不稳定型腕舟骨骨折行可吸收螺钉治疗的术后护理

Postoperative nursing for patients with unstable scaphoid fracture treated by absorbable screw

目的研究可吸收螺钉治疗不稳定型腕舟骨骨折的术后护理。方法通过随机数字表法将本院从2016年7月至2017年7月期间收治的64例不稳定型腕舟骨骨折患者随机分为两组，为参照组（n=32）与实验组（n=32），两组患者均实施可吸收螺钉治疗，将术后采取常规护理干预患者作为参照组，将术后采取加强护理干预患者作为实验组，分析对比经不同护理后两组不稳定型腕舟骨骨折患者的并发症发生率、旋前旋后、腕部力量、屈伸活动度。结果实验组不稳定型腕舟骨骨折患者并发症发生率为3．12％、旋前旋后为（13．98±0．54）分、腕部力量为（15．21±0．28）分、屈伸活动度为（19．64±0．37）分，参照组患者并发症发生率为18．75％、旋前旋后为（11．24±0．65）分、腕部力量为（12．54±0．37）分、屈伸活动度为（14．27±0．68）分，两组比较差异有统计学意义（P〈0．05）。结论在行可吸收螺钉治疗不稳定型腕舟骨骨折之后予以有效的护理干预可缓解患者疼痛，提升关节活动度，降低并发症发生率，值得应用。

Objective To study the postoperative nursing for patients with unstable scaphoid fracture treated by absorbable screw. Methods Sixty - four patients with unstable scaphoid fractures in our hospital from July 2016 to July 2017 were randomly divided into control group （n=32） and experimental group （n=32）. All patients were treated with absorbable screw. The patients in the control group were given postoperative routine nursing intervention, while the patients in the experimental group were given postoperative intensive nursing intervention. The incidence of complications, pronation and supination, wrist strength, flexion and extension activity of the two groups were compared before and after nursing. Results The incidence of complications was 3.12% in the experimental group, the score of pronation and supination was （13.98±0.54） points, the score of wrist strength was （15.21±0.28） points, the score of flexion and extension activity was （19.64±0.37） points; those in the control group were 18.75%, （11.24±0.65） points, （12.54±0.37） points, （14.27±0.68） points; there were statistically significant differences between the two groups （P〈0.05）. Conclusion Postoperative nursing for patients with unstable scaphoid fracture treated by absorbable screw can relieve pain effectively, improve joint mobility, and reduce the incidence of complications, worthy of application.