快速康复理念在肩关节镜下治疗老年巨大肩袖损伤术后护理中的价值
The Value of Enhanced Recovery after Surgery (ERAS) Concept in Postoperative Nursing of Elderly Patients with Huge Rotator Cuff Tears Treated by Shoulder Arthroscopy

研究目的：本项研究的核心目的是深入了解快速康复护理观念在肩关节镜手术治疗老年患者巨大肩袖损伤修复手术后，对于缓解术后疼痛和改善肩关节功能的具体影响。研究方法：我们选择了2023年6月至2024年6月在新疆医科大学第六附属医院运动医学科接受肩关节镜治疗的80名老年巨大肩袖损伤患者，并将他们随机分为两组，即对照组和观察组，每组包含40名患者。对照组接受了标准的护理方法，而观察组则在此基础上融入了快速康复的护理观念。为了评估快速康复护理模式在肩关节镜下肩袖损伤修补术后对患者术后疼痛和肩关节功能的影响，我们对两组患者的术前基本信息、术后疼痛缓解的时长、术后的VAS评分、肩关节功能ROM评分、住院时长以及患者对治疗效果的满意度进行了比较。研究结果：与传统的护理模式(36.90 ± 2.48天)相比，快速康复护理模式(24.88 ± 2.30天)能有效地缩短手术后的疼痛缓解时间(P < 0.05)和住院天数，同时也减少了术后1周、术后12周和术后24周的VAS疼痛评分(P < 0.05)。在手术后的六个月内，快速康复护理组在肩关节的前屈、后伸、内旋和外旋角度方面都明显优于常规护理组(P < 0.05)，并最终提升了患者的满意度评价(P < 0.05)。与常规护理组相比，快速康复组的并发症发生率显著降低。研究结论：将快速康复护理的理念融入到老年巨大肩袖损伤术后的肩关节镜治疗中，可以显著地减少患者术后的疼痛，加速肩关节功能的恢复，减少并发症的发生，缩短他们的住院时长，并提升患者的满意度，这在临床上具有巨大的价值。
Research purpose: The core purpose of this study is to deeply understand the specific effect of rapid rehabilitation nursing concept on relieving postoperative pain and improving shoulder joint function in elderly patients with huge rotator cuff injury after shoulder arthroscopic surgery. Methods: We selected 80 elderly patients with massive rotator cuff tear who underwent shoulder arthroscopic treatment in the Department of Sports Medicine of the Sixth Affiliated Hospital of Xinjiang Medical University from June 2023 to June 2024 and randomly divided them into two groups, namely the control group and the observation group, with 40 patients in each group. The control group received standard nursing methods, while the observation group was integrated with the nursing concept of rapid rehabilitation on this basis. In order to evaluate the effect of rapid rehabilitation nursing mode on postoperative pain and shoulder joint function after shoulder arthroscopic rotator cuff repair, we compared the basic information before surgery, the duration of postoperative pain relief, the postoperative VAS score, the ROM score of shoulder joint function, the length of hospital stay and the patient’s satisfaction with the treatment effect of the two groups of patients. Results: Compared with the traditional nursing model (36.90 ± 2.48 days), the fast-track nursing model (24.88 ± 2.30 days) effectively shortened the time to pain relief (P < 0.05) and the length of hospital stay after surgery, and also reduced the VAS pain scores at 1 week, 12 weeks and 24 weeks after surgery (P < 0.05). The forward flexion, extension, internal rotation and external rotation angles of the shoulder joint in the fast-track nursing group were