移位髋臼骨折手术并发症原因分析及护理干预

Cause Analysis of Shift Acetabular Fracture of The Surgical Complications And Nursing Intervention

目的探讨移位髋臼骨折手术治疗常见并发症的原因及护理策略。方法对66例移位髋臼骨折手术患者常见并发症进行相关因素分析并结合患者实际情况采取干预措施。结果平均随访29个月(12～46个月)。按照Matta标准,解剖复位34例,良好复位25例,不满意复位7例。根据改良的Merled-Aubigne和Postel的髋臼骨折临床结果评分标准,优23例,良29例,可8例,差6例。手术并发症坐骨神经损伤2例,创伤性关节炎14例,异位骨化10例,股骨头缺血坏死2例。无感染和死亡病例。无因护理不当出现护理并发症。结论在围术期开展积极系统的护理干预措施和康复锻炼对预防和减少移位髋臼骨折手术并发症具有重要的意义。

Objective To discuss causes and nursing strategies of the common complications of operation in the displaced acetabular fracture. Method To analyze the common complications of sixty -six cases with displaced acetabular fracture and related factors and interventions to the patients＂ actual situation. Result All cases were followed up for an average of 29 months （ 12 - 46 months）. According to the Matta evaluation, the anatomical reduction of acetabular fracture were in 34 cases, perfect in 25, and unsatisfactory in 7. According to the modified Merled Aubigne and Postel clinical e- valuation standard, the clinical outconle was graded as being excellent in 23 cases, good in 29, fair in 8, poor in 6. Sciatic nerve injury after operation were noted in 2 hips, osteoarthritis in 14, heterotop- ic ossification in 10, and avascular necrosis of femoral head in 2. There were no infection and death in this group, and there was no improper care in nursing complication. Conclusion The important fac- tors to prevent and decrease the operative complications of acetabular fracture in the peri - operative include the active systematic nursing interventional measures and rehabilitation exercises.