C臂透视下股骨闭合复位内固定术术中牵引体位管理成效研究
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摘要
目的:探讨C臂透视下股骨闭合复位内固定手术术中牵引体位的管理效果。方法:选取本院2016年1月至2018年8月行股骨闭合复位固定手术的44例股骨粗隆间骨折患者,随机均分为对照组和观察组,每组22例。对照组接受骨科手术常规护理,观察组在骨科手术常规护理基础上重点做好术中牵引体位管理。对比两组患者手术时间、术中出血量、术程不良反应和术后充分负重时间。结果:两组患者平均手术时间、术中平均出血量、术程不良反应和术后充分负重时间比较均有明显差异,观察组患者手术时间明显短于对照组,观察组术中出血量明显少于对照组,观察组术程不良反应发生率明显低于对照组,观察组术后充分负重时间明显早于对照组,差异均有统计学意义(P<0.05)。结论:加强股骨闭合复位内固定手术患者术中牵引体位管理,可显著缩短患者平均手术时间,降低术中不良反应发生率,促进患者术后康复进程。
Objective: To investigate the impact of hand hygiene compliance monitoring on the incidence of nosocomial infections in patients with neurosurgical tracheotomy. Methods: Forty-four patients with femoral intertrochanteric fracture who underwent femoral closure and reduction surgery from January 2016 to August 2018 in our hospital were randomLy divided into control group and observation group. The control group received routine nursing of orthopedic surgery, and the observation group focused on the management of the traction position during the operation of orthopedic surgery. The operation time, intraoperative blood loss, adverse course of operation and postoperative full weight-bearing time were compared between the two groups. Results: The average operation time, the mean intraoperative blood loss, the adverse course of operation and the time of postoperative full weight-bearing were significantly different between the two groups. The operation time of the observation group was significantly shorter than that of the control group, and the amount of bleeding in the observation group was significantly less than that of the control group. The incidence of adverse reactions in the observation group was significantly lower than that in the control group. The weight-bearing time of the observation group was significantly earlier than that of the control group, and the difference was statistically significant(P < 0.05).Conclusion: Strengthening the management of the traction position during the operation of the femoral closure and internal fixation can significantly improve the average operation time of the patient, reduce the incidence of adverse reactions during surgery, and promote the postoperative recovery process.
Objective: To investigate the impact of hand hygiene compliance monitoring on the incidence of nosocomial infections in patients with neurosurgical tracheotomy. Methods: Forty-four patients with femoral intertrochanteric fracture who underwent femoral closure and reduction surgery from January 2016 to August 2018 in our hospital were randomLy divided into control group and observation group. The control group received routine nursing of orthopedic surgery, and the observation group focused on the management of the traction position during the operation of orthopedic surgery. The operation time, intraoperative blood loss, adverse course of operation and postoperative full weight-bearing time were compared between the two groups. Results: The average operation time, the mean intraoperative blood loss, the adverse course of operation and the time of postoperative full weight-bearing were significantly different between the two groups. The operation time of the observation group was significantly shorter than that of the control group, and the amount of bleeding in the observation group was significantly less than that of the control group. The incidence of adverse reactions in the observation group was significantly lower than that in the control group. The weight-bearing time of the observation group was significantly earlier than that of the control group, and the difference was statistically significant(P < 0.05).Conclusion: Strengthening the management of the traction position during the operation of the femoral closure and internal fixation can significantly improve the average operation time of the patient, reduce the incidence of adverse reactions during surgery, and promote the postoperative recovery process.
引文
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[11] 黄章,任飞,白雄伟,等.C臂透视下闭合复位股骨近端抗旋髓内钉微创内固定治疗老年股骨粗隆间骨折的疗效观察[J].中国医学装备,2017,14(08):76-79.
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[2] 刘兆杰,胡永成.微创钢缆辅助加长头颈型髓内钉治疗股骨转子下骨折[J].中华骨科杂志,2017,37(22):1392-1399.
[3] 沈蓉.术前访视对围术期患者心理及生理功能的影响[J].国际护理学杂志,2014,33(11):3135-3137.
[4] 刘伟军,胡奕山,林本丹,等.仰卧位与侧卧位下股骨近端髓内钉对老年股骨粗隆间骨折患者疗效的影响[J].临床和实验医学杂志,2015,14(15):1264-1267.
[5] 林贞,陈爱萍.采用一次性棉纱垫保护会阴部在骨科牵引中的应用[J].护士进修杂志,2014,29(03):262.
[6] 钱小红.老年股骨粗隆间骨折PFNA内固定手术护理配合[J].中西医结合护理(中英文),2017,03(03):28-29.
[7] 张栩菡,李洁秀,李男,等.16例Ilizarov骨搬运术治疗下肢骨缺损患者的护理[J].当代护士旬刊,2017,(07):36-37.
[8] 王自友,万红娟,韦云芳,等.闭合复位PFNA内固定治疗股骨粗隆间骨折的手术技巧[J].中国骨与关节损伤杂志,2015,30(02):199-200.
[9] 梁志锋,范建文,植伟宏.闭合复位PFNA内固定术治疗股骨粗隆间骨折[J].实用临床医学,2015,16(08):54-58.
[10] 陈坚锋,冯宗权,邹勇根,等.股骨近端骨折PFNA内固定的治疗体会[J].中国矫形外科杂志,2017,25(22):2096-2099.
[11] 黄章,任飞,白雄伟,等.C臂透视下闭合复位股骨近端抗旋髓内钉微创内固定治疗老年股骨粗隆间骨折的疗效观察[J].中国医学装备,2017,14(08):76-79.
[12] 李凤娇,李尚玉.手术体位安置流程对手术安全管理与分析[J].中国卫生标准管理,2015,06(19):220-221.