中老年股骨颈骨折全髋关节置换术的围手术期康复指导及护理对策

Perioperative Rehabilitation Guidance and Nursing Strategies of Middle Aged and Elderly Patients with Femoral Neck Fractures in Total Hip Replacement

目的探讨中老年股骨颈骨折全髋关节置换术围手术期护理对策.方法：选择2012～2013年在我院行全髋关节置换术的股骨颈骨折中老年病例,随机平均分成两个组,对照组患者34例,在术后采用常规方法护理,观察组34例患者围手术期给予综合护理干预.比较两组患者疗效及术后并发症.结果：统计学分析术后并发症的发生率,对照组明显多于观察组,差异有意义（χ^2=18.28,P〈0.05）;观察组治疗总优良率为91.2%,对照组优良率为67.6%,观察组患者治疗有效性明显高于对照组,P〈0.05,差异有统计学意义.结论：在中老年患者股骨颈骨折全髋关节置换术的过程中,实施系统、周到的护理干预,对于降低手术并发症、促进术后康复具有积极、有效的作用.

Objective:To explore the nursing strategy of the middle aged and elderly patients with femoral neck fracture in the perioperative period.Methods:34 cases of femoral neck fractures in our hospital during 2012-2013 were randomly divided into two groups.The control group was treated with routine nursing.and the observation group was given comprehensive nursing intervention in 34 patients.The efficacy and postoperative complications were compared between the two groups.Results:Complications compared the two groups,control group significantly more than the observation group,the difference was statistically significant(chi-square=18.28,P<0.05);Always observe treatment group was 91.2%,the control group was 67.6%,treatment effectiveness observation group was obviously higher than that of control group,P<0.05,the difference was statistically significant.Conclusion:implementation of senile femoral neck fracture hip replacement perioperative comprehensive and thorough nursing intervention,which can effectively prevent and reduce the occurrence of surgical complications,the postoperative rehabilitation has a positive role in promoting.