半环式结合单臂延长外架矫正儿童股骨短缩成角畸形的围手术期护理  

Periopertive nursing of children with formaral angulation deformity treated with sreminobicular crib external fixator

作　　者：李莉[1] 覃倩[1] 

机构地区：[1]北京积水潭医院小儿骨科,北京100035

出　　处：《现代临床护理》2015年第2期25-28,共4页Modern Clinical Nursing

摘　　要：目的：探讨半环式结合单臂可延长外架治疗儿童股骨远端骺损伤后肢体短缩成角畸形的围术期护理。方法对15例采用半环式结合单臂可延长外架的患儿进行围术期护理的临床资料进行总结分析。结果本组15例患儿术后患肢均恢复正常力线，股骨最终延长4～9 cm。所有患儿均出现不同程度膝关节屈曲障碍和足下垂，经系统功能锻炼后得到满意改善。结论按计划循序渐进进行功能锻炼，可防止膝关节屈曲和足下垂的发生；术后患肢的观察及外固定架的有效护理对手术治疗儿童股骨短缩成角畸形的治疗效果和功能恢复具有重要意义。Objective To summarize the perioperative nursing experience in nursing children with formaral angulation deformity treated with sreminobicular crib external fixator. Method The clinical data of 15 children with formaral angulation deformity treated with sreminobicular crib external fixator were reviewed. Results All 15 children got recovered, with the femora extended by 4~9 cm. After operation, all of them were affected by knee flexion dysfunction and foot drop to varied extents, which were improved satisfactorily after systematic training. Conclusions The systematic and progressive training can prevent knee flexion dysfunction and foot drop. Careful observation and effective nursing play an important role in the treatment of formaral angulation deformity.

关 键 词：儿童 股骨短缩成角 半环式结合单臂延长外架 护理 

分 类 号：R473.72[医药卫生—护理学]