Cao Hui, Huang Zhaoxu, Yuan Hua, Hu Xuehui, Fu Zhanli, Song Xiaohuan, Zhang Meixia, Du Xia, Long Zhuoyu
Rehabilitation Medicine Department, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Department of Anesthesiology, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Medicine (Baltimore). 2025 Jan 17;104(3):e41143. doi: 10.1097/MD.0000000000041143.
Orthopedics is a critical hospital department that has experienced shifts in the spectrum of orthopedic conditions due to societal advancements in recent years. While surgical interventions are effective in restoring fracture function, perioperative care remains a key factor in optimizing patient recovery. This study aims to assess the impact of orthopedic rehabilitation care based on the enhanced recovery after surgery (ERAS) protocol on postoperative rehabilitation. A total of 836 patients who underwent orthopedic surgery from June 2023 to June 2024 were included in the study. They were divided into a control group, which received standard care, and an observation group, which received care interventions based on ERAS principles. Recovery outcomes were assessed by measuring hospital stay duration, fracture healing time, joint function recovery time, and the incidence of complications in both groups. The observation group showed significantly shorter hospital stays, faster fracture healing times, and quicker joint function recovery compared with the control group. Furthermore, the incidence of complications was notably lower in the observation group. Postoperative joint function recovery scores and patient satisfaction were also higher in the observation group, with statistically significant differences between the 2 groups (P < .05). ERAS-based care enhances orthopedic recovery by reducing hospital stays, accelerating functional recovery, lowering complications, and improving patient satisfaction, proving its effectiveness in perioperative cares, and should be widely implemented in orthopedic rehabilitation.
骨科是医院的一个关键科室，近年来，由于社会进步，骨科疾病谱发生了变化。虽然手术干预在恢复骨折功能方面有效，但围手术期护理仍然是优化患者康复的关键因素。本研究旨在评估基于术后加速康复（ERAS）方案的骨科康复护理对术后康复的影响。该研究纳入了2023年6月至2024年6月期间接受骨科手术的836例患者。他们被分为对照组和观察组，对照组接受标准护理，观察组接受基于ERAS原则的护理干预。通过测量两组患者的住院时间、骨折愈合时间、关节功能恢复时间和并发症发生率来评估康复结果。与对照组相比，观察组的住院时间显著缩短，骨折愈合时间更快，关节功能恢复更快。此外，观察组的并发症发生率明显更低。观察组术后关节功能恢复评分和患者满意度也更高，两组之间存在统计学显著差异（P<0.05）。基于ERAS的护理通过缩短住院时间、加速功能恢复、降低并发症发生率和提高患者满意度来促进骨科康复，证明了其在围手术期护理中的有效性，应在骨科康复中广泛实施。
