探讨吸烟对骨折愈合速度及功能康复的影响

目的:探讨吸烟对骨折愈合速度及功能康复效果的影响。寻找骨折病区吸烟患者的护理限制依据。方法:选择196例经外部固定或钢板螺钉、髓内针内固定治疗的连续的闭合或一级开放的下肢骨折患者,主要为股骨、胫腓骨骨折患者,在相同康复治疗下观察88例吸烟患者和108例不吸烟患者的骨折愈合和功能康复效果。结果:吸烟者平均愈合时间明显长于不吸烟者,功能康复效果有明显差异,优良率明显低于不吸烟者。结论:吸烟延长骨折愈合时间且明显影响骨折后的功能康复。

Objective： To discuss the influence of smoking on fracture healing and rehabilitation, and search based on of limitation about nursing for patient of smoking in endemic area of bone fracture. Methods ： 196 consecutive closed Grade I open fracture of lower limb treated with external fixation, nickelclad and bolt or intramedullary rod fixation, major is femoral bone and fracture of fibula, 88 patients who smoked and 108 patients who did not smoke had followed to union and rehabilitate in the same condition. Results ：The median time to healing for patients who smoked was significantly lower that of patients who did not smoke. Conclusions ： Smoking delay the healing time of tibias and impair the rehabilitation significantly.