小儿桡颈骨折急诊撬拔复位术后的护理

Nursing Careon Emergency Percutaneous Poking Reduction of Radial NeckFracture in Children

目的：探讨小儿桡颈骨折急诊撬拔复位术后护理的重要性,为临床实践提供依据.方法：选取我院急诊科收治的桡颈骨折儿童患者78例,按照随机数字表法分为观察组和对照组,每组39例.观察组术后采用相应的护理,对照组术后未采用护理,比较2组患者的疗效评分、疼痛评分、并发症发生率和护理满意度情况.结果：观察组与对照组患儿术后疗效评分结果显示,观察组的优良率为79.49%,对照组的优良率为53.85%,2组优良率结果相比,差异具有统计学意义（p〈0.05）;观察组与对照组患儿术后疼痛评分结果显示,观察组患儿术后疼痛率为5.13%,对照组患儿术后疼痛率为28.21%,2组疼痛率相比,差异具有统计学显著性（p〈0.05）;患儿经撬拔复位术后发生感染、骨化性肌炎、尺桡骨近端融合以及肘关节不稳定等并发症,其中观察组并发症总发生率为20.51%,对照组并发症总发生率为64.10%,观察组并发症总发生率明显低于对照组并发症总发生率（p〈0.05）;观察组与对照组护理满意度结果显示,对照组护理满意度为58.97%,观察组的护理满意度为89.74%,观察组的护理满意度显著高于对照组护理满意度（p〈0.05）.结论：小儿桡颈骨折急诊撬拔复位术后护理疗效明显,患儿的并发症发生率降低,值得临床进一步推广.

Objective： To study the importance of nursing care on emergency pereutaneous poking reduction of radial neck fractures in children, and to provide the basis for clinical practice. Methods： 78 children with radial neck fractures were randomly divided into nurs-ing group and control group, with 39 cases in each group. Corresponding nursing was used in nursing group after surgery, and the control group did not use nursing. After nursing, the effect of nursing care, pain score, incidence of complications and nursing satisfaction were compared between the two groups. Results： The postoperative efficacy evaluation results of nursing group and control group showed that, the excellent rate of nursing group was 79.49%, and the excellent rate of control group was 53.85%, when compared the excellent rate of the two groups, the difference was statistically significant （ p 〈 0.05） ; nursing group and control group. The results of the postoperative pain score showed that the pain rate of nursing group was 5.13%, and the pain rate of control group was 28.21%, when compared pain rate of the two groups, the difference was statistically significant （ p 〈 0.05 ） ; The complication rate of nursing group was 20.51%, and the complication rate of the control group was 64.10%, the total incidence of complications of nursing group was significantly lower than the control group （ p 〈 0.05 ） ; The results of nursing satisfaction of nursing group and the control group showed that the nursing satisfaction of the control group was 58.97%, and the nursing satisfaction of nursing group was 89.74% ,the nursing satisfaction of nursing group was significantly higher than that of control group （ p 〈 0. 05）. Conclusion： The nursing effect on emergency perentaneous poking reduction of radial neck fractures in children is obvious, and the incidence rate of comolication of oatients is lower, it is worth to be further promotion.