Ponseti法治疗先天性马蹄内翻足复发的原因分析与护理对策  

Causes analysis and nursing countermeasures on the recurrence of congenital talipes equinovarus treated with Ponseti method

作　　者：王海燕 周颖聪 陈嘉辉 WANG Hai-yan;ZHOU Ying-cong;LI Jia-hui

机构地区：[1]东莞市第八人民医院

出　　处：《护理实践与研究》2019年第24期87-88,共2页Nursing Practice and Research

摘　　要：目的探讨Ponseti法治疗先天性马蹄内翻足复发的相关因素,并提出相应的防范对策。方法选取2016年6月至2019年3月我院行Ponseti法治疗先天性马蹄内翻足患儿50例作为研究对象,其中复发15例。查阅病历或面对面访谈,收集患儿的相关信息,将其归入多因素logistic回归模型,分析Ponseti法治疗先天性马蹄内翻足复发的危险因素。结果 logistic多因素回归分析发现,初始pirani评分、支具依从性为导致Ponseti法治疗先天性马蹄内翻足复发的独立危险因素(P <0. 05)。结论多种因素均可导致Ponseti法治疗先天性马蹄内翻足后复发,应明确引起疾病复发的独立影响因素,并提出相应的护理对策,最终提高Ponseti治疗效果。Objective To explore the factors related to the recurrence of congenital talipes equinovarus treated with Ponseti method,and put forward corresponding countermeasures. Methods We selected 50 cases of patients with congenital talipes equinovarus treated with Ponseti method in our hospital from June 2016 to March 2019 as the study objects,of which 15 patients had recurrence. By reviewing the medical records or face-to-face interviews and collecting relevant information of the children patients,we classified them into a multi-factor logistic regression model,and analyzed the risk factors for the recurrence of congenital talipes equinovarus treated with Ponseti method. Results Multivariate logistic regression analysis showed that the initial pirani score and compliance of brace were independent risk factors that led to the recurrence of congenital talipes equinovarus treated with Ponseti method( P < 0. 05).Conclusion A variety of factors could lead to the recurrence of congenital talipes equinovarus treated with Ponseti method. The independent factors that cause the recurrence of the disease should be identified,and the corresponding nursing countermeasures should be proposed to ultimately improve the therapeutic effect of Ponseti.

关 键 词：Ponseti治疗 先天性马蹄内翻足 复发 

分 类 号：R473.72[医药卫生—护理学]