215例老年股骨粗隆间骨折患者的中医证型特点及辨证施护特色

The Characteristics of Traditional Chinese Medical Syndrome of Elderly Patients with Intertrochanteric Fractures and Nursing: Based on Cases of 215

目的探讨老年股骨粗隆间骨折患者的中医证候特点,拟为临床老年股骨粗隆间骨折患者的中医护理的深入开展提供参考。方法提取电子数据库中老年股骨粗隆间骨折患者的资料,通过统计软件SPSS13.0将数据进行整理。结果老年股骨粗隆间骨折患者以"肝肾亏虚合并气滞血瘀"的中医证型占了绝大多数(63.3%)。男性老年患者与女性老年患者中医症候构成比的差异具有统计学意义(χ2=4.129,P<0.05)。结论 "肝肾亏虚"在老年人尤其是老年女性中体现明显。在辨识老年股骨粗隆间骨折患者中医证型的基础上,对患者实施辨证施护对促进其康复有着积极的意义。

Objective To provide reference for clinical TCM nursing care through investigating characteristics of Traditional Chinese Medical （TCM） Syndrome of patients with intertrochanteric fractures. Methods Information was extracted from the electronic database of patients with intertrochanteric fractures and data was collated by the statistical software SPSS13. O. Results Among TCM symptoms of patients with intertrochanteric fractures, liver and kidney deficiency combined qi stagnation accounted for the majority（63.3% ）. The difference of TCM symptoms within male elderly patients and female ones was statistically significant （X^2 = 4. 129, P 〈 0. 05）. Conclusion Liver and kidney deficiency reflected the obvious in the elderly, especially elderly women. On the basis of identification, providing dialectical nursing to patients with intertrochanteric fractures had a positive meaning and could promote patients＇ recovery.