| Objectives:To evaluate the effect of optimal measures of enhanced recovery after surgery in perioperative rehabilitation of patients with rotator cuff injury after arthroscopic repair.Methods:This study is an experimental study,taking the Joint surgical department,Yan’an University Affiliated Hospital as the research site.Eighty patients with rotator cuff injury who needed arthroscopic surgery were selected and randomly divided into control group and experimental group with 40 cases each.Patients in the control group were given routine treatment during perioperative period of rotator cuff injury.On the basis of routine nursing,patients in the experimental group were treated with perioperative management of ERAS sleeve injury,including perioperative health education,diet and nutrition management,Management,pain management,thermal insulation,fluid management,plumbing care and functional training.Data were collected from general information questionnaire,pain score table,patient satisfaction questionnaire and shoulder UCLA functional score table.Pain,satisfaction,length of stay,hospitalization expenses and shoulder UCLA functional score were observed in the two groups.Enter all the data into Excel to build the database and use SPSS22.0 for data analysis.The statistical description mainly uses the mean,standard deviation,percentage;statistical analysis mainly uses two independent sample t test and chi-square test.Results:Sixty nine patients completed the study from the 80 patients,including 35 in the control group and 34 in the experimental group.There was no significant difference in general data between the two groups(P>0.05),which was comparable.Postoperative satisfaction was 97.05%in the experimental group and 77.14%in the control group(χ~2=6.031,P<0.05).The incidence of complications was 11.76%in the experimental group and 37.14%in the control group(χ~2=5.982,P<0.05).The hospital stay in the experimental group was 12.76±2.05 days,and that in the control group was15.60±2.00 days.The difference was statistically significant.Meaning(t=5.817,P<0.05);the hospitalization expenses of the experimental group were 42832.32±6811.87 yuan,while those of the control group were 47786.23±4290.64 yuan,the difference was statistically significant(t=3.626,P<0.05).The pain score of the experimental group was 1.47±1.16 at 1 week after operation,and that of the control group was 2.11±1.30.The difference was statistically significant(t=2.116,P<0.05).The pain score of the experimental group was 0.26±0.62 at 1 month after operation,and that of the control group was 0.77±1.03.The difference was statistically significant(t=2.466,P<0.05).The pain score of the experimental group was0.06±0.24 at 3 months after operation.The control group had a score of 0.03±0.17,with no significant difference(t=-0.609,P>0.05).The UCLA score of the experimental group was 22.00±3.57 at 2 weeks after operation,and that of the control group was 21.17±1.74.The difference was significant(t=-2.708,P<0.05).The UCLA score of the experimental group was 28.76±2.81 at 1month after operation,and that of the control group was 24.37±2.38.The difference was significant(t=-7.022,P<0.05).The UCLA score of the experimental group was 33.21±1.27 at 3 months after operation,and that of the control group was 30.60±2.65.The difference was statistically significant(t=-5.184,P<0.05).Conclusions:Preoperative,intraoperative,and postoperative optimization of ERAS for patients after arthroscopic rotator cuff repair can effectively promote postoperative shoulder function recovery,reduce postoperative pain,complications and hospital stay.Also ERAS can reduce hospitalization costs and improve patient satisfaction. |
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