股骨骨折82例原因分析及护理

Analysis of the Causes of 82 Cases of Femoral Fracture and Its Nursing

目的总结分析股骨骨折的原因及护理相应对策，为病人康复提供全面和有效的护理支持。方法2003年1月-2007年7月，北京华信医院收治股骨骨折患者82例，其中男50例，女32例；年龄18～88岁（平均55．7岁）。骨折分型：股骨颈骨折24例，粗隆间骨折34例，股骨干骨折24例，其中手术治疗75例，非手术治疗7例。对所有病人的致伤原因进行总结，分析其中所包含的社会、心理、生理等因素，制定相应的整体护理对策并付诸实施。结果该组致伤原因中摔伤57例，被自行车、机动车撞伤25例，其中合并骨质疏松及糖尿病、心脑血管疾病者48例。总结分析的结果折射出人口老龄化、城市建设工伤、交通事故、老年人生理和心理的退化、合并疾病等因素是股骨骨折患者的深层次原因，针对上述原因进行围手术期的护理支持和治疗，所有病人均恢复良好，痊愈出院。结论对股骨骨折患者做针对性的指导、科学的护理、加强医患之间的沟通，是患者早日康复的重要环节。

[ Objective] To analyze the causes of femoral fractures and related nursing measures in order to provide complete and effective nursing for the rehabilitation of the patients. [ Methods] 82 cases of femoral fracture were treated in Beijing Huaxin Hospital from January 2003 to July 2007, among which 50 cases were males and 32 cases were females aged from 18 to 88 ; these patients included 24 cases of fractures of femoral neck, 34 cases of intertro chanteric fractures of femur, 24 cases of fractures of femoral stem, among which 75 cases received operation and 7 cases didnt; the causes of injury of all cases were summarized including social, psychological and biological elements; overall nursing countermeasures was established and carried out. [ Results] 57 cases of injuries were caused by falling, 25 eases was hit by bicycles and automobiles, among which 48 eases were combined with osteoporosis, diabetes and eardio-eerebral vascular diseases; the investigation revealed that population aging, industrial injuries, traffic accidents, physiologieal and psychological degeneration of senile people and disease combinations were found to be the profound level of the causes; through the peripheral operation nursing support and treatment, all the patients recovered and were discharged from hospital. [ Conclusion] Proper guidance, scientific nursing and effective communication between the doctors and patients are the key points for the patients＇early recovery.