CAJ | 학술논문

目的探讨交锁髓内钉内固定术后的护理方法和效果.方法将96例股骨干骨折行交锁髓内钉内固定术后的患者随机分为两组,对照组48例按术后常规护理,实验组48例在常规护理的基础上,增加患肢蜡疗联合TDP神灯照射疗法,观察并记录术后1周内并发症及护理问题.结果术口疼痛Ⅱ度以上对照组33例,实验组12例;术口水肿(++)以上对照组33例,实验组12例;两组患者在术口疼痛、水肿、感染及深静脉血栓等方面比较差异具有统计学意义(P＜0.05).结论蜡疗联合TDP神灯照射疗法,对预防交锁髓内钉内固定术后水肿、疼痛等护理问题效果显著,对预防术后感染、深静脉血栓等护理无影响.
목적 탐토교쇄수내정내고정술후적호리방법화효과.방법 장96례고골간골절행교쇄수내정내고정술후적환자수궤분위량조,대조조48례안술후상규호리,실험조48례재상규호리적기출상,증가환지사료연합TDP신등조사요법,관찰병기록술후1주내병발증급호리문제.결과 술구동통Ⅱ도이상대조조33례,실험조12례;술구수종(++)이상대조조33례,실험조12례;량조환자재술구동통、수종、감염급심정맥혈전등방면비교차이구유통계학의의(P＜0.05).결론 사료연합TDP신등조사요법,대예방교쇄수내정내고정술후수종、동통등호리문제효과현저,대예방술후감염、심정맥혈전등호리무영향.
Objective To explore the nursing method and effect of interlocking intramedullary nail fixation.Methods We randomly divided 96 cases of femoral shaft fracture with interlocking intramedullary nail fixation into two groups.The control group received routine nursing after the operation,while the experimental group,based on routine nursing,was added the therapy of Wax associating with TDP lamp irradiation.The we observed and recorded the complications and nursing problems within 1 week in the operation.Result There was significant difference in the treatment efficiency of two therapies (P ＜ 0.05).Conclusion The therapy of Wax associating with TDP lamp irradiation has a significant effect on the prevention of nursing problems such as edema,pain and so on caused by interlocking intramedullary nail fixation,without affecting infection,deep vein thrombosis.