床上康復(fù)操預(yù)防股骨骨折術(shù)后患者深靜脈血栓的效果

梁飛雁 饒靜云 馮秀萍 鄒鏡宜 鄧順華 張帶兄 嚴(yán)少媚 梁斯敏

[摘要]目的 探討床上康復(fù)操在股骨骨折術(shù)后患者預(yù)防深靜脈血栓（deep vein thrombosis DVT）中的應(yīng)用價(jià)值。方法 選擇2017年1月～2018年1月我院收治的120例單側(cè)股骨閉合性骨折患者作為研究對(duì)象，簡(jiǎn)單隨機(jī)化法分為兩組，每組各60例。對(duì)照組患者接受骨傷科常規(guī)護(hù)理，觀察組患者在對(duì)照組基礎(chǔ)上接受床上康復(fù)操訓(xùn)練。比較兩組患者的深靜脈血栓發(fā)生率、肢體功能恢復(fù)情況以及總滿(mǎn)意度。結(jié)果 觀察組中有2例患者出現(xiàn)了DVT，發(fā)生率為3.33%；對(duì)照組中有8例患者出現(xiàn)DVT，發(fā)生率為13.33%，觀察組的DVT發(fā)生率明顯低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。護(hù)理前，觀察組和對(duì)照組的運(yùn)動(dòng)功能評(píng)分分別為（51.5±11.1）、（52.3±12.0）分，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）；護(hù)理后，觀察組和對(duì)照組的運(yùn)動(dòng)功能評(píng)分分別為（83.2±10.4）、（62.0±13.5）分，與護(hù)理前比較均升高（P<0.05），且觀察組評(píng)分明顯高于對(duì)照組（P<0.05）。觀察組患者滿(mǎn)意率顯著高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 在股骨骨折術(shù)后患者的護(hù)理中，實(shí)施床上康復(fù)操，能夠大大降低DVT發(fā)生率，促進(jìn)患肢功能的康復(fù)，提高了患者的滿(mǎn)意度，值得推廣。

[關(guān)鍵詞]床上康復(fù)操；股骨骨折；深靜脈血栓；預(yù)防；價(jià)值

[中圖分類(lèi)號(hào)] R473.6 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721（2018）4（c）-0033-03

Effect of bed rehabilitation exercise in the prevention of deep venous thrombosis in patients with femoral fracture after operation

LIANG Fei-yan1 RAO Jing-yun2▲ FENG Xiu-ping3 ZOU Jing-yi3 DENG Shun-hua4 ZHANG Dai-xiong5 YAN Shao-mei1 LIANG Si-min1

1.Department of Surgery，Affiliated Hospital of Zhaoqing Medical College，Guangdong Provinve，Zhaoqing 526000，China；2.Department of Nursing，Zhaoqing Medical College，Guangdong Province，Zhaoqing 526000，China；3.Department of Orthopedics，the First People′s Hospital of Zhaoqing City，Guangdong Province，Zhaoqing 526000，China；4.Department of Nursing，the First People′s Hospital of Zhaoqing City，Guangdong Province，Zhaoqing 526000，China；5.Department of Stomatology，Affiliated Hospital of Zhaoqing Medical College，Guangdong Province，Zhaoqing 526000，China

[Abstract]Objective To investigate the bed rehabilitation exercise in postoperative patients with femoral fracture prevention application of deep venous thrombosis.Methods From January 2017 to January 2018，120 cases of unilateral closed femoral fracture patients were selected as the research objects treated in our hospital，the simple random differentiation were divided into two groups，60 cases in each group.The control group of orthopedic patients were received routine nursing care，the observation group patients on the basis of routine nursing care were accepted bed rehabilitation training.The incidence of deep venous thrombosis，recovery of limb function and satisfaction were compared between the two groups.Results In the observation group， 2 patients had deep vein thrombosis （Deep Vein Thrombosis DVT），the incidence rate was 3.33%.In the control group，8 patients had DVT and the incidence was 13.33%.Compared with the two groups，the incidence of DVT in the observation group was significantly lower （P<0.05）.Before nursing，observation group and control group，the motor function scores were （51.5±11.1），（52.3±12.0） point，the difference was not statistically significant （P>0.05）；after nursing care，observation group and control group，the motor function scores were （83.2±10.4），（62.0±13.5） point，the two group and the nursing before the deal was increased compared （P<0.05），and the observation group was significantly higher than that of control group（P<0.05）.The satisfaction rate of the patients in the observation group was significantly higher than that of the control group，the differences were statistically significant（P<0.05）.Conclusion In the nursing care of patients with femoral fracture after operation，the implementation of bed rehabilitation，can greatly reduce the incidence of DVT and promote the limb function rehabilitation，improve patient satisfaction，worthy of promotion.

[Key words]Bed rehabilitation；Femoral fracture；Deep venous thrombosis；Prevention；Value

股骨骨折及手術(shù)患者容易出現(xiàn)下肢深靜脈血栓（DVT），是一種多發(fā)于老年人群并發(fā)癥。近年來(lái)，我國(guó)人口老齡化進(jìn)程加劇，DVT的發(fā)病率也隨之逐年上升。股骨骨折患者如果形成了DVT，會(huì)導(dǎo)致相關(guān)器官組織功能障礙，大大降低患者的生活質(zhì)量，延長(zhǎng)患者的住院時(shí)間，加重經(jīng)濟(jì)負(fù)擔(dān)，病情嚴(yán)重者會(huì)出現(xiàn)肺栓塞、腦栓塞，嚴(yán)重威脅患者的生命安全[1]。所以，對(duì)股骨骨折術(shù)后患者采取有效針對(duì)性護(hù)理對(duì)預(yù)防DVT有重要意義。本文對(duì)單側(cè)股骨閉合性骨折患者實(shí)施了床上康復(fù)操護(hù)理干預(yù)，探討其療效，現(xiàn)報(bào)道如下。

1資料與方法

1.1一般資料

選擇2017年1月～2018年1月我院收治的120例單側(cè)股骨閉合性骨折患者作為研究對(duì)象，用簡(jiǎn)單隨機(jī)化法分為對(duì)照組和觀察組，每組各60例。……