键词]快速康复理念；围术期；骨科；效果评价 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）06（a）-0153-03 　　[Abstract]Objective To explore the application of fast track surgery concept and technique in perioperative period of orthopedics.Methods 162 cases of patients admitted to Department of Orthopaedics in our hospital from June 2014 to June 2016 were selected and divided into the observation group and the control group according to the random number table method.The control group was treated with routine perioperative period，while the control group were used fast track surgery concept and technique，the intranperative indexes，postoperative hospitalization time，levels of anxiety and pain，incidence of complication were compared between two groups.Results There was no significantly different between nasopharyngeal temperature in two groups （P0.05），the intranperative heart rate，blood pressure and blood glucose in the observation group were lower than that in the control group，the postoperation scores of SAS and pain were lower than that in the control group，1 week after operation，the incidence of complication was lowere than that in the control group（P0.05）.Conclusion The application of rapid rehabilitation concept and technique in the perioperative period of orthopedics can significantly improve the stress state of patients，reduce the incidence of postoperative complications and shorten the recovery time of patients. 　　[Key words]Fast track surgery；Perioperative period；Orthopedic；Effect evaluation 　　快速康?屠砟钍且恢滞ü?减弱患者应激反应，维持患者生理功能稳定，降低并发症与减缓器官功能下降，最终达到患者快速康复目的的一种多模式化的方案，是围术期重要的康复模式[1]。随着微创理念在外科的不断深入，麻醉技术及药物的不断更新，规范化的围术期护理管理，快速康复理念和技术日益受到临床医