预见性管理措施在骨折并发FES患者中的应用  

Application of predictive management in fracture patients with fat embolism syndrome and its effect on reducing the incidence of fat embolism

作　　者：陈伟伟[1] 张雪[2] 刘伟[3] 张慧[4] 谭飞 程艳辉 CHEN Weiwei;ZHANG Xue;LIU Wei(Intensive Care Unit,the Second Hospital of Tangshan,Hebei,Tangshan 063000,China;不详)

机构地区：[1]河北省唐山市第二医院重症监护室,063000 [2]河北省唐山市第二医院关节一科,063000 [3]河北省唐山市第二医院手一科,063000 [4]河北省唐山市第二医院脊柱三科,063000 [5]河北省唐山市第二医院综合内科,063000

出　　处：《河北医药》2023年第22期3514-3516,3520,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:20181291)。

摘　　要：目的分析预见性管理措施在骨折并发脂肪栓塞综合征(FES)患者中的应用及对患者降低脂肪栓塞发生率的效果。方法择取2020年1月至2022年1月收治的骨折并发FES患者200例相关资料,以等数分组法进行择取分组,将采用常规护理的100例患者设为对照组,采用预见性管理措施干预的100例患者设为研究组。对比2组患者护理效果及对FES发生率的影响。结果研究组患者FES发生率为3.00%显著小于对照组的12.00%(P<0.05);研究组护理后SPO_(2)、PaO_(2)、Hb、血小板水平显著高于对照组(P<0.05);研究组SAS、SDS评分均低于对照组(P<0.05);研究组SF-36量表中各评分均低于对照组(P<0.05)。结论预见性管理措施在骨折并发FES患者中的应用效果显著,可显著降低患者FES发生率,提升患者生活质量与血液监测指标水平,降低患者的不良情绪。Objective To compare and analyze the application of predictive management in fracture patients with fat embolism syndrome(FES)and its effect on reducing the incidence of fat embolism.Methods Clinical data of 200 fracture patients with FES who were admitted to our hospital from January 2020 to January 2022 were selected and grouped by equal number grouping method.They were divided into control group and research group,with 100 patients per group.Conventional care and predictive management intervention were given to patients of control group and research group,respectively.The nursing effect and the effect on the incidence of FES were compared between the two groups.Results The incidence of FES was significantly lower in the research group than that of control group(P<0.05).Oxygen saturation(SpO_(2)),partial pressure of oxygen(PaO_(2)),hemoglobin(Hb)and platelet count in the research group were significantly higher than those of control group(P<0.05).The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and the 36-Item Short Form Survey(SF-36)in the research group were significantly lower than those of control group(P<0.05).Conclusion The application effect of predictive management on fracture patients with FES is significant,which can significantly reduce the incidence of FES,improve the quality of life and blood monitoring indexes,and reduce the adverse emotion.

关 键 词：预见性管理 骨折 脂肪栓塞综合征 生活质量 

分 类 号：R473.6[医药卫生—护理学]