摘要
目的:观察快速康复外科理念结合中医特色护理在股骨粗隆间骨折防旋型股骨近端髓内钉(PFNA)内固定术患者中的效果。方法:将接受PFNA内固定术治疗的股骨粗隆间骨折患者104例按照随机数字的方法分为对照组和观察组各52例,对照组给予常规护理方法,观察组在对照组的基础上使用快速康复外科理念结合中医特色护理的干预策略,对比干预的效果。结果:干预后,2组髋关节功能均提升(P<0.05),在完成干预后的对比结果中,髋关节评分的各个维度均为观察组高于对照组(P<0.05)。在术后72 h,2组疼痛程度均降低(P<0.05),在术后72 h观察组疼痛程度低于对照组(P<0.05)。2组在便秘、压疮、肺部感染、深静脉血栓的发生情况上,差异无统计学意义(P>0.05),对照组并发症总发生比例高于观察组(P<0.05)。结论:对接受PFNA内固定术的股骨粗隆间骨折患者使用快速康复外科理念结合中医特色护理策略,可以提升术后恢复效果,降低疼痛程度,减少并发症。
Objective: To observe the effect of concept of fast track surgery combined with Chinese medicine characteristic nursing on patients with femoral intertrochanteric fracture undergoing proximal femoral nail anti-rotation(PFNA)internal fixation. Methods:A total of 104 cases of patients with femoral intertrochanteric fracture undergoing PFNA internal fixation were divided into the control group and the observation group according to the random number table method,52 cases in each group. The control group was given routine nursing methods, and the observation group was additionally intervened with the concept of fast track surgery combined with Chinese medicine characteristic nursing based on the treatment of the control group. The effect of the intervention was compared. Results:After intervention,hip joint function in the two groups was improved(P<0.05). The comparison results after intervention showed that the scores of hip joint in all dimensions in the observation group were higher than those in the control group(P<0.05). At 72 hours after surgery,the pain degree in the two groups was decreased(P<0.05), and the comparison results showed that the pain degree in the observation group was lower than that in the control group(P<0.05). There was no significant difference being found in the comparison of the incidences of constipation,pressure sore,pulmonary infection and deep venous thrombosis between the two groups(P>0.05),and the total incidence of complications in the control group was higher than that in the observation group(P<0.05). Conclusion: The therapy of concept of fast track surgery combined with Chinese medicine characteristic nursing for patients with femoral intertrochanteric fracture undergoing PFNA internal fixation can improve postoperative recovery effect and reduce pain degree and complications.
作者
袁道珊
胡战云
杨迪云
YUAN Daoshan;HU Zhanyun;YANG Diyun
出处
《新中医》
CAS
2020年第22期125-128,共4页
New Chinese Medicine
关键词
股骨粗隆间骨折
围手术期
快速康复外科理念
PFNA内固定术
中医特色护理
Femoral intertrochanteric fracture
Perioperative period
Concept of fast track surgery
PFNA internal fixation
Chinese medicine characteristic nursing
