四肢骨折修复术后护理对降低压疮发病率作用及效果.docVIP

四肢骨折修复术后护理对降低压疮发病率作用及效果 　　[摘要] 目的 探讨四肢骨折术后护理对压疮发病率的影响。 方法 选取本院2013年3月～2015年1月收治的180例四肢骨折患者作为研究对象，按照随机数字表法分成观察组和对照组，各90例。对照组术后给予临床常规护理，观察组采用骨外科压疮治疗护理，比较两组的压疮发病率及护理满意度。 结果 观察组的术后压疮发生率为4.45%，显著低于对照组的13.34%，差异有统计学意义（P0.05）。观察组的护理满意度为86.7%，显著高于对照组的55.6%，差异有统计学意义（P0.05）。 结论 有效的术后护理能够降低四肢骨折术后患者的压疮发病率，提高护理满意度，值得临床推广应用。 　　[关键词] 四肢骨折修复术；压疮；临床护理 　　[中图分类号] R683.4 [文献标识码] A [文章编号] 1674-4721（2015）07（b）-0182-04 　　[Abstract] Objective To explore the influence of postoperative nursing of repair surgery of four limb fractures on the incidence rate of pressure sores. Methods 180 patients of four limb fractures in our hospital from March 2013 to January 2015 were selected and divided into the observation group and the control group according to random number table，90 patients in each group.The control group was given clinical regular nursing after surgery，the observation group was given nursing method of the treatment of pressure sore in bone surgery.The incidence of pressure sore and tha degree of nursing satisfaction in two groups was compared. Results The postoperative incidence rate of pressure sore in the observation group was 4.45%，which was lower than 13.34% in the control group，with significant difference（P0.05）.The degree of nursing satisfaction in the observation group was 86.7%，which was higher than 55.6% in the control group，with significant difference（P0.05）. Conclusion Effective postoperative nursing is able to reduce the postoperative incidence rate of pressure sore of patients with four limb fractures，improve tha degree of nursing satisfaction，it is worthy of clinical promotion and application. 　　[Key words] Repair surgery of four limb fractures；Pressure sore；Clinical nursing 　　近年来，随着生活节奏的加快，骨科疾病的患者明显增多，其中四肢骨折的发生率较高。四肢骨折影响患者的日常活动，其生活难以自理，而且术后易出现肿胀影响动静脉循环，导致肢体缺乏充足的营养和血供[1-2]。上述症状使得患者难以快速痊愈，甚至导致血栓、压疮等其他并发症的产生。合适的术后护理对改善患者术后生活质量以及治疗质量具有重要作用[2]。压疮主要是由于局部组织长期受压或受物理化学等因素的影响，导致营养不调以及血液循环受阻所致。局部组织由于营养缺乏及持续缺血而功能失常可进一步引起组织损伤破坏[3]。压疮是四肢骨折术后常见的并发症之一，给患者带来疼痛而且极大影响患者的生活质量，严重者可