高龄患者股骨颈骨折术后合并肺部感染危险因素分析及护理对策

Analysis of risk factors of senile patients with femoral neck fracture combined with pulmonary infection after operation and countermeasure study on the clinical care

目的:分析探讨高龄股骨颈骨折(FNF)患者术后并发肺部感染的危险因素以及临床护理对策。方法:选取124例进行手术治疗的高龄FNF患者,记录术后肺部感染患者例数,统计分析术后感染的影响因素。结果:124例FNF患者并发肺部感染25例;肺部感染组患者性别、心血管疾病、糖尿病、冠心病以及手术时间与未感染组没有差异(P>0.05);年龄、吸烟史、呼吸系统疾病、骨折至手术时间、手术方式、机械通气时间、护理不当以及早期活动因素与未感染组相比,差异具有统计学意义(P<0.05)。结论:患者信息的全面掌握、手术方案的正确选择、术后的呼气锻炼、正确的护理措施以及早期活动等措施是预防术后并发肺部感染的关键措施。

[ Objective] To analyze the risk factors of senile patients with femoral neck fracture （FNF） combined with pulmonary infection after operationand the clinical care measures. [ Method ] 124 senile patients with FNF were selected to treat, and the number of caseswith pulmonary infection was recorded. Meanwhile, the factors relative to pulmonary infection after operation were statistically analyzed.. [ Result] 25 out of 124 patients supervened the pulmonary infection after operation; gender, cardiovascular disease, diabetes, coronary heart disease, and operation time in infected group had no significant differences with uninfected group; ages, smoking history, respiratory system disease, time interval from fracture, modus operandi, mechanical ventilation time, nurse improper, and early mobilization in infected were significant differences with uninfected group （ P 〈 0. 05）. [ Conclusion] Grasping messages of patients comprehensively, selecting operation plan correctly, breathing exercise after operation, proper nursing intervention, and early exercising were key measures to prevent the pulmonary infection after operation.