综合护理干预在老年股骨颈骨折全髋关节置换术后的效果评价.docVIP

精品论文 参考文献 综合护理干预在老年股骨颈骨折全髋关节置换术后的效果评价 王兰菲 四川省德阳市人民医院 四川德阳 618000 　　【摘 要】目的：评价综合护理干预在老年股骨颈骨折全髋关节置换术后的效果。方法：选择2011 年5 月～2014 年4 月我院骨科住院手术治疗老年股骨颈骨折患者106 例，随机分为对照组和治疗组各53 例，采用髋关节功能Harris 评分评估术后疗效，比较术后并发症发生率。结果：治疗组患者髋关节功能Harris 评分优于对照组，并发症的发生率也明显低于对照组，差异有统计学意义（Plt;0.05）。结论：综合护理干预可明显减少老年股骨颈骨折患者并发症发生率，促进髋关节功能的恢复，患者生活质量明显提高。 　　【关键词】老年股骨颈骨折；护理干预；髋关节功能；并发症Comprehensive nursing intervention in the elderly femoral neck fracture after total hip replacement effect evaluationWANG Lang-fei（The Peoplersquo;s Hospital of Deyang City，Sichuan）[Abstract] Objective to evaluate the comprehensive nursing intervention in the elderly femoral neck fracture after total hipreplacement.Method selection in May 2011 to April 2014 our hospital orthopaedic hospital surgical treatment of 106 cases of elderlypatients with femoral neck fracture，53 cases were randomly divided into control group and treatment group，using function Harris hip scoreevaluation of postoperative curative effect，compare the incidence of postoperative complications.Results the treatment group patientsfunction Harris hip score is better than that of control group，the incidence of complications and significantly lower than the control group，the difference was statistically significant（Plt;0.05）.Conclusion comprehensive nursing intervention can significantly reduce the incidenceof complications in elderly patients with femoral neck fracture，promote the recovery of hip function，obviously improve the patients qualityof life.[Key words] the elderly femoral neck fracture；Nursing intervention；The hip joint function；complications【中图分类号】R274.1【文献标识码】A【文章编号】1276-7808（2015）-04-021-02 　　老年股骨颈骨折的治疗，临床多以人工股骨头置换术和全髋关节置换术为主。但由于老年股骨颈骨折患者机体功能退化，受术后长期卧床等因素影响，容易出现尿潴留、便秘、坠积性肺炎、泌尿系感染和下肢深静脉血栓等并发症，影响患者髋关节功能康复及日常生活能力，对患者危害极大【1，2】。因此，给予老年股骨颈骨折患者积极有效的护理干预措施至关重要【3】。笔者对我院2011 年5 月～2014 年4 月接受治疗的老年髋关节骨折手术患者实施综合护理干预措施取得满意效果，现报道如下。 　　1 资料与方法1.1 一般资料选择我院2011 年5 月～2014 年4 月接受治疗的老年股骨颈骨折患者106 例，男69 例，女37 例，年龄66～83 岁，平均72.4 岁。骨折原因为摔伤81 例，各种车祸伤25 例。伴发疾病包括高血压48 例、糖尿