早期离床坐联合呼吸训练对预防股骨颈骨折患者术后肺部感染的影响

Early breathing exercises combined sitting in armchair prevents postoperative pulmonary infection of patients with femoral neck fractures

目的探讨早期离床坐联合呼吸训练对预防股骨颈骨折术后患者肺部感染的作用。方法将2013年7月至2014年7月在本组骨外科行股骨颈骨折术的高龄患者,随机分为对照组和观察组。对照组采用常规术后呼吸训练护理,观察组采用术后早期离床坐联合呼吸训练护理,比较两组患者术后肺部感染的发生率。结果对照组术后10例发生肺部感染,观察组为3例,组间差异具有统计学意义(P<0.05)。结论早期离床坐联合呼吸训练能降低骨科高龄患者股骨颈骨折术后肺部感染的发生率。

Objective To discuss the preventive effects of early breathing exercises combined sitting in an armchair on pulmonary infection following the surgery for femoral neck fractures. Methods From July, 2013 to July, 2014, the senile patients who underwent surgery for treatment of femoral neck fractures in the author＇s hospital were screened and divided into the control group and the experimental group. The experimental group adopted early breathing exercises combined sitting in an armchair, while the control group adopted regular postoperative respiratory training. The incidences of postoperative pulmonary infection between the two groups were compared, Results Ten cases in the control group and three cases in the experimental group developed pulmonary infection; the difference between the two groups was statistically significant （P 〈 0. 05 ）. Conclusion Early breathing exercises combined sitting in an armchair may reduce the incidence of postoperative pulmonary infection of the senile patients with femoral fractures.