交锁髓内钉固定术治疗股骨干粉碎性骨折的围手术期护理

目的探讨行交锁髓内钉固定术对患者进行治疗时,患者围手术期的最佳临床护理方案,为提高患者临床治愈率提供科学合理的理论及实际意义.方法：选取80例我院骨科收治的股骨干粉碎性骨折患者作为本次研究的临床样本,所有患者在围手术期进行综合护理,主要包括密切观察心理护理、饮食护理、并发症护理、康复指导,并使用SPSS 19.0数理统计软件包对全部数据进行数理统计分析处理.结果：所有患者手术时间为160min至410min之间,患者平均手术时间为（230±75）min,患者手术过程中的出血量在300mL至2350mL之间,平均出血量为（620±142）mL;2例患者术后病发深静脉血栓,1例患者病发骨筋膜室综合征,1例病发腹膜炎,1例病发胸外伤继发呼吸衰竭,1例病发腓神经麻痹;80例患者的护理临床满意度进行调查,其中67例患者十分满意,占83.75%,7例患者满意,占8.75%,6例患者基本满意,占7.50%,无患者不满意,患者的临床满意率为100.00%.结论：在围手术期对采用包括密切观察、心理护理、饮食护理、并发症护理、康复指导在内的综合护理方案,可以有效提高患者手术治疗的临床疗效,并提高患者的临床满意率,值得在临床工作中推广应用.

Objectiveto explore the line/interlocking intramedullary nail fixation treatment of patients, patients with the best clinical perioperative nursing plan, in order to improve clinical cure rate to provide scientific and reasonable theoretical and practical significance. Methods：select 80 cases of femoral comminuted fracture patients admitted in our hospital orthopaedic as the study of clinical samples, all of the patients in the perioperative comprehensive care, mainly including closely observe psychological nursing, diet nursing, complication nursing, rehabilitation guidance, and use SPSS 19.0 statistics software package for all data statistics analysis.Results：all patients between surgery time of 160 min and 410 min, the average operation time was （230 ＋ 75） in patients with min, in the process of surgery in patients with blood loss between 300 mL to 2350 mL, average blood loss of mL （620 ＋ 142）; 2 cases of postoperative deep vein thrombosis, onset of illness in 1 patients disease bone fascia room syndrome, 1 case of peritonitis, 1 case of chest trauma secondary to the onset of illness of respiratory failure, 1 case of peroneal nerve paralysis onset of illness; 80 patients satisfaction with nursing clinical investigation, which is satisfied with 67 patients （83.75%）, 7 patients were satisfied, 8.75%, basic satisfaction, 6 patients （7.50%）, no patients are not satisfied, the patient＇s clinical satisfaction rate of 100.00%.Conclusion：to adopt in perioperative including closely observe complications, psychological nursing, diet nursing, nursing, rehabilitation guidance, comprehensive care plan, can effectively improve the clinical curative effect of surgical treatment for patients, and improve patient satisfaction and clinical patients, is worthy of popularization and application in the clinical work.