护理干预在关节镜结合外固定架治疗Pilon骨折后的应用研究

Nursing Intervention in the External Fixator Combined with Arthroscopic Treatment of Pilon Fractures after the Applied Research

目的通过护理干预观察应用关节镜结合外固定架治疗胫骨远端骨折术后的护理效果。方法总结从2005年9月瑚8年10月共62例Pilon骨折患者临床资料及护理过程，根据手术特点，提出护理问题，制定护理于预计划措施。结果近37％的针眼有渗出（82／248枚），平均在3～4周左右经局部换药痊愈。62例患者中随访骨折全部愈合，平均愈合时间3．2个月，平均去除外固定架时间为4．2个月。无感染、无骨折不愈合。术后随访时Mazur踝关节症状与功能评分量表评定中，总分达92分以上者，46例；总分为87—92分者，10例；总分为65—86分者，6例。无总分低于65分者。结论早期进行关节功能锻炼的康复护理，能有效保证有效功能训练，防止关节肌腱韧带粘连、挛缩，减少踝关节功能障碍的产生，提高术后的功能恢复，Pilon骨折患者术后功能恢复良好。

Objective To observe the application of nursing intervention combined with external fixator arthroscopic treatment of tibial fractures in post - operative care effect. Methods From September 2005 --2008 in October fracture Pilon were 62 cases of clinical data of patients and nursing process, in accordance with operation characteristics, health care issues, the development of care in the pre - planned measures; Results The results of nearly 37% of the eye of a needle has exudative （82/248 pieces）, an average of about 3 to 4 weeks after partial recovery dressing. 62 cases of all patients in follow - up fracture healing, with an average healing time was 3.2 months, the average time to fixation, except for 4. 2 months. No infection, no nonunion. Postoperative follow - up when the Mazur ankle score symptoms and functional assessment scale, the scores for more than 92 hours, 46 cases; the total is divided into 87-92 points, 10 cases; the total is divided into 65 -86 points, six cases of. No score below 65 points. Conclusion The early conclusion of the joint functional exercise rehabilitation care, can effectively function to ensure the effective training, to prevent joint ligament tendon adhesions, contraeture ankle dysfunction reduce production, improve the postoperative functional recovery, Pilon fractures of good functional recovery of patients.