The impact of rapid recovery surgery combined with multimodal analgesia nursing on postoperative rehabilitation of patients undergoing total hip arthroplasty
快速康复外科联合多模式镇痛护理对全髋关节置换患者术后康复的影响

摘要

目的 探讨快速康复外科（ERAS）理念联合多模式镇痛护理对全髋关节置换术（THA）患者术后康复的影响。方法 采取随机数字表法将我院2025年1月-2026年5月接受全髋关节置换术的100例患者分为两组。对照组（50例）采用常规护理及单一镇痛方案，观察组（50例）采用ERAS理念联合多模式镇痛护理。比较两组患者术后疼痛评分、康复指标、并发症发生率及护理满意度。结果 观察组术后6h、24h、48h视觉模拟评分法（VAS）评分、术后首次下床、住院、髋关节功能恢复时间、术后并发症发生率、护理满意度均优于对照组（均P<0.05）。结论 ERAS联合多模式镇痛护理可缓解THA患者术后疼痛，加速髋关节功能康复，缩短住院时间，降低术后并发症，提升护理质量，值得临床推广。

Abstract

Objective To explore the effect of the ERAS concept combined with multimodal analgesia nursing on the postoperative rehabilitation of patients undergoing total hip arthroplasty (THA).
Methods A total of 100 patients who underwent THA in our hospital from January 2025 to May 2026 were randomly divided into two groups. The control group (50 cases) received conventional nursing and a single analgesic regimen, while the observation group (50 cases) received ERAS concept combined with multimodal analgesia nursing. The postoperative pain scores, rehabilitation indicators, complication rates, and nursing satisfaction of the two groups were compared.
Results The Visual Analogue Scale (VAS) scores at 6h, 24h, and 48h after surgery, the time to first getting out of bed, hospital stay, recovery time of hip joint function, complication rates after surgery, and nursing satisfaction in the observation group were all better than those in the control group (all P<0.05).
Conclusion   ERAS combined with multimodal analgesia nursing can relieve postoperative pain in patients undergoing THA, accelerate hip joint function rehabilitation, shorten hospital stay, reduce postoperative complications, improve nursing quality, and is worthy of clinical promotion.