现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
4期
22-24
,共3页
踝关节骨折%早期下床活动%护理
踝關節骨摺%早期下床活動%護理
과관절골절%조기하상활동%호리
ankle fracture%early ambulation%nursing
目的 探讨早期下床无负重活动在踝关节骨折术后患者中的应用效果.方法 按入院先后次序将60例踝关节骨折术后患者分为实验组和对照组,每组各30例.对照组患者术后指导其踝关节制动并尽量抬高患肢高于心脏水平,实验组患者术后第1 d指导其拄双拐下地行无负重活动.观察两组患者踝关节周径变化、阿片类药物使用剂量、伤口愈合时间、住院时间和并发症发生情况.结果 两组患者踝关节周径变化、阿片类药物使用剂量、伤口愈合时间比较,差异无统计学意义(均P>0.05);实验组患者住院时间少于对照组,并发症发生率低于对照组(均P<0.05).结论 鼓励踝关节骨折患者术后早期下床无负重活动,在预防卧床并发症发生的同时,提高了临床治疗效果,从而缩短患者住院时间.
目的 探討早期下床無負重活動在踝關節骨摺術後患者中的應用效果.方法 按入院先後次序將60例踝關節骨摺術後患者分為實驗組和對照組,每組各30例.對照組患者術後指導其踝關節製動併儘量抬高患肢高于心髒水平,實驗組患者術後第1 d指導其拄雙枴下地行無負重活動.觀察兩組患者踝關節週徑變化、阿片類藥物使用劑量、傷口愈閤時間、住院時間和併髮癥髮生情況.結果 兩組患者踝關節週徑變化、阿片類藥物使用劑量、傷口愈閤時間比較,差異無統計學意義(均P>0.05);實驗組患者住院時間少于對照組,併髮癥髮生率低于對照組(均P<0.05).結論 鼓勵踝關節骨摺患者術後早期下床無負重活動,在預防臥床併髮癥髮生的同時,提高瞭臨床治療效果,從而縮短患者住院時間.
목적 탐토조기하상무부중활동재과관절골절술후환자중적응용효과.방법 안입원선후차서장60례과관절골절술후환자분위실험조화대조조,매조각30례.대조조환자술후지도기과관절제동병진량태고환지고우심장수평,실험조환자술후제1 d지도기주쌍괴하지행무부중활동.관찰량조환자과관절주경변화、아편류약물사용제량、상구유합시간、주원시간화병발증발생정황.결과 량조환자과관절주경변화、아편류약물사용제량、상구유합시간비교,차이무통계학의의(균P>0.05);실험조환자주원시간소우대조조,병발증발생솔저우대조조(균P<0.05).결론 고려과관절골절환자술후조기하상무부중활동,재예방와상병발증발생적동시,제고료림상치료효과,종이축단환자주원시간.
Objective To discuss the clinical outcomes of early ambulation after surgery of ankle fracture.Methods The histories of 60 patients having undergone operation of ankle fracture were retrospectively reviewed.Thirty patients in the experiment group were managed by early ambulation by walking sticks on the first day after the surgery,and the other 30 in the control group were managed with ankle braking and lifting the fractured limb higher than the level of heart.The two groups were compared in terms of the circumference of ankle,use of opiates,wound healing time,length of stay, and postoperative complications.Results There were no significant differences between the two groups in the circumference of ankle,use of opiates,wound healing time(all P>0.05).But the length of stay in the experiment group was significantly shorter(P<0.05)and the rate of postoperative complications was significantly smaller than those in the control group(all P<0.05).Conclusion The patients with ankle fracture can be encouraged to take early ambulation after operation so as to prevent postoperative complications, achieve the best curative effect and shorten the hospitalization.
