摘要
目的探讨胫腓骨远端螺旋形骨折儿童进行外固定手术后,适时开展护理训练对其脚踝功能恢复的促进作用。方法选取本院骨外科6~15岁行胫腓骨远端螺旋形骨折内固定手术的50例患儿,均分为对照组和实验组,对照组采取常规护理措施,实验组在常规护理基础上开展康复训练和心理护理,比较2组患者术后4个月踝关节活动度和Kofoed踝关节评分、胫腓骨骨折愈合时间、焦虑和抑郁状态的差异。结果术后4个月回访2组患者踝关节进行伸、屈、旋前、旋后、负重时外翻、负重时内翻活动度的差异均有统计学意义(P<0.05);2组患者骨骼愈合时间、Kofoed踝关节评分差异均有统计学意义(P<0.05);护理后,2组患者焦虑及抑郁评分差异有统计学意义(P<0.05)。结论胫腓骨远端发生螺旋状骨折的儿童,在术后即时开展心理护理,初期创伤康复,后期床下康复训练,有助于促进骨折愈合,促进踝关节活动度和功能的恢复。
ObjectiveTo analyze the effect of nursing training on the recovery of ankle function in children undergoing external fixation after tibial and fibular distal spiral fractures. MethodsA total of 50 patients with thoracic and fibrosalectomy were randomly divided into control group（routine nursing measures） and the experimental group（rehabilitation training and psychological care based on routine nursing measures）, ankle joint activity and Kofoed ankle score, tibial and fibular fracture healing time, anxiety and depression after 4 months were compared. ResultsThere were significant differences in stretch, flexion, pronation, supination, ectropion and varus when load bearing of the ankle joint between the two groups（P〈0.05）; The was significant differences in bone healing time, Kofoed ankle scores, anxiety and depression scores（P〈0.05）. ConclusionPsychological care for distal tibia and fibula spiral fractures can help to promote fracture healing, and recovery of ankle activity and function.
出处
《实用临床医药杂志》
CAS
2017年第22期55-57,共3页
Journal of Clinical Medicine in Practice
基金
湖南省卫生计生委科研计划科研课题(B2015-68)
湖南省教育厅科学研究一般项目(17C0218)
关键词
胫腓骨
螺旋形骨折
护理训练
脚踝功能恢复
tibia and fibula
spiral fractures
nursing training
ankle function recovery
