颧骨复合体骨折患者的围术期护理  

Perioperative nursing care of patients with zygomatic complex fracture

作　　者：施宝美 杨庆福 周美晓 

机构地区：[1]浙江省永康市第一人民医院口腔科,浙江永康321300

出　　处：《上海口腔医学》2006年第2期146-148,共3页Shanghai Journal of Stomatology

摘　　要：目的:总结颧骨复合体骨折患者的围术期护理重点和注意事项。方法:对99例颧骨复合体骨折行微型钛板坚强内固定术的患者进行术前心理护理、病情观察、术前准备和术后全麻护理、切口护理、营养护理、开口度康复护理及并发症的观察等。结果:99例颧骨复合体骨折的患者复位及固定效果良好。开口度平均从2.2cm提高到3.9cm。切口一期愈合率达99%。住院期间无患者出现心理障碍。出院时患者对护理的满意度达95%以上。结论:颧骨复合体骨折患者的围术期护理重点是做好心理护理,消除患者恐惧和悲观的心理;伴发颅脑损伤者应严密观察生命指征的变化;开放性骨折患者,要积极止血、抗休克,严格控制切口感染,术后做好切口护理、营养护理及并发症的观察。PURPOSE： To summarize the key points of nursing around operation and cautions that are needed to take in zygomatic complex fracture （ZCF）. METHODS： 99 surgically treated ZCF cases were given preoperative nursing, psychological nursing, disease observation, preoperative preparation, postoperative nursing of general anesthesia, incision, nutrition, open-mouth training and observation of complications. RESULTS： Fracture reduction and fixation in 99 cases were satisfactory.The mouth opening raised from 2.2cm to 3.9cm. The wound healed primarily in 99% cases. No patient developed psychological disturbance. The degree of satisfactory about nursing exceeded 95%. CONCLUSION： The key points of perioperative nursing are psychological nursing, including elimination of fear and pessimism . When the patients have craniocerebral traumas, we should observe the changes of vital signs. When the patients have open fractures, we should take active hemostatic, antishock as well as, anti-infection measures with good postoperative care of incision, nutrition and observation of complications.

关 键 词：颧骨复合体骨折 围术期 护理 

分 类 号：R473.78[医药卫生—护理学]