摘要
目的比较抗旋股骨近端髓内钉（PFNA）与动力髋螺钉（DHS）内固定治疗股骨粗隆间骨折术后不同的康复护理方法。方法将2010年5月～2012年5月收治的86例股骨粗隆间骨折患者分别采用PFNA与DHS内固定方法治疗，观察2种内固定术术后康复护理的不同特点，比较2组患者的平均下床时间、并发症的发生率、平均住院天数。结果86例股骨粗隆间骨折患者采取不同的手术方式，经过不同的康复护理，PFNA可以取得更好的康复效果，可降低并发症的发生，使患者提早下床活动，缩短住院时间（P〈0．05）。结论PFNA与DHS内固定术后，应采取不同的康复护理，可以巩固手术治疗效果，能最大限度的恢复肢体功能，提高患者生活质量。
Objective Comparison of proximal femoral nail antirotation（PFNA） and dynamic hip screw（DHS） and rehabilitation nursing after operation of fracture of different internal fixation for the treatment of femoral intertrochanteric. Methods From May of 2010 to May of 2012 trea- ted 86 cases of intertrochanteric fracture patients were treated with fixation methodPFNA and DHS, different characteristics of rehabilitation nurs- ing on two kinds of internal fixation after operation, compared two groups of patients with the average bed time, number of complications, average length of stay. Results 86 cases of femoral adopt two kinds of different surgical methods in patients with intertrochanteric fracture, after different rehabilitation nursing, PFNA can achieve a better rehabilitation effect, can reduce the incidence of complications, early ambulation, shorten the hospitalization time（P〈0.05 ）. Conclusion After PFNA and DHS fixation, nurses should adopt different rehabilitation nursing, can strengthen the effect of operation treatment, can maximize the recovery of limb function, improve the life quality of the patients.
