摘要
目的探讨改进护理流程用于股骨粗隆间骨折术后患者的临床疗效。方法选择2015年1月~2016年12月期间在我院行手术治疗的股骨粗隆间骨折患者60例作为研究对象,随机分为对照组和观察组,各30例。对照组患者术后进行常规性股骨粗隆间骨折护理,观察组在对照组护理基础上增加改进护理流程,观察两组患者术后下肢肌力和功能改善情况,并监测两组患者术后并发症情况。结果观察组术后下肢功能优良率90.00%显著高于对照组73.33%,组间比较差异有统计学意义(P<0.05)。观察组下肢肌力分级0级(0)和1级(3.33%)与对照组(6.67%,6.67%)比较,差异无统计学意义(P>0.05);观察组下肢肌力分级4级(53.33%)和5级(26.67%)显著高于对照组(30.00%,10.00%),差异有统计学意义(P<0.05);对照组下肢肌力分级2级(20.00%)和3级(26.67)显著高于观察组(3.33%,13.33%),差异有统计学意义(P<0.05)。观察组术后并发症率6.67%显著低于对照组26.67%,差异有统计学意义(P<0.05)。结论股骨粗隆间骨折术后临床护理中应用改进护理流程可有效提升患者康复效果,降低术后并发症风险,临床应用价值较高。
Objective To explore the clinical effect of improved nursing process for patients with intertrochanteric fracture. Methods 60 patients with intertrochanterie fractures in our hospital from January 2015 to December 2016 were randomly divided into control group and observation group,with 30 cases in each.The patients in control group were treated with postoperative routine nursing of intertrochanteric fracture,and patients in observation group were treated with improved nursing care process on the basis of control group.The situation of lower extremity muscle strength and function improvement were observed in two groups,and the complications after operation in the two groups were monitored. Results The excellent and good rate of lower limb function in the observation group （90%） were significantly higher than those in the control group （73.33%）,and the differences between the two groups were signifieant（P 〈 0.05）.There were no significant difference on lower limb muscle strength grade 0 and grade 1 of observation group （0,3.33%） and control group （6.67%,6.67%）,（P 〉 0.05）.The lower limb muscle strength grade 4（53.33%） and 5（26.67%） of observation group were significantly higher than those of control group （30%,10%）,the differences between the two groups were （P 〈 0.05）.The lower limb muscle strength grade 2 （20%） and 3 （26.67） of control group were significantly higher than those of observation group （3.33%, 13.33%）, the difference between the groups was （P 〈 0.05）.The postoperative complication rate of the observation group 6.67% was significantly lower than that of the control group 26.67%,and the difference was statistically significant （P 〈 0.05）. Conclusion The improved the nursing process in patients with intertrochanterie fractures in clinical nursing can effectively improve the rehabilitation effect of patients,and reduce the risk of postoperative complications.It has high clinical value.
出处
《中国医药科学》
2017年第18期165-167,250,共4页
China Medicine And Pharmacy
关键词
股骨粗隆间骨折
术后护理
改进护理流程
应用价值
Intertrochanterie fracture
Postoperative care
Nursing process
Application value
