PFNA围手术期护理对股骨粗隆间骨折治疗效果及并发症的影响

背景:经过对股骨粗隆间骨折治疗方法的深入研究,我们发现采用股骨近端防旋髓内钉结合周围手术期的综合护理措施展现出了显著的治疗有效性和安全性。本研究的核心目的是对比传统治疗方法与这一结合治疗方法在提升患者术后恢复质量、减少并发症发生率以及提高生活质量方面的差异。通过详细的数据分析和案例对比,我们期望能够为股骨粗隆间骨折患者提供一种更为高效、安全的治疗选择,进一步改善患者的生活质量并提升整体治疗满意度。方法:回顾性筛选2021年1月至2023年5月于新疆医科大学第六附属医院进行股骨骨折闭合复位髓内针内固定术的60例患者,根据护理方式不同分成2组,对照组患者采用PFNA内固定联合围手术期常规护理,30例;观察组患者采用PFNA内固定联合围手术期护理干预,30例,术后随访12月以上。结果:① 对术前两组患者的年龄、性别、身体质量指数(BMI)、患肢、手术时间、高血压、糖尿病、心血管疾病、呼吸系统疾病、骨质疏松症、吸烟史、饮酒史及术前髋关节Harris功能评分、BI评分、视觉模拟评分及Oswestry功能障碍指数等指标进行比较,差异均无显著性意义(P > 0.05)。② 与术前比,术后1天、术后3天、术后7天、术后1个月及术后12月两组患者髋关节Harris功能评分、BI评分均升高,观察组更高,差异均有统计学意义(均P Background: After a thorough study on the treatment of intertrochanteric fracture, we found that the proximal femoral intramedullary nail combined with comprehensive nursing measures during the surrounding operation period showed significant therapeutic effectiveness and safety. The core purpose of this study is to compare the differences between traditional treatment methods and this combination in improving the quality of postoperative recovery, reducing the incidence of complications and improving the quality of life. Through detailed data analysis and case comparison, we expect to provide a more efficient and safe treatment option for patients with intertrochanteric femoral fractures, further improving their quality of life and improving overall treatment satisfaction. Methods: 60 patients with closed reduction of intramedullary needle fixation in the Sixth Affiliated Hospital of Xinjiang Medical University from January 2021 to May 2023 were retrospectively screened and divided into 2 groups according to the different nursing methods, control group patients with PFNA internal fixation combined with perioperative routine care, 30 cases;patients in observation group with PFNA internal fixation combined with perioperative nursing intervention, 30 cases, postoperative follow-up for more than 12 months. Results: ① Preoperative age, sex, body mass index (BMI), affected limb, surgery, hypertension, diabetes, cardiovascular disease, respiratory disease, osteoporosis, smoking, drinking history and preoperative hip Harris function score, BI score, visual simulation score, and Oswestry dysfunction index of two groups were compared, no significant difference (P > 0.05). ② Compared with the preoperative results, the hip Harris function score and BI scores of both groups increased 1 day, 3 days, 7 days, 1 month and 12 months after surgery, and the observation group was higher (both P < 0.05). ③ Compared with the preoperative results, VAS and ODI scores of both groups decreased 1 day, 3 days, 7 days, 1 month and 12 months after surgery, and the observation group was lower, and the difference was significant (P < 0.05). Conclusion: In conclusion, for the treatment of elderly patients with intertrochanteric fracture, the comprehensive treatment program of PFNA internal fixation (proximal femoral intramedullary nail) combined with perioperative nursing intervention, significantly promoted the recovery of hip function and the improvement of daily activities. At the same time, the treatment regimen also effectively reduces the occurrence of postoperative complications, showing high safety and reliability, and provides patients with more high-quality and effective treatment options.

基于ERAS的护理干预在帕金森病患者围术期中的应用

目的 探讨基于快速康复外科理念(enhanced recovery after surgery, ERAS)的护理干预在帕金森病患者围术期中的应用效果。方法 100例行脑深部电极刺激术的帕金森病患者按随机数字表法分成对照组及实验组各50例。对照组按照常规传统外科理念进行管理,实验组给予基于ERAS的护理干预进行管理,比较2组患者术后临床疗效、术后并发症发生率(颅内出血、肺部感染、电解质紊乱)、住院情况(术后住院天数、总住院天数、住院费用)及日常生活能力。结果 护理干预后2组患者术后疗效评分及日常生活能力评分较干预前均降低,且实验组评分优于对照组(P<0.05);实验组患者术后并发症总发生率、术后住院天数、总住院天数及住院费用均低于对照组(P<0.05)。结论 应用ERAS在帕金森病患者围术期进行护理干预,可显著改善患者术后疗效和日常生活能力,降低术后住院天数及住院费用。

基于ERAS理念的护理干预在帕金森病患者围手术期的应用效果

探讨以ERAS理念为基础实施护理干预对帕金森病围手术期的临床应用效果。方法 选取2023年3月—12月在蚌埠市某三甲医院接受治疗的帕金森病患者60例,按照干预方法的不同分组,观察组30例实施基于ERAS理念的护理干预,对照组30例行常规护理干预。比较两组临床疗效、日常生活能力及术后电解质紊乱的发生情况。结果 观察组干预后临床疗效及日常生活能力优于对照组(P<0.05),观察组术后电解质紊乱发生情况低于对照组(P<0.05)。结论 在PD患者围术期实施基于ERAS理念的护理,具有明显应用效果,可提高临床疗效与日常生活能力,减少术后电解质紊乱发生率,值得应用推广。

真空绝热板及其在冰箱上的应用

为了减少CFC对大气臭氧层的严重破坏,和进一步提高冰箱隔热层的绝缘性能,今介绍一种比硬聚氨酯泡沫塑料的绝热性约高三倍的冰箱用隔热新材料——真空绝热板及其国内外技术水平、研究的基本关键点,并分析其可行性。

人性化优质护理对老年下肢创伤骨折手术患者深静脉血栓形成的影响研究

分析人性化优质护理对老年下肢创伤骨折手术患者深静脉血栓形成的影响。方法 在2022年1年时间内选择接受下肢创伤骨折手术的100例患者进行研究,将其分为对照组与观察组两组,每组50例,分别采用常规护理与人性化护理。对比两组患者下肢深静脉血栓发生率,观察患者凝血功能等指标变化以及护理满意度。结果 与对照组比较,观察组深静脉血栓发生率相对较低,且经过护理之后的TT、aPTT等指标均出现下降的情况,护理满意度高,组间对比差异显著(P<0.05)。结论 对于出现下肢创伤骨折的老年患者来说,采用人性化优质护理将能够有效减少深静脉血栓的发生,患者凝血功能得到有效改善。

关节镜下膝关节多发韧带损伤重建术后的康复护理体会

探讨关节镜下膝关节多发韧带损伤重建术后的康复护理体会。方法 选取我院2021年收治的关节镜下膝关节多发韧带损伤重建术患者88例,随机将其分为观察组与对照组,对照组患者采用常规护理,观察组患者采用康复护理,就护理后各项结果展开比较。结果 护理后观察组患者的关节疼痛指数、关节浮肿指数、关节功能障碍指数、早上僵硬时间、15m步行时间改善情况均优于对照组(P<0.05);观察组患者的膝关节功能恢复情况相应评分高于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论 对于关节镜下膝关节多发韧带损伤重建手术患者的术后恢复具有积极意义,可以明显改善患者的临床症状,提高护理效果,促进患者康复,值得推广与应用于临床护理中。

看金鱼

星期天，妈妈带我和表弟来到公园看金鱼。我们来到鱼池边，呀!好多金鱼啊!有红色的，有金黄色的，有黑白相间的，看得我眼花缭乱。