中医护理干预在髋部骨折内固定患者中的应用
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R248.2;R683

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Application of Chinese Medicine Nursing Intervention in Patients Undergoing Internal Fixation of Hip Fracture
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    摘要:

    目的:观察中医护理干预对髋部骨折内固定患者髋关节功能、再住院率及生活质量的影响。方法:将90 例髋部骨折内固定患者按随机数字表法分为对照组和观察组各45 例,对照组采用常规护理措施,观察组在常规护理基础上加用中医护理。比较2 组患者术后髋关节功能、骨折愈合率、再住院率、血清骨碱性磷酸酶(BAP) 和骨钙素(BGP) 水平、生活质量及并发症发生情况。结果:术后12 个月,观察组的髋关节功能优良率为93.33%,高于对照组73.33%(P<0.05)。术后,观察组的骨折愈合率为97.78%,高于对照组82.22%(P<0.05);观察组的再住院率为13.33%,低于对照组40.00%(P<0.05)。术后,2 组BAP和BGP 水平较术前升高,且观察组BAP 和BGP 水平高于对照组,差异均有统计学意义(P<0.05)。术后,2 组身体、角色、心理、社会和认知评分较术前升高,且观察组各项评分均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为8.89%,低于对照组33.33%,差异有统计学意义(P<0.05)。结论:中医护理干预可提高髋部骨折内固定患者的髋关节功能和骨折愈合率,降低再住院率和并发症发生率,改善骨质量,提高患者生活质量。

    Abstract:

    Abstract: Objective: To observe the effect of Chinese medicine nursing intervention on the function of the hip joint, rehospitalization rate and quality of life in patients undergoing internal fixation of the hip fracture. Methods:A total of 90 cases of patients undergoing internal fixation of the hip fracture were divided into the control group and the observation group according to the random number table method, 45 cases in each group. The control group was given routine nursing measures,and the observation group was additionally given Chinese medicine nursing based on the treatment of the control group. The function of the hip joint, the healing rate of fracture, rehospitalization rate, the levels of bone alkaline phosphatase(BAP) and bone Gla protein(BGP) in serum,the quality of life and incidence of complications after surgery in the two groups were compared. Results:In the 12th month after surgery,the excellent and good rate of function of the hip joint in the observation group was 93.33%,higher than that of 73.33% in the control group(P<0.05). After surgery,the healing rate of fracture in the observation group was 97.78% , higher than that of 82.22% in the control group(P<0.05); rehospitalization rate in the observation group was 13.33%,lower than that of 40.00% in the control group(P<0.05). After surgery,the levels of BAP and BGP in the two groups were increased when compared with those before surgery,and the above two levels in the observation group were higher than those in the control group,differences being significant(P<0.05). After surgery, the scores of body, role, psychology, society and cognition in the two groups were increased when compared with those before surgery, and each score in the observation group was higher than that in the control group, differences being significant(P<0.05). The incidence of complications in the observation group was 8.89%,lower than that of 33.33% in the control group,the difference being significant(P<0.05). Conclusion:For patients undergoing internal fixation of the hip fracture, Chinese medicine nursing intervention can enhance their function of the hip joint and healing rate of fracture,as well as quality of life,reduce rehospitalization rate and the incidence of complications,and improve bone quality.

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周方芝,南金梅,蒋爱丹.中医护理干预在髋部骨折内固定患者中的应用[J].新中医,2020,52(14):147-150

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  • 在线发布日期: 2020-07-20
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