CAJ | 학술논문

目的探讨防旋型股骨近端髓内钉(PFNa)治疗股骨粗隆间骨折的围手术期护理.方法对2006年6月-2010年6月间我院采用PFNa治疗股骨粗降间骨折35例的临床资料进行回顾性分析,35例患者行PFNa内固定治疗,术前与患者建立良好的护患关系,术后密切观察患者生命体征,积极预相关并发症,配合患者进行康复训练.总结35例应用PFNA手术治疗的患者围手术期护理的方法.结果术后随访4～24个月,全部病例骨折均愈合,且能完全负重行走,平均骨折愈合时间约14.5周.患髋关节活动功能良好,按Harris疗效评分标准,优30例,良5例.结论应用PFNa操作简单,适合微创操作,创伤少,内固定可靠,是一种治疗股骨粗隆间骨折,良好的护理可有效的预防并发症,促进患者康复.
목적 탐토방선형고골근단수내정(PFNa)치료고골조륭간골절적위수술기호리.방법 대2006년6월-2010년6월간아원채용PFNa치료고골조강간골절35례적림상자료진행회고성분석,35례환자행PFNa내고정치료,술전여환자건립량호적호환관계,술후밀절관찰환자생명체정,적겁예상관병발증,배합환자진행강복훈련.총결35례응용PFNA수술치료적환자위수술기호리적방법.결과 술후수방4～24개월,전부병례골절균유합,차능완전부중행주,평균골절유합시간약14.5주.환관관절활동공능량호,안Harris료효평분표준,우30례,량5례.결론 응용PFNa조작간단,괄합미창조작,창상소,내고정가고,시일충치료고골조륭간골절,량호적호리가유효적예방병발증,촉진환자강복.
Objective To explore the preoperative nursing methods of proximal femoral nail anti-rotation(PFNA)treatment of intertrochanteric fractures.Methods 35 Cases of PFNA treatment of intertrochanteric fractures were analyzed retrospectively from June 2006 to June 2010,establishing good care relation with patients before operation,postoperative closely monitoring patients'vital signs,positive complications associated with patients,as well as the rehabilitation training.Care methods of 35 PFNA patients was summarized.Results During the follow-up of 4-24 months,all patients'fracture healed,and Can completely walk bearing load,the average fracture healing time was about 14.5 weeks.With good hip activities function.there were 30 excellent cases and 5 good cases according Harris efficacy evaluation criterion.Conclusion The operation is simple,easy and suitable for application of PFNA minimally invasive operation,less trauma,reliable internal fixation,it is a kind of treatment for intertrochanteric fractures,good care can effectively prevent complications and promote the patients'recover.