摘要
目的解析延续性护理在糖尿病股骨颈骨折患者术后的关节锻炼作用。方法纳入该院2018年2月—2019年5月间的糖尿病股骨颈骨折患者,共120例,计算机筛选分为对照组和观察组两组,均60例,手术治疗后对照组予以常规护理,观察组实施延续性护理,比对血糖、髋关节和并发症情况。结果护理后观察组血糖显著低于对照组,空腹血糖(8.25±0.65)mmol/L vs(11.46±0.71)mmol/L、餐后2 h血糖(10.25±1.00)mmol/L vs(12.80±1.40)mmol/L,差异有统计学意义(P<0.05);关节恢复情况观察组显著优于对照组,Harris(髋关节功能)评分(88.50±4.24)分vs(72.16±5.33)分、ADL(日常生活能力)(89.51±4.24)分vs(75.27±6.03)分,差异有统计学意义(P<0.05);观察组并发症发生率为8.33%,对照组为23.33%,差异有统计学意义(P<0.05)。结论糖尿病患者股骨颈骨折术后护理中,延续性护理应用价值高,在控制血糖的同时,促进髋关节的恢复,降低并发症的发生,推荐推广。
Objective To analyze the effect of continuous nursing on joint exercises in patients with diabetic femoral neck fractures after surgery.Methods A total of 120 patients with diabetic femoral neck fractures from February 2018 to May 2019 in the hospital were enrolled.They were screened by computer and divided into two groups:control group and observation group,with 60 cases in each group.After surgical treatment,the control group received routine care,and the observation group adopted continuous care,compare blood glucose,hip joint and complications.Results The blood glucose of the observation group after nursing was significantly lower than that of the control group.Fasting blood glucose(8.25±0.65)mmol/L vs(11.46±0.71)mmol/L,2 h postprandial blood glucose(10.25±1.00)mmol/L vs(12.80±1.40)mmol/L,the difference was statistically significant(P<0.05);the joint recovery of the observation group was significantly better than the control group,Harris(hip joint function)score(88.50±4.24)points vs(72.16±5.33)points,ADL(activity of daily living)(89.51±4.24)points vs(75.27±6.03)points,the difference was statistically significant(P<0.05);the complication rate of the observation group was 8.33%,and control group was 23.33%,the difference was statistically significant(P<0.05).Conclusion In the postoperative nursing of diabetic patients with femoral neck fractures,continuous nursing has high application value.While controlling blood glucose,it can promote the recovery of the hip joint and reduce the occurrence of complications.It is recommended to promote.
作者
郑艺娜
郑永练
ZHENG Yina;ZHENG Yonglian(Department of Orthopedics,Zhangzhou Hospital of Traditional Chinese Medicine,Zhangzhou,Fujian Province,363000 China;Department of Surgery,Shiting Town Central Hospital,Xiangcheng District,Zhangzhou,Fujian Province,363000 China)
出处
《糖尿病新世界》
2021年第10期123-126,共4页
Diabetes New World Magazine
关键词
延续性护理
糖尿病
股骨颈骨折
关节锻炼
Continuous care
Diabetes
Femoral neck fracture
Joint exercises
