快速康復外科理念下老年髖部骨折圍手術期護理策略

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中圖分類號R683.3文獻標識碼A文章編號1671-0223（2025）10-792-03

Perioperative nursing strategies for elderly hip fractures under the concept of enhanced recovery after surgery Wang Qun，NiuRonglie96othHospitaloftheJintLogisticsSupportoreoftheinesePeople'siberationyJian ，China

【Abstract】Objective To thoroughly explore the practical integration of the enhanced recovery after surgery （ERAS） concept into perioperative nursing for elderly hip fracture patients.MethodsAcomprehensive nursing protocol was established，encompassing keycomponents such as preoperativecomprehensive assessment，intraoperative painrelief and temperature management，postoperativepaincontrol，meticulouscareofdrainage tubesandcatheters，rehabilitationtraining， multidisciplinaryteamcolaboration，andawel-structuredfollow-upsystem.ResultsGuidedbytheERASconcept，atailored perioperative nursing plan was developed for elderly hip fracture patients，consisting of four major phases： preoperative preparation，intraoperativecare，postoperativeholistic nursing，andrehabilitationexercises.ConclusionTheincorporatioof ERAS strategies intothenursing processfor elderlyhipfracturepatients profoundlyreflects patient-centeredcompasonate care，significantlyreducescomplicationrates，andacceleratesoverallrecovery.This innovativeapproach provides valuable practical experience for managing elderly hip fracture patients with comorbid medicalconditions during the perioperative period.

【Key words】Enhancedrecoveryaftersurgery;Elderlyhip fractures; Perioperative period; Nursing practice; Complications

在老年人群中，髖部骨折是一種高發(fā)的嚴重創(chuàng)傷性疾病，主要包括股骨頸骨折、轉子間骨折及股骨轉子下骨折等類型，尤其在骨質疏松老年患者中發(fā)生率顯著增高[。（剩余4797字）