外固定架固定经皮骨水泥注入治疗晚期股骨干转移癌病理性骨折的康复护理

Rehabilitation Nursing of Pathological Fracture of Femoral Shaft Metastasis Treated with External Fixation and Percutaneous Bone Cement Injection

目的总结外固定架固定经皮骨水泥注入治疗晚期股骨干转移癌病理性骨折的护理经验,提高专科护理质量,有效缓解患者的疼痛,提高其生活质量。方法术前对患者进行心理护理,术后严密观察病情、伤肢疼痛护理、预防并发症发生及指导功能锻炼。结果13例患者在术后当日疼痛明显减轻,住院期间无并发症发生;13例患者中11例获随访,时间为2-14个月。疼痛消失9例,2例疼痛明显减轻。患者于术后1-2周即可坐轮椅或扶拐行走,患者生活质量明显提高。结论对于晚期股骨干转移癌病理性骨折患者采用外固定架固定经皮骨水泥注入治疗具有损失小,止痛效果确切,能够早期指导患者进行功能锻炼,通过个性化系统康复护理,患者生活质量明显改善。

Objective To summarize nursing experience of pathological fracture of femoral shaft metastasis treated with external fixation and percutaneous bone cement injection, improve special nursing quality, and alleviate pain of patient effectively and improve whose life quality. Methods Performing psychological nursing for patients before operation, observing patients situation carefully after operation, nursing wound limbs, preventing complication and instructing functional exercise. Results The pain alleviated obvious ly in 13 patients after operation, no patient had complication in hospital period. 11 of 13 patients were followed up, which time were 2-14 months, and the pain disappeared in 9 cases, alleviated obviously in 2 patients. The patients could sit in wheelchair or walk with crutch. The patient life quality improved obviously. Conclusion Pathological fracture of femoral shaft metastasis treated with external fixation and percutaneous bone cement injection has the advantages of little expense and better analgesic effect. Early func tional exercise can be instructed. The quality of life of the patients improved obviously through systemic individuation rehabilitation nursing.