骨质疏松性股骨转子间骨折患者锁定加压钢板固定治疗的护理

Nursing of Intertrochanteric Fracture with Osteoporosis by Proximal Femoral Locking Compression Plate

目的探讨骨质疏松性股骨转子间骨折患者股骨近端锁定加压钢板内固定手术前后的护理措施。方法回顾性总结2006年2月至2009年10月29例采用股骨近端锁定加压钢板内固定手术治疗骨质疏松性股骨转子间骨折患者的心理护理、饮食护理、术前后康复训练及效果。结果 29例患者术后随访6－36个月,平均（18.31±6.43）个月。术后离床时间3－15 d,平均（9.00±2.42）d;骨折愈合时间12－30周,平均（14.85±2.21）周。出现下肢深静脉血栓1例,轻度髋内翻2例。按照Sander评分标准,优良率为93.10%。结论股骨近端锁定加压钢板是治疗骨质疏松性股骨转子间骨折的有效方法,具有创伤小、出血少等优点,尤其适合老年患者;积极的心理干预、正确的康复训练、定期的家庭随访是缩短老年患者卧床时间、提高患者术后生活质量的重要保证。

Objective To evaluate the nursing measures of intertrochanteric fracture and osteoporosis by proximal femoral locking compression plate.Methods Twenty-nine patients with the intertrochanteric fracture and osteoporosis by proximal femoral locking compression plate were reviewed for the psychological nursing,dietary nursing and effects of rehabilitation and training before and after treatment from February 2006 through October 2009.Results The postoperative follow ranged from 6 to 36 months（mean 18.31±6.43 months）.The postoperative ambulation ranged from 3 to 15 days（mean 9.00±2.42 days）.The time of fracturehealing ranged from 12-30 weeks（mean 14.85±2.21 weeks）.Deep vein thrombosis of the lower extremity and minor coax vara occurred in one ant two patients respectively.The good and excellent rate of postoperative function was 93.10% according to Sander＇s standard.Conclusion Proximal femoral locking compression plate is effective for the intertrochanteric fracture with osteoporosis,which has the advantages of minimal invasiveness and little blood loss.It is especially suitable for elder patients.Positive psychological interventions,proper rehabilitation,routine follow up,and anti-osteoporosis treatment play essential roles in lessening bed time and improving the postoperative life quality.