中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
28期
73-75,76
,共4页
肱骨髁上GartlandⅡ%Ⅲ型骨折%儿童%细节护理%效果
肱骨髁上GartlandⅡ%Ⅲ型骨摺%兒童%細節護理%效果
굉골과상GartlandⅡ%Ⅲ형골절%인동%세절호리%효과
Humeral supracondylar fracture of Gartland typeⅡ,Ⅲ%Children%Detailed nursing%Effect
目的：探讨细节护理在儿童肱骨髁上GartlandⅡ、Ⅲ型骨折行手法整复配合中药熏洗中的应用。方法：选取2013年5月-2014年5月本院收治的肱骨髁上GartlandⅡ、Ⅲ型骨折患儿80例作为研究对象，采用随机数字表法将其分为干预组和对照组，每组40例，所选患儿均接受手法整复配合中药熏洗治疗。对照组给予骨科常规护理，干预组在对照组的基础上给予细节护理，观察比较两组疼痛程度、手法整复复位配合程度、术后并发症发生情况、家长满意度及护理达标情况。结果：干预组OPS评分及手法整复复位总配合率高于对照组，比较差异均有统计学意义（P<0.05）；干预组术后并发症发生情况、家长满意度及护理达标情况均明显优于对照组，比较差异均有统计学意义（P<0.05）。结论：细节护理可有效减轻肱骨髁上GartlandⅡ、Ⅲ型骨折患儿疼痛，提高患儿手法整复复位配合度，减少术后并发症发生，提高家长满意度，可广泛应用于临床。
目的：探討細節護理在兒童肱骨髁上GartlandⅡ、Ⅲ型骨摺行手法整複配閤中藥熏洗中的應用。方法：選取2013年5月-2014年5月本院收治的肱骨髁上GartlandⅡ、Ⅲ型骨摺患兒80例作為研究對象，採用隨機數字錶法將其分為榦預組和對照組，每組40例，所選患兒均接受手法整複配閤中藥熏洗治療。對照組給予骨科常規護理，榦預組在對照組的基礎上給予細節護理，觀察比較兩組疼痛程度、手法整複複位配閤程度、術後併髮癥髮生情況、傢長滿意度及護理達標情況。結果：榦預組OPS評分及手法整複複位總配閤率高于對照組，比較差異均有統計學意義（P<0.05）；榦預組術後併髮癥髮生情況、傢長滿意度及護理達標情況均明顯優于對照組，比較差異均有統計學意義（P<0.05）。結論：細節護理可有效減輕肱骨髁上GartlandⅡ、Ⅲ型骨摺患兒疼痛，提高患兒手法整複複位配閤度，減少術後併髮癥髮生，提高傢長滿意度，可廣汎應用于臨床。
목적：탐토세절호리재인동굉골과상GartlandⅡ、Ⅲ형골절행수법정복배합중약훈세중적응용。방법：선취2013년5월-2014년5월본원수치적굉골과상GartlandⅡ、Ⅲ형골절환인80례작위연구대상，채용수궤수자표법장기분위간예조화대조조，매조40례，소선환인균접수수법정복배합중약훈세치료。대조조급여골과상규호리，간예조재대조조적기출상급여세절호리，관찰비교량조동통정도、수법정복복위배합정도、술후병발증발생정황、가장만의도급호리체표정황。결과：간예조OPS평분급수법정복복위총배합솔고우대조조，비교차이균유통계학의의（P<0.05）；간예조술후병발증발생정황、가장만의도급호리체표정황균명현우우대조조，비교차이균유통계학의의（P<0.05）。결론：세절호리가유효감경굉골과상GartlandⅡ、Ⅲ형골절환인동통，제고환인수법정복복위배합도，감소술후병발증발생，제고가장만의도，가엄범응용우림상。
Objective:To investigate the application of detailed nursing in the manipulation combined with herbal fumigation treatment for children with humeral supracondylar fracture of Gartland typeⅡ,Ⅲ.Method:80 cases of children with humeral supracondylar fracture of Gartland typeⅡ,Ⅲin our hospital from May 2013 to May 2014 were selected and randomly divided into the interventional group and the control group,with each group 40 cases.All patients accepted the treatment of manipulation combined with herbal fumigation.Children in the control group were given routine nursing of orthopedics,the interventional group was given detailed nursing on the basis of the control group.The pain degree, the cooperation degree of manipulation reduction,the incidence of postoperative complications and the situation of parents' satisfaction and nursing standards were observed and compared between the two groups.Result:The OPS score and the cooperation degree of manipulation reduction in the interventional group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications and the situation of parents' satisfaction and nursing standards in the interventional group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Detailed nursing can effectively reduce the pain degree of children with humeral supracondylar fracture of Gartland typeⅡ,Ⅲ,improve the cooperation of manipulation reduction, reduce the incidence of postoperative complications and improve the satisfaction of parents.It can be widely applied to clinic.
