骨科专科护理对门诊尺桡双骨折患者治疗效果影响.docVIP

骨科专科护理对门诊尺桡双骨折患者治疗效果影响 　　[摘要] 目的 探讨骨科专科护理对门诊尺桡双骨折患者治疗效果的影响。 方法 选取2013年7月～2015年2月我院门诊收治的76例尺桡双骨折患者作为研究对象，采用随机数字表法将所选患者分为研究组和对照组，每组各38例，研究组采用骨科专科护理干预，对照组采用常规护理，综合比较两组患者复位后不同时间患肢肿胀情况、疼痛评分、前臂功能优良率及护理满意度的差异。 结果 复位后7d、20d，研究组患者患肢肿胀值分别为（3.57±1.01）cm、（0.75±0.06）cm，均显著少于对照组的（5.37±1.20）cm、（1.47±0.82）cm，差异有统计学意义（P0.05），复位后48h、96h，研究组疼痛评分均低于对照组，差异有统计学意义（P0.05）；随访3个月，研究组患者前臂功能优良率为94.7%，高于对照组的76.3%，差异有统计学意义（P0.05）；研究组护理满意度高于对照组，差异有统计学意义（P0.05）。 结论 对门诊尺桡双骨折患者实施骨科专科护理干预效果确切，可明显消除患肢肿胀，改善疼痛，促进骨折愈合及前臂功能恢复，优于常规护理措施。 　　[关键词] 专科护理；尺桡双骨折；功能锻炼 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 2095-0616（2016）01-124-04 　　[Abstract] Objective To investigate the effects of orthopedics specialist care for the treatment of outpatient with radioulnar double fracture. Methods 76 cases of outpatient with radioulnar double fracture in our hospital from July 2013 to February 2015 were randomly divided into research group and control group，each were 38 cases.The research group were received orthopedics specialist care.The control group were received conventional nursing care.The limb swelling and pain score at different time after reset，forearm function excellent rate and satisfaction rate of two groups were compared. Results After 7d and 20d，the limb swelling value of research group were respectively （3.57±1.01）cm and （0.75±0.06）cm，which were lower than （5.37±1.20）cm and （1.47±0.82）cm of control group （P0.05）.After reset 48h and 96h，the pain score of research group were lower than control group （P0.05）.The forearm function excellent rate of research group was 94.7%，which was higher than 76.3% of control group （P0.05）.The satisfaction rate of research group was higher than control group （P0.05）. Conclusion Orthopedics specialist care for the treatment of outpatient with radioulnar double fracture is effective.It can effectively eliminate limb swelling，improve pain and promote functional recovery.It’s better than conventional care measures. 　　[Key words] Specialist care；Radioulnar double fracture；Functional trai