快速康复护理在预防股骨骨折术后深静脉血栓形成中的应用  

Rapid rehabilitation nursing on preventing the application of the femur fractures of postoperative deep vein thrombosis

作　　者：吴玲玲[1] 陈劲[1] 张木春[1] 陈芳[2] 邓尔倚[3] 陈瑜婷[1] 李小燕[4] WU Lingling CHEN Jin ZHANG Muchun CHEN Fang DENG Eryi CHEN Yutin LI Xiaoyan(The Third Department of Bone Surgery, Central People＇s Hospital of Zhanjiang, Guangdong Province, Zhanjiang 524001, China Bone Disease Diagnosis and Treatment Center, Central People＇s Hospital of Zhanjiang, Guangdong Province, Zhanjiang 524001, China The Second Department of Bone Surgery, Central People＇s Hospital of Zhan- jiang, Guangdong Province, Zhanjiang 524001, China Operating Room, Central People＇s Hospital of Zhanjiang, Guangdong Province, Zhanjiang 524001, China)

机构地区：[1]广东省湛江中心人民医院骨外三科,广东湛江524001 [2]广东省湛江中心人民医院骨系疾病诊疗中心,广东湛江524001 [3]广东省湛江中心人民医院骨外二科,广东湛江524001 [4]广东省湛江中心人民医院手术室,广东湛江524001

出　　处：《中国医药导报》2017年第16期166-169,共4页China Medical Herald

基　　金：广东省湛江市科技计划项目(2015B01162)

摘　　要：目的探究与分析快速康复护理在预防股骨骨折术后深静脉血栓形成中的应用。方法选取湛江中心人民医院2014年5月~2016年5月收治的90例股骨骨折手术患者,采取随机数字表法分为对照组与观察组,每组各45例。对照组仅给予常规护理,观察组给予快速康复护理,两组均连续护理1个月。对比两组术后深静脉血栓形成率、住院时间、住院费用、术后疼痛评分、护理满意度及功能独立性评价量表(FIM)评分。结果与对照组相比,观察组术后深静脉血栓形成率低,住院时间短,住院费用少,术后疼痛评分低,护理满意度较高,差异有统计学意义(P<0.05)。与术前相比,两组术后2周、术后1个月、术后3个月FIM评分均升高;与同期对照组相比,观察组评分升高更加显著,差异有统计学意义(P<0.05)。结论快速康复护理能够有效预防股骨骨折术后深静脉血栓的形成,缩短康复时间,提高护理满意度,促进预后。Objective To explore and analyze the application of rapid rehabilitation nursing on preventing the deep vein thrombosis after femoral fracture operation. Methods From May 2014 to May 2016, 90 cases with femoral fracture treated in Central People＇s Hospital of Zhanjiang were selected. All the patients divided into the control group and ob- servation group according to the random number table, with 45 cases in each group. The control group was given to routine nursing only, the observation group was given to rapid rehabilitation nursing, all the patients were treated for one month. The postoperative deep vein thrombosis rate, length of hospital stay, hospital expenses, postoperative pain score, the nursing satisfaction and functional independence evaluation questionnaire （FIM） scores of two groups were compared. Results The postoperative deep vein thrombosis rate, the hospitalization expense and postoperative pain score in the observation group were lower, the hospitalization time in the observation group was shorter, and the nursing satisfaction of observation group was higher, compared with the control group （P 〈 0.05）. The FIM scores of two groups at 2 weeks, 1, 3 months after surgery were higher than those before surgery, and the increase of above index of observation group was more remarkable than that of the control group at the same time （P 〈 0.05）. Conclusion The rapid rehabilita- tion nursing can effectively prevent the formation of postoperative deep vein thrombosis after femoral fractures opera- tion, and can shorten the healing time, improve nursing satisfaction, promote the prognosis.

关 键 词：快速康复护理 股骨骨折 深静脉血栓 

分 类 号：R471[医药卫生—护理学]