Objective The purpose of this study is to observe the difference of the six-month mortality,complications and function recovery between the skeletal traction group and DHS group.Methods This retrospective study was un...Objective The purpose of this study is to observe the difference of the six-month mortality,complications and function recovery between the skeletal traction group and DHS group.Methods This retrospective study was undergone in the department of orthopaedics of Longhua hospital.According to the methods of tareatment,87 cases were divided into two groups:skeletal traction group and DHS group.To comapare the rate of six-month moaality,general complications(which include pulmonary infeetion,bed-sore,minary infection and deep venous thrombosis)and coxa yams between the two groups,while the Harris hip score in the third month and sixth month after injury were also compared.Reuslt ①About the rate of six-month momdity,there was one case(2.27%) in the skeletal traction group,and one ease also(2.33%) in the DHS group,there was no difference between the two groups.(P=1.0) ②About the rate of general complications,there were 15 cases(34.09%) in the skeletal traction group,and 14 cases(32.56%) in the DHS group,there was no difference between the two groups.(P=0.879) ③About the rate of coxa varus,there were seven eases (16.28%) in the skeletal traction group,and one ease(2.38%)in the DHS group,there was no difference between the two groups.(P=0.068).But for the unstable intertrochantefic fractures,there were seven cases out of 29(24.14%)in the skeletal traction group,and one case out of 31 (3.23%),these showed that the rate of coxa yams is higher in the skeletal traction group than in the DHS group.(P=0.045) ④In the third month after injury,the Harris hip score was 52.99±4.86 in the skeletal traction group,and 65.87±3.39 in the DHS group,these showed that the Harris hip score is higher in the DHS group than in the skeletal traction group(P<0.0001).While in the sixth month after injury,the Harris hip score was 84.44±5.79 in the skeletal traction group,and 85.69±4.07 in the DHS group,these showed that there was no difference between the two groups(P=0.254).Conclusion ① A low mortality and complications morbidity could be found in the treatment of intearochanteric fractures in aged patients by the skeletal traction associated with careful nursing.②For the unstable fratures,compared to the DHS fLxation the conservative method may get higher rate of the coxa varus.③Although the operative fixation is the first choice for the treatment of the intertreehanterie fractures in aged patients,the skeletal traction method are not to be out of date thoroughly.展开更多
目的:探讨早期预见性护理干预在股骨近端钉系统(TFNA)手术中的应用效果。方法:选取广东省清远市中医院2020年1月—2021年1月收治的72例股骨粗隆骨折行TFNA手术患者,根据护理方式不同将其分为观察组(n=36)与对照组(n=36)。对照组实施常...目的:探讨早期预见性护理干预在股骨近端钉系统(TFNA)手术中的应用效果。方法:选取广东省清远市中医院2020年1月—2021年1月收治的72例股骨粗隆骨折行TFNA手术患者,根据护理方式不同将其分为观察组(n=36)与对照组(n=36)。对照组实施常规护理,观察组在常规护理基础上实施早期预见性护理干预。对比两组患者的住院时间、护理满意度、并发症发生率以及护理前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分情况。结果:观察组患者住院时间与并发症发生率低于对照组,满意度高于对照组,差异有统计学意义(P<0.05);护理后,两组患者SAS和SDS评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05);两组患者护理前Harris评分与VAS评分对比,差异无统计学意义(P>0.05),两组患者护理后Harris评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);两组护理后V A S评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:对股骨TFNA手术患者在术中应用早期预见性护理,能够降低患者术后并发症发生率,减少住院时间,减轻患者焦虑、抑郁等不良情绪,减轻患者术后疼痛程度,提升髋关节功能,提高患者护理满意度,值得临床应用。展开更多
文摘Objective The purpose of this study is to observe the difference of the six-month mortality,complications and function recovery between the skeletal traction group and DHS group.Methods This retrospective study was undergone in the department of orthopaedics of Longhua hospital.According to the methods of tareatment,87 cases were divided into two groups:skeletal traction group and DHS group.To comapare the rate of six-month moaality,general complications(which include pulmonary infeetion,bed-sore,minary infection and deep venous thrombosis)and coxa yams between the two groups,while the Harris hip score in the third month and sixth month after injury were also compared.Reuslt ①About the rate of six-month momdity,there was one case(2.27%) in the skeletal traction group,and one ease also(2.33%) in the DHS group,there was no difference between the two groups.(P=1.0) ②About the rate of general complications,there were 15 cases(34.09%) in the skeletal traction group,and 14 cases(32.56%) in the DHS group,there was no difference between the two groups.(P=0.879) ③About the rate of coxa varus,there were seven eases (16.28%) in the skeletal traction group,and one ease(2.38%)in the DHS group,there was no difference between the two groups.(P=0.068).But for the unstable intertrochantefic fractures,there were seven cases out of 29(24.14%)in the skeletal traction group,and one case out of 31 (3.23%),these showed that the rate of coxa yams is higher in the skeletal traction group than in the DHS group.(P=0.045) ④In the third month after injury,the Harris hip score was 52.99±4.86 in the skeletal traction group,and 65.87±3.39 in the DHS group,these showed that the Harris hip score is higher in the DHS group than in the skeletal traction group(P<0.0001).While in the sixth month after injury,the Harris hip score was 84.44±5.79 in the skeletal traction group,and 85.69±4.07 in the DHS group,these showed that there was no difference between the two groups(P=0.254).Conclusion ① A low mortality and complications morbidity could be found in the treatment of intearochanteric fractures in aged patients by the skeletal traction associated with careful nursing.②For the unstable fratures,compared to the DHS fLxation the conservative method may get higher rate of the coxa varus.③Although the operative fixation is the first choice for the treatment of the intertreehanterie fractures in aged patients,the skeletal traction method are not to be out of date thoroughly.
文摘目的:探讨早期预见性护理干预在股骨近端钉系统(TFNA)手术中的应用效果。方法:选取广东省清远市中医院2020年1月—2021年1月收治的72例股骨粗隆骨折行TFNA手术患者,根据护理方式不同将其分为观察组(n=36)与对照组(n=36)。对照组实施常规护理,观察组在常规护理基础上实施早期预见性护理干预。对比两组患者的住院时间、护理满意度、并发症发生率以及护理前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分情况。结果:观察组患者住院时间与并发症发生率低于对照组,满意度高于对照组,差异有统计学意义(P<0.05);护理后,两组患者SAS和SDS评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05);两组患者护理前Harris评分与VAS评分对比,差异无统计学意义(P>0.05),两组患者护理后Harris评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);两组护理后V A S评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:对股骨TFNA手术患者在术中应用早期预见性护理,能够降低患者术后并发症发生率,减少住院时间,减轻患者焦虑、抑郁等不良情绪,减轻患者术后疼痛程度,提升髋关节功能,提高患者护理满意度,值得临床应用。
