PFNa内固定治疗股骨粗隆间骨折的护理体会

Nursing experience on proximal femoral nail antl-rotation for intertrochanterie fractures

目的探讨防旋型股骨近端髓内钉（PFNa）治疗股骨粗隆间骨折的围手术期护理。方法对2006年6月-2010年6月间我院采用PFNa治疗股骨粗隆间骨折35例的临床资料进行回顾性分析，35例患者行PFNa内吲定治疗，术前与患者建立良好的护患关系，术后密切观察患者生命体征，积极预相关并发症，配合患者进行康复训练。总结35例应用PFNA手术治疗的患者围手术期护理的方法。结果术后随访4—24个月，全部病例骨折均愈合，且能完全负重行走，平均骨折愈合时间约14．5周。患髋关节活动功能良好，按Hartis疗效评分标准，优30例，良5例。结论应用PFNa操作简单，适合微创操作，创伤少，内刚定可靠，是一种治疗股骨粗隆间骨折，良好的护理可有效的预防并发症，促进患者康复。

Objective To explore the preoperative nursing methods of proximal femoral nail anti-rotation （PFNA） treatment of intertrochanteric fractures. Methods 35 cases of PFNA treatment of intertrochanteric fractures were analyzed retrospectively from June 2006 to June 2010, establishing good care relation with patients before operation, postoperative closely monitoring patients＇ vital signs, positive complications associated with patients, as well as the rehabilitation training. Care methods of 35 PFNA patients was summarized.Resulta During the follow-up of 4-24 months, all patients＇ fracture healed, and can completely walk bearing load, the average fracture healing time was about 14.5 weeks. With good hip activities function, there were 30 excellent cases and 5 good eases according Harris efficacy evaluation criterion. Conclusion The operation is simple, easy and suitable for application of PFNA minimally invasive operation, less trauma, reliable internal fixation, it is a kind of treatment for intertrochanteric fractures, good care can effectively prevent complications and promote the patients＇ recover.