摘要
目的探讨快速康复外科(FTS)理念下,漂浮体位在复杂性踝关节骨折手术中的应用价值。方法选取我院2016年1月—2017年12月行手术治疗的复杂性踝关节骨折患者60例作为研究对象。采用随机数字表法,将其分为对照组和观察组,每组各30例。对照组患者手术体位摆放采用普通仰卧位,观察组患者手术体位摆放采用漂浮体位。分析比较两组患者手术时间、住院时间及随访骨折愈合时间,并于术后半年依据美国足踝外科协会踝与后足功能(AOFAS)评定标准进行评分分级。结果观察组患者手术时间、住院时间及随访骨折愈合时间均短于对照组,差异具有统计学意义(P <0.05)。AOFAS评定显示:观察组优良率为93.33%,高于对照组的66.67%,差异具有统计学意义(P <0.05)。结论在FTS理念的指导下,复杂踝关节骨折手术护理过程中采用漂浮体位,有助于提高手术操作效率,缩短手术、住院及骨折愈合时间,具有较高的临床应用价值。
Objective To explore the application value of floating position in complex ankle fracture surgery under the concept of rapid rehabilitation surgery(FTS). Methods 60 patients with complex ankle fracture who underwent surgical treatment in our hospital from January 2016 to December 2017 were randomly divided into control group and observation group, with 30 cases in each group. The patients in control group were placed in normal supine position while those in observation group were placed in floating position. The operation time, hospitalization time and follow-up fracture healing time of the two groups were analyzed and compared. The ankle and hind foot function(AOFAS) was graded one year after the operation according to AOFAS evaluation criteria. Results The operation time, hospitalization time and follow-up fracture healing time of the observation group were shorter than those of the control group, and the difference was statistically significant(P < 0.05). AOFAS evaluation showed that the excellent and good rate of the observation group was 93.33%, higher than 66.67% of the control group, the difference was statistically significant(P < 0.05). Conclusion Under the guidance of FTS concept, floating position is helpful to improve the operation efficiency and shorten the time of operation, hospitalization and fracture healing in the operation of complex ankle fracture. It has high clinical application value.
作者
葛静美
GE Jingmei(Operation Room,Changshu Second People's Hospital,Changshu Jiangsu 215500,China)
出处
《中国继续医学教育》
2018年第36期130-132,共3页
China Continuing Medical Education
关键词
漂浮体位
踝关节
快速康复外科理念
手术室护理
护理质量
应用效果
floating position
ankle joint
rapid rehabilitation surgery concept
operating room nursing
nursing quality
application effect
