范勇

[摘要] 目的 探讨老年糖尿病患者髋关节置换围术期应用快速康复外科护理的临床效果。方法 选择于2018年10月—2019年10月期间在该院接受髋关节置换术的老年糖尿病患者86例为研究对象，对照组患者围术期行常规护理方案，观察组患者围术期以对照组为基础，另行快速康复外科护理，对比两组患者的临床治疗效果、血糖以及并发症发生率。结果 观察组患者的治疗有效率为95.35%，高于对照组患者的76.74%，数据组间差异有统计学意义（χ2=6.198，P<0.05）;观察组血糖水平比较对照组，优势显著，差异有统计学意义（P<0.05）;观察组患者的并发症发生率为4.65%，低于对照组患者的25.58%，即数据对比，组间差异有统计学意义（χ2=7.340，P<0.05）。结论 老年糖尿病患者髋关节置换围术期行快速康复外科护理，可以提高治疗效果，减少并发症，为患者预后创造较好的条件。

[关键词] 老年;糖尿病;髋关节置换术;快速康复外科护理;并发症

[中图分类号] R587.1          [文献标识码] A          [文章编号] 1672-4062（2020）07（a）-0138-03

A Study on the Clinical Effect of Fast Rehabilitation Surgical Nursing for Elderly Diabetic Patients During Hip Replacement

FAN Yong

Joint Surgery Department， Caoxian County Hospital， Caoxian， Shandong Province， 274400 China

[Abstract] Objective To explore the clinical effect of perioperative application of rapid rehabilitation surgical nursing for elderly diabetic patients with hip replacement. Methods 86 elderly diabetics who underwent hip replacement in the hospital from October 2018 to October 2019 were selected as the research object. The control group underwent routine nursing programs during the perioperative period. On the basis of the control group， another rapid rehabilitation surgical nursing was performed to compare the clinical treatment effect， blood glucose and incidence of complications of the two groups of patients. Results The treatment effective rate of patients in the observation group was 95.35%， which was higher than 76.74% of the patients in the control group. The difference between the data groups was statistically significant（χ2=6.198，P<0.05）; The difference was statistically significant（P<0.05）; the complication rate of the observation group was 4.65%， which was lower than the control groups 25.58%， that is， the data comparison， the difference between the groups was statistically significant（χ2=7.340，P<0.05）. Conclusion Perioperative rapid rehabilitation surgical nursing for hip replacement in elderly diabetic patients can improve the therapeutic effect， reduce complications， and create better conditions for the prognosis of patients.

[Key words] Old age; Diabetes; Hip replacement; Rapid rehabilitation surgical care; Complications

糖尿病屬于慢性终身性疾病，患者往往需要接受长期治疗，同时在日常生活中严格管控饮食，若控制效果不理想，极易降低患者的治疗依从性。全髋关节置换术在骨外科而言，临床应用频率较高，目前已经趋于成熟，可以对患者髋关节功能进行重建，并改善疼痛、畸形等情况，不过受限于老年糖尿病患者机能较差，所以术后康复效果往往不理想，因此为了保证老年糖尿病患者髋关节置换术后的康复效果，亟需探讨可行性外科护理方案[1-2]。据有关资料指出[3]，快速康复外科理念（ERAS）作为新兴临床手术护理理念，在发达国家已经广泛应用于各个领域的外科治疗中。该次为了验证其在骨科外科中的应用价值，选择于2018年10月—2019年10月期间在该院接受髋关节置换术的老年糖尿病患者86例为研究对象，以常规护理为对照，现报道如下。