CAJ | 학술논문

总结采用Pavlik吊带治疗发育性髋关节异常患儿的护理经验.护理从该病诊断做出后即开始介入,护士配合医生进行宣教;并以佩戴过程中防止双下肢过度外展为重点,开展护理随访及辅导工作;同时进行生活、皮肤、坐抱姿势等的护理指导.本组43例患儿获得稳定复位,达到治疗效果;4例未能达到股骨头复位,升级为手法复位+石膏固定治疗.除3例出现轻微皮肤损伤,未出现股骨头无茵性坏死和双下肢外展挛缩等严重并发症.
총결채용Pavlik조대치료발육성관관절이상환인적호리경험.호리종해병진단주출후즉개시개입,호사배합의생진행선교;병이패대과정중방지쌍하지과도외전위중점,개전호리수방급보도공작;동시진행생활、피부、좌포자세등적호리지도.본조43례환인획득은정복위,체도치료효과;4례미능체도고골두복위,승급위수법복위+석고고정치료.제3례출현경미피부손상,미출현고골두무인성배사화쌍하지외전련축등엄중병발증.
This paper summarizes the experiences of nursing care for children patients with Pavlik harness in the treatment of developmental hip dysplasia. Nurses attended to the children immediately after the diagnosis was identified. Cooperating with orthopedic surgeon,nursing care mainly focused on family health education,follow-up and guidance on how to prevent the leg from the position of over abduction,as well as guidance on daily life,skin care and positions being holded. As a result,43 children achieved stable reposition with Pavlik harness while 4 cases changed to manipulation reposition integrated with casting whose femoral head had not reduced to the acetabulum. No femoral head necrosis and limb contracture happened except 3 cases suffered from slight skin damage.