摘要
目的:探讨老年股骨颈骨折术后实施中医护理对减少下肢DVT(深静脉血栓)形成的作用。方法:选择本院2016年9月-2018年6月收治的48例老年股骨颈骨折患者作为本次试验的观察对象,依据摸球法分为对照组(24例)和研究组(24例),分别实施常规护理、中医护理,对比术后患肢端疼痛、下肢肿胀程度变化情况、下肢DVT形成的差异。结果:对照组、研究组术后3d下肢肿胀程度、患肢端疼痛VAS评分差异无统计学意义(P>0.05);研究组术后5d、术后7d患肢端疼痛VAS评分、下肢肿胀程度与对照组相比,组间差异有统计学意义(P<0.05);研究组下肢DVT形成发生率低于对照组,两组差异有统计学意义(P<0.05)。结论:老年股骨颈骨折术后实施中医护理可有效缓解下肢肿胀和患肢端疼痛,预防和减少术后下肢DVT形成。
Objective:To investigate the effect of traditional Chinese medicine nursing on lower extremity DVT(deep vein thrombosis)in elderly patients with femoral neck fracture.Methods:Forty-eight elderly patients with femoral neck fractures admitted to and treated in our hospital from September 2016 to June 2018 were selected as the observation subjects of this experiment.According to the ball-touching method,the patients were divided into the control group(24 cases)and the research group(24 cases),who respectively received routine nursing and traditional Chinese medicine nursing,and the postoperative pain of the affected extremities,the changes in the degree of swelling of the lower limbs,and the differences in the formation of DVT of the lower limbs were compared.Results:3 days after surgery,there was no statistically significant difference between the control group and the research group in the degree of postoperative lower limb swelling and the VAS score of the affected extremity pain(P>0.05).Compared with the control group,there were significant differences in VAS score and lower limb swelling degree between the two groups 5 d and 7 d after surgery(P<0.05).The incidence of DVT formation in lower limbs of the study group was lower than that of the control group,and the difference between the two groups was significant(P<0.05).Conclusion:Traditional Chinese medicine nursing after femoral neck fracture in elderly patients could effectively relieve lower limb swelling and pain of affected extremities,prevent and reduce the formation of DVT in lower limbs after surgery.
作者
罗幸萍
侯文敏
罗静兰
Luo Xingping;Hou Wenmin;Luo Jinglan
出处
《中医临床研究》
2019年第21期113-114,118,共3页
Clinical Journal Of Chinese Medicine
关键词
老年股骨颈骨折
下肢DVT形成
中医护理
护理效果
Femoral neck fracture in the elderly
DVT formation of lowerextremity
TCM nursing
Nursing effect
