循证护理配合微型钢板内固定治疗手部掌骨颈骨折临床分析.docVIP

循证护理配合微型钢板内固定治疗手部掌骨颈骨折临床分析 　　[摘要] 目的 分析循?C护理配合微型钢板内固定治疗手部掌骨颈骨折的临床效果。方法 方便选取2016年1月―2017年6月该院收治的手部掌骨颈骨折患者96例，将患者随机分为两组，观察组和对照组患者各48例，观察组患者使用循证护理法配合微型钢板内固定法进行恢复治疗，对照组患者使用常规护理法配合克氏针内固定法进行恢复治疗，将两者的临床效果、并发症率和护理满意度进行比较和总结。结果 观察组48例手部掌骨颈骨折患者在接受上述治疗之后，总有效率为95.83%；而对照组为75.00%。观察组患者治疗总有效率明显高于对照组患者，组间治疗效果差异有统计学意义（P0.05）。观察组的感染率为6.25%，肌腱粘连和关节僵硬率为0.00%，而对照组分别为18.75%、10.41%和6.25%，观察组的并发症率普遍低于对照组（P0.05）。观察组中手术患者的术后24 h疼痛评分为（2.5±0.2）分，明显低于对照组（3.1±0.5）分，而且观察组的护理满意度评分为（97.5±2.1）分，明显高于对照组（81.4±4.5）分，其差异有统计学意义（P0.05）。结论 临床上在治疗手部掌骨颈骨折时，可以采用循证护理配合微型钢板内固定治疗的治疗方法，能有效并积极地使患者恢复健康，获得非常理想的治疗效果，值得在临床上大力推广。 　　[关键词] 微型钢板内固定；手部掌骨颈骨折；克氏针内固定法；循证护理 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2018）01（b）-0155-03 　　[Abstract] Objective To analyze the clinical effect of evidence-based nursing and internal fixation with mini-plate？in treatment of fracture of metacarpusl neck bones. Methods 96 cases of patients with fracture of metacarpusl neck bones admitted and treated in our hospital from January 2016 to June 2017 were convenient selected and randomly divided into two groups with 48 cases in each， the observation group used the evidence-based nursing and internal fixation with mini-plate， while the control group used the routine nursing and Kirschner wire internal fixation for rehabilitation treatment， and the clinical effect， complication rate and nursing satisfactory degree were compared and summarized. Results After treatment， the total effective rate in the observation group was obviously higher than that in the control group（95.83% vs 75.00%）， and the difference was obvious（P0.05）， and the infection rate， adhesion of tendon and ankylosis rate in the observation group and in the control group were respectively 6.25%， 0.00%，0.00% and 18.75%， 10.41% and 6.25%， and the complication rate in the observation group was lower than that in the control group（P0.05）， and the postoperative 24 h pains score in the observation group was obviously lower than that in the control group， [（2.5±0.2）points vs （3.1±0