摘要
目的:探讨老年骨质疏松并发股骨颈骨折的术后护理效果。方法:选取2012年6月至2014年3月收治的老年骨质疏松并发股骨颈骨折患者79例,按照随机数字表法分为观察组40例和对照组39例。术后对照组采取常规护理,如血压控制、血糖水平控制等,观察组在常规护理基础上进行综合护理干预,如心理护理、体位护理、康复训练等。观察两组患者术后Harris评分情况、临床疗效及并发症发生情况。结果:术后1、3、6个月,观察组Harris评分均高于同期对照组,差异有统计学意义(P<0.05)。观察组总有效率为100.00%,对照组为79.49%,组间差异有统计学意义(P<0.05)。观察组总并发症发生率(5.00%)显著低于对照组(30.77%),差异有统计学意义(P<0.05)。结论:对老年骨质疏松并发股骨颈骨折患者进行综合护理干预,可有效改善患者Harris评分,提高治疗总有效率,降低并发症的发生,值得临床推广。
Objective： To explore the effect of the postoperative nursing on the elderly patients with osteoporosis complicated with the transcervical fracture. Methods： Seventy-nine cases with osteoporosis complicated with the transcervical fracture who were hospitalized for the treatment from June 2012 to March 2014 were selected and divided into an observation group with 40 cases and a control group with 39 cases according to the random number table method. After the operation, the control group was cared with the conventional nursing, such as the blood pressure control, blood sugar level control and others. On the basis of the conventional nursing, the observation group was cared with the comprehensive nursing intervention, such as the psychological and posture nursing, rehabilitation training and others. The Harris scores, clinical treatment effect, and complication occurrence of two groups were observed. Results： The Harris scores in the observation group after postoperative 1, 3 and 6 months were higher than those in the control group, and the difference had the statistical significance（P〈0.05）. The total effective rate in the observation group was 100.00%, and that in the control group 79.49%, and the difference between the groups had the statistical significance（P〈0.05）. The occurrence rate of the total complications in the observation group was 5.00% and lower than that in the control group 30.77%, and the difference had the statistical significance（P〈0.05）. Conclusion： The comprehensive nursing intervention on the elderly patients with osteoporosis complicated with the transcervical fracture can improve their Harris scores effectively, enhance the total treatment effective rate, and reduce the occurrence of the complication, which is worthy of the clinical promotion.
出处
《上海医药》
CAS
2015年第4期35-36,39,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
骨质疏松症
股骨颈骨折
老年人
术后护理
osteoporosis
transcervical fracture
elderly people
postoperative nursing
