高龄股骨粗隆间骨折围手术期护理  

Perioperative nursing care of elderly patients with intertrochanteric fracture

作　　者：孙琳琳[1] 

机构地区：[1]江苏省连云港市第一人民医院骨科,江苏连云港222002

出　　处：《实用临床医药杂志》2011年第10期55-57,共3页Journal of Clinical Medicine in Practice

摘　　要：目的总结高龄股骨粗隆间骨折围手术期的护理措施,降低围手术期的并发症。方法本组65例高龄股骨粗隆间骨折患者,均患有不同程度的冠心病、糖尿病、高血压等老年性疾病,待患者能够耐受麻醉及手术时行手术治疗,非手术患者行皮肤牵引。指导患者功能锻炼,预防感染、消肿、营养支持治疗。结果手术后第10天因多脏器功能衰竭死亡1例,术后第5天并发脑血栓形成1例,围手术期内发生肺栓塞1例,肺部感染1例,压疮1例。结论高龄股骨粗隆间骨折患者需完善围手术期的护理工作,预防并发症,提高机体的抗手术打击能力,才能减少并发症、后遗症,降低死亡率。Objective To explore the clinical nursing intervention for the elderly with intertrochanteric fracture and preventive measures for complications during perioperative.Methods Sixty-five patients with intertrochanteric fractures were treated.All the patients suffered from different degree coronary heart disease,diabetes,hypertension geriatric diseases and so on.All the patients endured the anesthesia and operation.Non-operation patients were treated with traditional skin traction.The patients were guided to do the exercise effectively to prevent wound infection,reduce the swelling,and have better nutrition support.Results One case died of MODs 10 days after surgery,brain thrombus occurred in 1 case 5 days after surgery,pulmonary embolism occurred in 1 case during perioperative,pulmonary infection occurred in 1 case,and bedsore occurred in 1 case.Conclusion The elderly patient with intertrochanteric fracture should actively complete nursing intervention to reduce the complications and improve the ability of enduring the anesthesia and operation.It can reduce complications,sequelea,and mortality.

关 键 词：高龄 股骨粗隆间骨折 围手术期 老年性疾病 并发症 

分 类 号：R473.6[医药卫生—护理学]