[1]覃仁镭,罗显德.加速康复外科理念在老年股骨颈骨折治疗过程中应用效果的meta分析[J].中华老年骨科与康复电子杂志,2022,(05):313-320.[doi:10.3877/cma.j.issn.2096-0263.2022.05.010]
　Qin Renlei,Luo Xiande..The effect of enhanced recovery after surgery theory treating femoral neck fractures in elderly patients: a meta-analysis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(05):313-320.[doi:10.3877/cma.j.issn.2096-0263.2022.05.010]
点击复制

加速康复外科理念在老年股骨颈骨折治疗过程中应用效果的meta分析()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2022年05期
页码:
313-320
栏目:
Meta分析
出版日期:
2022-10-05

文章信息/Info

Title:
The effect of enhanced recovery after surgery theory treating femoral neck fractures in elderly patients: a meta-analysis
作者:
覃仁镭; 罗显德
530023 南宁，广西中医药大学第一附属医院东葛院区四肢骨伤科
Author(s):
Qin Renlei;  Luo Xiande.
Department of Orthopedics and Traumatology, Dongge Hospital Area, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China
关键词:
加速康复外科;  股骨颈骨折;  老年人;  Meta 分析
Keywords:
Enhanced recovery after surgery(ERAS);  Femoral neck fractures;  Aged;  Meta-analysis
DOI:
10.3877/cma.j.issn.2096-0263.2022.05.010
文献标志码:
A
摘要:
目的 系统评价加速康复外科理念在老年股骨颈骨折治疗过程中的应用效果。方法 检索中国知网、维普、万方、Pubmed、Embase等数据库等数据库研究加速康复外科与传统方法在老年股骨颈骨折中应用效果的随机对照试验文献，检索时间为各数据库建库至2019年12月。ERAS组采用加速康复外科理念指导治疗，对照组采用传统方法。RevMan 5.3软件进行文献质量评价和Meta分析。结果 纳入7篇文献，共680例，ERAS组340例，对照组340例。 Meta 分析结果显示，与对照组比较，ERAS组可显著缩短住院时间（MD=-4.44；95% CI：-4.88，-4.01；P＜0.001）；减少术后并发症的产生（RR=0.29；95% CI：0.19，0.44；P＜0.001）；提高患者髋关节功能 Harris 评分（MD=4.86；95% CI：3.93，5.80；P＜0.001）；降低疼痛VAS评分（SMD=-1.83；95% CI：-3.23，-0.44；P=0.01）。结论 ERAS理念应用于老年股骨颈骨折治疗中可有效缩短住院时间、减少并发症的发生，提高患者生活治疗，改善预后，值得在临床中推广。
Abstract:
Objective To systematically evaluate the effect of ERAS theory applied in treating elderly patients with femoral neck fracture. Methods Randomized controlled trials (RCTs) on enhanced recovery after surgery(ERAS) theory peformed in elderly patients with femoral neck fracture were searched in recognized databases, such as CNKI、Wanfang、Weipu、Pubmed、Embase databases. The retrieval time was set up for each database up to December, 2019. The ERAS group is guided by the Enhanced Recovery After Surgery concept, and the control group is treated with the traditional methods. Literatures quality evaluation and meta analysis were performed using RevMan 5.3 software. Results A total of 7 RCTs were included in this study, with a total of 680 patients, of which 340 were in ERAS group and 340 in control group. The results of Meta analysis showed that compared with the control group, ERAS group could significantly shorten the length of stay in hospital（MD=-4.44; 95% CI: -4.88, -4.01; P<0.001). Reduce postoperative complications (RR=0.29; 95% CI: 0.19, 0.44; P<0.001); Increase the Harris score of hip function (MD = 4.86; 95% CI: 3.93, 5.80; P<0.001); Reduce the patient’s pain VSA score (SMD =-1.83; 95% CI : -3.23, 0.44; P=0.01). Conclusion the application of ERAS concept in elderly patients withfemoral neck fractures can effectively shorten the length of stay, reduce the occurrence of complications, improve the life treatment of patients and improve the prognosis, which is worth popularizing in clinic.

相似文献/References:

[1]赵德伟,马志杰,杨磊,等.多孔钽金属涂层髋关节假体置换治疗老年股骨颈骨折的临床疗效观察[J].中华老年骨科与康复电子杂志,2016,(02):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
　Zhao Dewei,Ma Zhijie,Yang Lei,et al.Clinical investigation of hip implants by using porous tantalum coating in the treatment of elderly femoral neck fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
[2]喻鑫罡,郭彦杰,高悠水,等.多轴锁定钢板倒置与髓内钉治疗老年股骨粗隆下骨折的疗效分析[J].中华老年骨科与康复电子杂志,2017,(05):270.[doi:10.3877/cma.j.issn.2096-0263.2017.05.004]
　Yu Xingang,Guo Yanjie,Gao Youshui,et al.Clinical effectiveness of reversive polyaxial locked plate and intramedullary nails for treatment of elderly femoral subtrochanteric fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(05):270.[doi:10.3877/cma.j.issn.2096-0263.2017.05.004]
[3]洪丽红,薛丽珍,肖厦厦,等.舒适护理在老年股骨颈骨折患者围手术期的应用[J].中华老年骨科与康复电子杂志,2017,(05):285.[doi:10.3877/cma.j.issn.2096-0263.2017.05.007]
　Hong Lihong,Xue Lizhen,Xiao Xiaxia,et al.Application of comfortable nursing in gerontal patients with transcervical fracture during perioperative period[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(05):285.[doi:10.3877/cma.j.issn.2096-0263.2017.05.007]
[4]姚尧,乔梁,王业贤,等.床旁超声在股骨颈骨折患者围手术期下肢深静脉血栓筛查中的作用[J].中华老年骨科与康复电子杂志,2018,(02):70.[doi:10.3877/cma.j.issn.2096-0263.2018.02.002]
　Yao Yao,Qiao Liang,Wang Yexian,et al.The clinical value of bedside ultrasound in the screening of perioperative lower extremity deep vein thrombosis in elderly patients with femoral neck fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(05):70.[doi:10.3877/cma.j.issn.2096-0263.2018.02.002]
[5]楚翔宇,程文俊,王俊文,等.老年股骨颈骨折全髋关节置换术围手术期下肢深静脉血栓形成的特点[J].中华老年骨科与康复电子杂志,2018,(02):75.[doi:10.3877/cma.j.issn.2096-0263.2018.02.003]
　Chu Xiangyu,Cheng Wenjun,Wang Junwen,et al.Features of deep venous thrombosis in aged patients with femoral neck fracture during the perioperative period[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(05):75.[doi:10.3877/cma.j.issn.2096-0263.2018.02.003]
[6]邱旭升,戚晓阳,陈一心,等.空心加压螺钉治疗老年无移位型股骨颈骨折的长期随访研究[J].中华老年骨科与康复电子杂志,2019,(01):9.[doi:10.3877/cma.j.issn.2096-0263.2019.01.003]
　Qiu Xusheng,Qi Xiaoyang,Chen Yixin,et al.Long-term follow-up of cancellous lag screw fixation for nondisplaced femoral neck fracture in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(05):9.[doi:10.3877/cma.j.issn.2096-0263.2019.01.003]
[7]吴建国 尹律平 蔡玉钦. 应用空心螺钉治疗老年股骨颈骨折的疗效[J].中华老年骨科与康复电子杂志,2019,(04):196.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.04.003]
　Wu jianguo,Yin lyuping,Cai yuqin.. The efficacy comparative analysis of cannulated screws for the treatment of femoral neck fractures in the elderly[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(05):196.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.04.003]
[8]胡祖圣,刘仙玲,王磊,等.老年股骨颈骨折与股骨转子间骨折围手术期失血量的临床对比研究[J].中华老年骨科与康复电子杂志,2020,(04):204.[doi:10.3877/cma.j.issn.2096-0263.2020.04.004]
　Hu Zusheng,Liu Xianling,Wang Lei,et al.Clinical comparison of blood loss of peri-operation between femoral neck fracture and intertrochanteric fracture in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(05):204.[doi:10.3877/cma.j.issn.2096-0263.2020.04.004]
[9]毛雷音,傅育红,徐颢庭.加速康复理念下高龄髋部骨折围手术期饮食方案的制定及应用研究[J].中华老年骨科与康复电子杂志,2020,(06):357.[doi:10.3877/cma.j.issn.2096-0263.2020.06.008]
　Mao Leiyin,Fu Yuhong,Xu Haoting.A study of perioperative fasting management in aged patients underwent hip fracture surgeries under the concept of ERAS[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(05):357.[doi:10.3877/cma.j.issn.2096-0263.2020.06.008]
[10]董佩龙,唐晓波,王健,等.加速康复外科在人工股骨头置换术治疗老年股骨粗隆间骨折中的应用研究[J].中华老年骨科与康复电子杂志,2021,(03):170.[doi:10.3877/cma.j.issn.2096-0263.2021.03.008]
　Dong Peilong,Tang Xiaobo,Wang Jian,et al.Clinical study of enhanced recovery after surgery in the treatment of intertrochanteric femoral fracture with artificial femoral head replacement in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2021,(05):170.[doi:10.3877/cma.j.issn.2096-0263.2021.03.008]

更新日期/Last Update: 2022-10-31