CAJ | 학술논문

目的：探讨促进跟骨骨折内固定术后切口愈合的护理对策。方法将121例跟骨骨折内固定手术患者分为观察组及对照组，观察组在常规护理基础上，加强肿胀护理、疼痛护理、伤口护理，对照组予常规护理，比较两组的临床效果。结果观察组61例患者有56例切口14天愈合，4例切口局部对合差，经治疗1月内愈合，1例伤口不愈，为异体骨排斥引起；对照组60例患者有39例切口14天愈合，15例患者切口局部对合差，经治疗1月内愈合，6例患者伤口局部皮肤坏死，术后2个月愈合。结论护理干预可以促进跟骨骨折术后切口的愈合。
목적：탐토촉진근골골절내고정술후절구유합적호리대책。방법장121례근골골절내고정수술환자분위관찰조급대조조，관찰조재상규호리기출상，가강종창호리、동통호리、상구호리，대조조여상규호리，비교량조적림상효과。결과관찰조61례환자유56례절구14천유합，4례절구국부대합차，경치료1월내유합，1례상구불유，위이체골배척인기；대조조60례환자유39례절구14천유합，15례환자절구국부대합차，경치료1월내유합，6례환자상구국부피부배사，술후2개월유합。결론호리간예가이촉진근골골절술후절구적유합。
Objective To investigate nursing strategy of promoting incision healing after internal fixation of calcaneal fractures. Methods 121 patients with internal fixation of calcaneal fractures were divided into two groups. 60 cases of control group received routine nursing, while 61 cases of observation group received swelling care, pain care and wound care on the basis of routine nursing. The clinical outcomes were compared. Results Among 61 cases of observation group, there were 56 cases of incision healing within 14 days, 4 cases of poor partial involution (healing after one month of treatment) and one case of unhealed incision (caused by allograft rejection). Among 60 cases of control group, there were 39 cases of incision healing within 14 days, 15 cases of poor partial involution (healed after one month of treatment) and 6 cases of necrosis of local skin of incision (healing at 2 months after treatment). Conclusions Nursing intervention can promote the incision healing of calcaneal fractures surgery.