自体松质骨浆复合人工骨修复四肢局限性骨缺损护理分析  

Nursing analysis of repairing bone defect with autogenous cancellous bone combined with artificial bone

作　　者：施卫华[1] 李建有[1] 

机构地区：[1]浙江省湖州市中心医院手术室,浙江湖州313000

出　　处：《中国现代医生》2016年第14期158-160,164,共4页China Modern Doctor

基　　金：浙江省省部共建培育项目(2014PYA021)

摘　　要：目的探讨四肢局限性骨缺损采用自体松质骨浆与人工骨复合修复治疗的临床护理。方法选取四肢局限性骨缺损患者20例，均为我院骨科2013年1月～2016年1月收治，采用自体松质骨浆与人工骨复合修复治疗，重视围手术期整体、精心护理干预，并对护理效果回顾。结果20例患者手术结束后均无骨质与周围软组织感染、毒性反应、高热等并发症；植骨区和取骨区骨质均良好愈合；骨质愈合时间平均（10．5±1．5）周；相较干预前，患者自我效能感评分明显升高，心理状况评分明显改善（P〈0．05）。结论四肢局限性骨缺损采用自体松质骨与人工骨复合修复过程中，重视整体、全面护理干预的实施，对保障预后、改善患者身心状况意义显著。Objective To study the nursing methods of repair of localized bone defect in extremities with the particulate of autogenous cancellous bone combined with artificialbone. Methods Twenty cases of localized bone defect in extremities in our hospital from January 2013 to January 2016 were selected, defect was grafted with the particulate of autogenous cancellous bone combined with artificialbone, whole, careful peri operative care was given and to review of the clinical nursing effect. Results The 20 patients did not have bone and soft tissue infection, toxic reaction, high fever and other complications after operation. The bone-grafted area and the bone defect of donor sites recovered satisfactorily. The time of synostosis at theinterface between implants and the bone was （10.5±1.5）weeks. The scores of patients＇ self efficacy were significantly increased, and the scores of psychological status were significantly improved （P〈0.05）. Conclusion The implementation of nursing intervention in the process of repairing localized bone defect in extremities with the particulate of autogenous cancellous bone combined with artificialbone, which is significant to ensure the prognosis and improve the physical and mental status of patients.

关 键 词：自体松质骨浆复合人工骨 修复 四肢局限性骨缺损 护理分析 

分 类 号：R473.6[医药卫生—护理学]