CAJ | 학술논문

　　目的：探讨乳酸亚铁治疗股骨粗隆骨折隐性失血对患者术后关节功能恢复的影响及护理方法。方法：将2008年3月~2011年3月82例股骨粗隆间骨折患者随机分组。试验组术后1~8周口服乳酸亚铁8周，对照组未进行干预。两组患者围术期间护理方法相同，比较两组患者术后的血红蛋白、FIM评分的增加情况。结果：术后1、2、3个月试验组血红蛋白、FIM评分增加量均明显高于对照组(P<0.05)。结论：口服铁剂能有效防治股骨粗隆骨折患者术后隐性失血，期间加强护理，有利于加快患者术后功能恢复。
　　목적：탐토유산아철치료고골조륭골절은성실혈대환자술후관절공능회복적영향급호리방법。방법：장2008년3월~2011년3월82례고골조륭간골절환자수궤분조。시험조술후1~8주구복유산아철8주，대조조미진행간예。량조환자위술기간호리방법상동，비교량조환자술후적혈홍단백、FIM평분적증가정황。결과：술후1、2、3개월시험조혈홍단백、FIM평분증가량균명현고우대조조(P<0.05)。결론：구복철제능유효방치고골조륭골절환자술후은성실혈，기간가강호리，유리우가쾌환자술후공능회복。
Objective:To investigate the effects of ferrous lactate for the treatment of hidden blood loss after femoral intertrochanteric fracture on Joint function after operation and the nursing method.Methods:82 cases with femoral intertrochanteric fracture patients in our hospital from 2008 March to 2011 March methods were randomly grouped.The trial group was oral ferrous lactate for 8 weeks after 1 to 8 weeks;the control group was not given intervene.Two groups of patients were given the same nursing during the perioperative period,and they were compared with the incensement of postoperative hemoglobin and FIM score.Results:The incensement of hemoglobin,FIM score in trial group were significantly higher than those in the control group after 1,2,3 month (P<0.05). Conclusion:Oral iron is effective in treating hidden blood loss in patients with femoral intertrochanteric fractures operation;it can accelerate the recovery of patients' functional after the operation if nursing were strengthened during the period.