| Objective To investigate the effects of enhanced recovery after surgery (ERAS) on postoperative delirium and outcomes in elderly patients with intertrochanteric femoral fracture treated by proximal femoral nail anti-rotation (PFNA). Methods A total of 64 intertrochanteric femoral fracture patients treated with PFNA internal fixation from January 2018 to January 2020 at the Central Hospital of Shenyang Medical College were selected. Random number table method applied, the patients were divided into trial group and control group, with 32 cases in each group. The trial group received ERAS pathway and the control group received traditional care pathway. The differences in the incidence of delirium, pain score, the incidence of postoperative complication, bedtime, hospitalization time, hospitalization charge and Harris score one year after surgery were compared between the two groups. Results The total incidence of delirium in the trial group was 12.50%, the VAS score was (3.09±0.93) one week after surgery, and the incidence of postoperative complication was 12.50%, which were all lower than those in the control group, and the difference was statistically significant (P<0.05). The average bedtime of patients in the trial group was (2.59±0.67) days, the average hospitalization time was (9.97±1.94) days, and the average hospitalization charge was (0.74±0.06) million, which were all lower than those of the control group, and the difference was statistically significant (P<0.05). The excellent and good rate of Harris score in the trial group was 84.38% one year after operation, which was higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusions The application of ERAS in elderly patients undergoing intertrochanteric femoral fracture treated with PFNA could significantly reduce the incidence of postoperative delirium and complications, pain, hospitalization time and hospitalization charge, and improve the treatment outcomes, which is worthy of clinical promotion. |
