航空航天医学杂志
航空航天醫學雜誌
항공항천의학잡지
AEROSPACE MEDICINE
2014年
7期
1020-1022
,共3页
胫骨平台%骨折%手术配合
脛骨平檯%骨摺%手術配閤
경골평태%골절%수술배합
tibial plateau%fracture%operative cooperation
目的：研究33例胫骨平台骨折手术的手术配合。方法选取收治的33例胫骨远端骨折患者，根据手术配合方式将其分为两组，观察组16例、对照组17例。观察组术前对患者进行心理干预，避免负面情绪对手术产生影响，术后5周进行简单的负重训练。对照组则仅进行常规手术，术后卧床静养。对术前准备、术中配合、器械的清洁保养，及术后护理进行对比。结果33例胫骨平台骨折患者手术均顺利完成，术后随访5～10个月。观察组术后5周由护理人员陪同进行负重训练，对照组无需进行负重训练，卧床静养。术后两组患者需定期前往医院拍片复查，最终两组患者均无深部感染及切口感染情况，观察组骨性愈合时间9.7±1.2周，较对照组骨性愈合时间10.7±1.5周更快，差异均有统计学意义（均P＜0.05）。观察组满意率为93.75％（15/16），远高于对照组64.71％（11/17），差异均有统计学意义（均P＜0.05）。结论通过对比，观察组的手术配合方案更有益于患者的恢复，患者满意度更高。
目的：研究33例脛骨平檯骨摺手術的手術配閤。方法選取收治的33例脛骨遠耑骨摺患者，根據手術配閤方式將其分為兩組，觀察組16例、對照組17例。觀察組術前對患者進行心理榦預，避免負麵情緒對手術產生影響，術後5週進行簡單的負重訓練。對照組則僅進行常規手術，術後臥床靜養。對術前準備、術中配閤、器械的清潔保養，及術後護理進行對比。結果33例脛骨平檯骨摺患者手術均順利完成，術後隨訪5～10箇月。觀察組術後5週由護理人員陪同進行負重訓練，對照組無需進行負重訓練，臥床靜養。術後兩組患者需定期前往醫院拍片複查，最終兩組患者均無深部感染及切口感染情況，觀察組骨性愈閤時間9.7±1.2週，較對照組骨性愈閤時間10.7±1.5週更快，差異均有統計學意義（均P＜0.05）。觀察組滿意率為93.75％（15/16），遠高于對照組64.71％（11/17），差異均有統計學意義（均P＜0.05）。結論通過對比，觀察組的手術配閤方案更有益于患者的恢複，患者滿意度更高。
목적：연구33례경골평태골절수술적수술배합。방법선취수치적33례경골원단골절환자，근거수술배합방식장기분위량조，관찰조16례、대조조17례。관찰조술전대환자진행심리간예，피면부면정서대수술산생영향，술후5주진행간단적부중훈련。대조조칙부진행상규수술，술후와상정양。대술전준비、술중배합、기계적청길보양，급술후호리진행대비。결과33례경골평태골절환자수술균순리완성，술후수방5～10개월。관찰조술후5주유호리인원배동진행부중훈련，대조조무수진행부중훈련，와상정양。술후량조환자수정기전왕의원박편복사，최종량조환자균무심부감염급절구감염정황，관찰조골성유합시간9.7±1.2주，교대조조골성유합시간10.7±1.5주경쾌，차이균유통계학의의（균P＜0.05）。관찰조만의솔위93.75％（15/16），원고우대조조64.71％（11/17），차이균유통계학의의（균P＜0.05）。결론통과대비，관찰조적수술배합방안경유익우환자적회복，환자만의도경고。
Objective To analyze the condition of operative cooperation for the tibial plateau fracture surgery of 33 cases.Methods A total of 33 patients with distal tibial fracture admitted to our hospital were divided into two groups ac-cording to the scheme of operative cooperation , with 16 cases in the observation group and 17 cases in the control group.For patients of the observation group , psychological intervention was performed before operation to avoid the influence of negative emotion on the operation , and simple weight training was performed 5 weeks after operation.Patients of the con-trol group received routine operation , followed by bed rest.Preoperative preparation , intraoperative cooperation , mainte-nance of instruments and postoperative nursing were compared.Results All the 33 patients with tibial plateau fracture received successful surgery and 5~10 months of postoperative follow -up.The observation group received weight train-ing accompanied by nurses 5 weeks after operation , while the control group had bed rest instead of weight training.After operation, patients of two groups came back to hospital regularly for X -ray examination.Finally neither deep infection nor wound infection were observed in patients of two groups.The bone healing time of the observation group was 9.7 ± 1.2 weeks, faster than 10.7 ±1.5 weeks of the control group , and the difference was statistically significant ( P<0.05).The satisfaction rate of the observation group was 93.75% (15/16), higher than 64.71% (11/17) of the control group , and the difference was statistically significant ( P<0.05 ).Conclusions It can be found through compar-ison that the operative cooperation scheme of the observation group is more beneficial to the recovery of patients , leading to higher patient satisfaction rate.
