无痛性治疗对减少老年骨折患者术后创伤性精神障碍的分析  

Analysis of Postoperative Traumatic Mental Disorder in Painless Treatment of Elderly Patients with Fracture

作　　者：黄新华 罗少生 胡孔和[2] 

机构地区：[1]广东省韶关市铁路医院,广东韶关512023 [2]广东省韶关市粤北人民医院

出　　处：《中国医学创新》2017年第18期34-37,共4页Medical Innovation of China

基　　金：卫生部医药卫生科技项目(44011120154085K)

摘　　要：目的:探讨无痛性治疗对老年骨折手术后并发创伤性精神障碍患者的临床疗效,为今后的相关治疗提供科学的指导依据,进一步减少创伤性精神障碍的发病率。方法:选取2013年12月-2016年12月收治的64例老年骨折手术患者,按照治疗方案的不同分为治疗组36例和对照组28例。治疗组采用无痛性治疗,对照组采用常规治疗,比较两组患者创伤性精神障碍的发生率以及临床疗效。结果:对照组患者的术后精神障碍发病率为17.86(5/28),高于治疗组的2.78%(1/36),差异有统计学意义(字2=4.22,P=0.04)。对照组患者治疗后的疼痛程度评分为(3.9±1.0)分,高于治疗组的(2.1±0.7)分,差异有统计学意义(t=5.38,P=0.01)。结论:采取积极的无痛性治疗,能够缓解老年骨折患者术后精神障碍症状,减少其发生率。Objective：To investigate the clinical efficacy of painless treatment for elderly patients with traumatic mental disorders after fracture surgery and to provide scientific guidance for future related treatment,and further reduce the incidence of traumatic mental disorders.Method：64 elderly patients with fracture surgery from December 2013 to December 2016 were selected,according to different treatment regimens for the treatment group of 36 cases and 28 cases in the control group.The treatment group received painless treatment,the control group received conventional treatment,the incidence of traumatic mental disorders and the clinical efficacy were compared between the two groups.Result：The incidence of postoperative mental disorder in the control group was 17.86（5/28）,higher than 2.78%（1/36） in the treatment group,the difference was statistically significant（Х^2=4.22,P=0.04）.The degree of pain after treatment in the control group was（3.9±1.0）points,higher than（2.1±0.7） points of the treatment group,the difference was statistically significant（t=5.38,P=0.01）.Conclusion：Taking active painless treatment can alleviate the symptoms of postoperative mental disorders in elderly patients with fractures and reduce their incidence.

关 键 词：无痛性治疗 老年骨折 术后 精神障碍 

分 类 号：R473.6[医药卫生—护理学]