关键词: 髋部骨折, 加速康复外科, 老年人, 围手术期

Abstract: Objective To investigate the effect of enhanced recovery after surgery(ERAS) in the perioperative period of elderly hip fracture patients.
Methods 70 patients with elderly hip fracture patients admitted from June 2017 to June 2019 were divided into control group(35 patients) and ERAS group(35 patients) according to a retrospective study.During the perioperative period of elderly,the patients of ERAS group received ERAS management,while the patients of control group were given routine recovery management hip fracture patients.Visual analogue scale(VAS) were used to assess the pain scale of patients.The length of hospital stay and hip Harris score were compared between the two groups.The postoperative complications including deep vein thrombosis,urinary tract infection,nausea and vomiting,pulmonary infection,incisional infection,and constipation were compared between the two groups.
Results Compared to the control group,the length of stay in the ERAS group was significantly less than that of the control patients(P＜0.05).VAS scores at 1,3,and 7 days postoperative of ERAS group were significantly lower than that of patients in the control group(P＜0.05).The incidence of perioperative complications was also significantly lower in the ERAS group compared with control group(P＜0.05).
Conclusion ERAS can promote postoperative rehabilitation and reduce the occurrence of postoperative complications in elderly hip fracture patients.

Key words: hip fracture, enhanced recovery after surgery, elderly patients, perioperative period