布洛芬缓释胶囊联合护理干预对髋部骨折术后患者疼痛影响.docVIP

布洛芬缓释胶囊联合护理干预对髋部骨折术后患者疼痛影响 　　[摘要] 目的 观察布洛芬缓释胶囊联合护理干预治疗对髋部骨折术后患者疼痛的效果。 方法 选择2011年1月～2013年6月桂林市中医医院骨一科住院患者，将符合入选标准的80例患者随机分为两组 　　[关键词] 布洛芬缓释胶囊；护理干预；髋部骨折；疼痛 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-7210（2014）04（b）-0115-03 　　[Abstract] Objective To observe the clinical effect of the combination of Buprofen Sustained-Release Capsules and nursing intervention in pain after hip fracture surgery. Methods 80 patients were from Department of First Orthopaedics in Guilin TCM Hospital from January 2011 to June 2013. These patients were divided into the control group and combination group. The patients of two groups were treated by Buprofen Sustained-Release Capsules and regular care. Combination group was given comprehensive nursing intervention on the basis of control group. The changes of the pain scores were observed in the two groups， the satisfaction evaluation of two groups was analyzed. Results The pain scores after surgery in combination group were （2.53±0.64） scores， and those in control group were （3.88±1.09） scores. The pain scores decreased obviously in two groups （P 0.05）， and the pain scores after surgery in combination group decreased more than control group （P 0.05）. The satisfaction evaluation in combination group was better than control group （Z = -2.215， P = 0.027）. Conclusion The clinical effect of the combination of Buprofen Sustained-Release Capsules and nursing intervention in pain after hip fracture surgery is positive. 　　[Key words] Buprofen Sustained-Release Capsules； Nursing intervention； Hip fracture； Pain 　　老年患者由于骨质疏松、行动能力下降，不慎跌倒后臀部着地，很容易造成髋部骨折。髋部骨折通常是指股骨颈及股骨粗隆骨折，目前是老年患者最常见的骨折类型，近年来，随着手术技术的提高，国内外学者对老年人髋部骨折的治疗越来越倾向于手术治疗。手术治疗可以使患者尽早下地活动，减少并发症，降低病死率[1]。疼痛是髋部骨折患者术后最常见的症状，如不及时有效地镇痛，患者会因剧痛而躁动。骨折端的高浓度蛋白分解酶可促使脂滴进入血液，容易造成脂肪栓塞综合征。单纯的镇痛药物只能改善患者的生理状况，如果联合护理干预则能减轻患者的焦虑情绪，促使治疗结果向良性发展，缩短疗程。本研究于2011年1月～2013年6月桂林市中医医院（以下简称“我院”）采用布洛芬联合护理干预治疗髋部骨折患者并观察其对术后疼痛的影响，结果该方法能有效缓解髋部骨折患者的术后疼痛，提高患者对护理工作的满意度。现报道如下： 　　1 资料与方法 　　1.1 一般资料 　　所有病例均为我院住院的髋部骨折患者，根据入选及排除标准，所有病例按