摘要
目的探讨优化康复护理对老年股骨转子间骨折患者围手术期的效果。方法将拟进行手术治疗的184例老年股骨转子间骨折患者按入院就诊顺序进行编号,并根据随机数表进行随机分配,分为对照组和实验组,每组92例。对照组采用常规康复护理,实验组采用优化康复护理。结果干预期,两组患者性别、年龄、骨折类型、手术方式、手术时间比较差异无统计学意义(P>0.05);但实验组患者较于对照组的术后下肢深静脉血栓发生率明显降低(P<0.05),下肢深静脉血栓栓塞发现的时间明显缩短(P<0.001),继发肺栓塞的风险明显降低(P<0.001)。结论优化康复护理能有效减少老年股骨转子间骨折围手术期深静脉血栓发生率,及时发现下肢深静脉血栓栓塞并给予处理,降低肺栓塞的发生风险。
Objective To evaluate the effects of optimized rehabilitation care on older patients undergoing intertrochanteric fractures operation.Methods 184 patients with intertrochanteric fractures were randomly divided into the treatment and control groups.Patients in the cntrol group received traditional nursing,while those in the treatment group received optimized rehabilitation care.Results Before intervention,there were no significant difference in gender,age,fracture type,surgical method and operation time between both groups.But the incidence rates of deep vein thiombosis and pulmonary embolism was lower and the time of discovering deep vein thrombosis in the treatment group was shorter than that in the control group.Concusion Optimized rehabilitation care can reduce the incidence rates of deep vein thrombosis and pulmonary embolism,shorten the time of discovering deep vein thrombosis and provide timely treatment.
