CAJ | 학술논문

　　目的探讨老年人髋部骨折围术期护理要点。方法重庆市急救医疗中心骨科2009年2月至2011年10月，手术治疗老年髋部骨折105例，根据患者的具体情况，制定恰当有效的围术期护理方案，预防并发症及指导患者正确进行功能锻炼。结果105例患者住院期间均无泌尿道和呼吸道感染、皮肤压疮及深静脉血栓形成等并发症发生。随防12～18个月，患肢功能恢复满意。结论老年人髋骨骨折围术期护理是保证患者安全平稳度过手术，顺利恢复健康非常重要的环节，因此应加强对患者围术期的护理，重点做好心理护理、术前评估、健康指导、并存疾病的处理及营养支持，加强病情观察，保持患者正确体位，指导正确功能锻炼，有效预防并发症，促进骨折愈合和功能恢复，从而达到提高患者生活质量的最终目的。
　　목적탐토노년인관부골절위술기호리요점。방법중경시급구의료중심골과2009년2월지2011년10월，수술치료노년관부골절105례，근거환자적구체정황，제정흡당유효적위술기호리방안，예방병발증급지도환자정학진행공능단련。결과105례환자주원기간균무비뇨도화호흡도감염、피부압창급심정맥혈전형성등병발증발생。수방12～18개월，환지공능회복만의。결론노년인관골골절위술기호리시보증환자안전평은도과수술，순리회복건강비상중요적배절，인차응가강대환자위술기적호리，중점주호심리호리、술전평고、건강지도、병존질병적처리급영양지지，가강병정관찰，보지환자정학체위，지도정학공능단련，유효예방병발증，촉진골절유합화공능회복，종이체도제고환자생활질량적최종목적。
Objective To explore the perioperative care points in elderly patients with hip fracture .Methods 105 cases of elderly patients with hip fracture accepted the surgical treatment in Department of Orthopedics , Chongqing Emergency Medical Center from february 2009 to October 2011 ,were selected .Appropriate and effective perioperative nursing for prevention of postoperative complications and advising of functional excercise were estab-lished according to the respective conditions of patients .Results None of the 105 patients had postoperative compli-cations such as infection of urinary system ,respiratory system ,decubitus or venous thrombosis .Function recovery of fractured limb was satisfactory after followed up for 12 to 18 months among all the patients .Conclusion Periopera-tive nursing could be a key link to ensure patient safety ,smooth through surgery successfully recover for elderly pa-tients with hip fracture .Psychological care ,preoperative evaluation ,health guidance ,comorbidities ,treatment and nu-tritional support ,strengthening the observation ,keeping the patient correct posture ,correct guidance of functional training ,effective prevention of complications and promoting healing and functional recovery should be done to im-prove the quality of life in patients .