老年四肢创伤性骨折患者术后神经功能恢复的影响因素及干预对策

Analysis of factors and intervention strategies influencing postoperative neurological recovery in elderly patients with traumatic limb fractures

目的探讨老年四肢创伤性骨折患者术后神经功能恢复的影响因素,并总结干预对策,以期提高临床治疗水平。方法选取2011-01—2013-04我院收治的189例老年四肢创伤性骨折手术患者为研究对象,予以常规治疗,对术后神经功能恢复不满意者进行影响因素分析。结果老年四肢创伤性骨折患者术后神经功能恢复无效24例(12.7%),其中神经损伤、手术操作、营养神经药物应用、神经缺损、功能锻炼、修复时机、术中操作、包扎和固定是影响骨折术后神经功能恢复的单危险因素,也是独立危险因素(P均<0.05)。结论老年四肢创伤性骨折术后神经功能恢复和患者康复训练等有关,加强功能锻炼等对症治疗后有助于提高临床效果。

Objective To investigate the factors affecting postoperative neurological recovery of elderly patient with trau-matic limbs fractures ,and to summarize the intervention measures in order to improve the level of clinical treatment . Methods 189 cases of elderly patients with traumatic limb fracture surgery between January 2011 and April 2013 were selected as the subject ,and given conventional treatment methods ,and the factors of patients who are dissatisfied with recovery of neurologi-cal function after surgery were analyzed. Results The invalid cases of elderly patients with operation on traumatic fractures of limbs in neurological recovery were 24 ,which accounted for 12.7% . Nerve damage ,surgical operations ,neurotrophic drug use ,neurological defects ,functional training ,the opportunity to repair ,surgery operation ,bandaging and fracture fixation are the kind of single risk factors ,but also the kind of independent risk factors. Conclusion The neurological recovery of elderly patients with traumatic fractures of limbs after surgery is related to rehabilitation training and other relevant factors ,Strengthe-ning the function training and symptomatic treatment are helpful to improve the clinical recovery.