摘要
【摘要】 目的：探讨老年股骨颈骨折患者全髋关节置换术后辅助舒适型护理对骨折愈合及并发症的影响。方法：选取 2017年 1月 -2019年 12月本院骨外科收治的股骨颈骨折术后患者 90例，依据随机数字表法分为观察组和对照组，每组均 45例。对照组给予常规护理；观察组在对照组基础上依据骨折所导致具体情况给予相应舒适护理。采用 Harris功能表评价两组患者术后髋关节功能；分析两组术后临床疗效；比较两组患者并发症发生情况。结果：术后 1、 3个月和 6个月，观察组患者的髋关节 Harris功能评分均明显高于同时点的对照组（ P<0.01）。观察组优良率为 91.11%，对照组为 73.33%，比较差异有统计学意义（ 字 2=3.905， P<0.05）。观察组 6例（ 13.33%）发生并发症，明显低于对照组的 15例（ 33.33%），比较差异有统计学意义（ 字 2=3.975， P<0.05）。结论：相对于常规护理，老年股骨颈骨折全髋关节置换术后应用舒适型护理，更能促进关节恢复，减少并发症。
【关键词】 舒适型护理； 股骨颈骨折； 骨折愈合术； 并发症
[Abstract] Objective: To explore the effect of comfort nursing on fracture healing and complications in elderly patients with femoral neck fracture after total hip replacement. Methods: from January 2017 to December 2019, 90 patients with femoral neck fracture admitted to our hospital were divided into observation group and control group according to the method of random number table, with 45 cases in each group. The control group was given routine nursing; the observation group was given comfort nursing according to the specific situation caused by fracture on the basis of the control group. Harris function table was used to evaluate the postoperative hip joint function of the two groups, to analyze the clinical effect of the two groups, and to compare the complications of the two groups. Results: 1, 3 and 6 months after operation, the Harris function score of the observation group was significantly higher than that of the control group (P < 0.01). The excellent and good rate was 91.11% in the observation group and 73.33% in the control group, the difference was statistically significant (word 2 = 3.905, P < 0.05). In the observation group, 6 cases (13.33%) had complications, which was significantly lower than 15 cases (33.33%) in the control group. The difference was statistically significant (word 2 = 3.975, P < 0.05). Conclusion: compared with routine nursing, comfortable nursing can promote joint recovery and reduce complications.
出版日期
2020年09月14日（中国期刊网平台首次上网日期，不代表论文的发表时间）
