Objective: To explore the application value of multimodal cooperative enhanced recovery after surgory (ERAS) nursing intervention in Tile C type pelvic fracture undergoing Legency cMAS sacroiliac fixation. Methods: 81 patients with Tile C-type pelvic fractures admitted to our department were prospectively selected from January 2012 to December 2017. The patients were divided into two groups by random number table. The study group (41 cases) underwent multi-operative ERAS perioperative period. In the nursing intervention, while the control group (40 cases) used routine perioperative nursing intervention. The differences in surgical and rehabilitation related indicators, hospitalization costs, perioperative complications, and nursing satisfaction between the two groups were compared. Using visual analogue pain assessment (VAS), MATTA score, MAJEED score, and GIBBONS score, the perioperative pain level, reduction, clinical function recovery, and recovery of neurological impairment in the two groups were evaluated. Results: The time of first off bed activity, hospitalization time, and hospitalization cost of the study group were lower than those of the control group[(4.53±1.24)d vs (6.25±2.39)d, (9.15±2.69)d vs (15.02±3.57)d, (3.64 ±1.17) million vs (5.19±2.05) million, P<0.05]. The postoperative VAS scores of the study group were lower than that of the control group at 24 h, 48 h, 72 h and 7 d after operation, and the difference was statistically significant (P<0.05). The excellent rate of MATTA score and MAJEED score in the study group was higher than that in the control group (90.24% vs 75.00%, 85.36% vs 70.00%, P<0.05), and the GIBBONS score was higher than that in the control group (75.61% vs 57.50%, P<0.05). The perioperative complication rate of the study group was lower than that of the control group (5.00% vs 32.50%, P<0.05), and the nursing satisfaction was higher than that in the control group (100.00% vs 85.00%, P<0.05). Conclusion: Multiple cooperative ERAS nursing intervention can significantly reduce the degree of postoperative pain in patients with Legency cMAS sacroiliac fixation of Tile C type pelvic fractures, promote fracture reduction and functional recovery, shorten hospitalization time, reduce hospitalization costs and complications, and have high patient satisfaction. |
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