摘要
目的探讨仙灵骨葆胶囊联合标准护理流程对老年股骨粗隆间骨折患者康复的影响。方法选取50例老年性股骨粗隆间骨折患者,随机分为观察组和对照组,各25例,所有患者均在硬膜外麻醉下进行手术,术后常规抗感染、抗凝、仙灵骨葆胶囊等治疗,对照组术后进行常规护理宣教,观察组制订标准化护理流程进行护理;测定治疗前及3个月后血钙(Ca)、磷(P)、碱性磷酸酶(AKP)水平及并发症发生情况。结果治疗后2组Ca、P、AKP均较治疗前改善(P<0.05);治疗后观察组疼痛、关节屈伸功能、关节活动度评分优于对照组(P<0.05);术后患肢髋关节功能康复优良率观察组优于对照组(P<0.05)。结论老年性股骨粗隆间骨折PFNA术后实施标准化护理流程,可明显加快术后髋关节功能的恢复,缩短下床行走时间,减少并发症发生。
Objective To explore the effect of Xianling Gubao capsule in combined with standard nursing procedure on the rehabilitation in elder patients with femoral intertrochanteric fracture.Methods A total 50 elder patients with femoral intertrochanteric fracture were randomized into the observation group and the control group.The patients in the two groups were given routine anti-infection,anti-coagulation,and Xianling Gubao capsules after operation.The patients in the control group were given routine nursing propaganda and education,while the patients in the observation group were given the standard nursing procedure.The levels of serum Ca,P,and AKP before treatment and 3 months after operation were determined,and the postoperative affected limb function rehabilitation was evaluated.The occurrence of complications was observed.Results The levels of serum Ca,P,and AKP after treatment in the two groups were significantly improved when compared with before treatment （P ＜0.05）.After treatment,the scores of pain,joint flexion and extension functions,and range of motion in the observation group were significantly superior to those in the control group （P ＜ 0.05）.The excellence rate of postoperative affected limb hip joint function rehabilitation was significantly superior to that in the control group （P ＜ 0.05）.Conclusion Implementation of standard nursing procedure for elder patients with femoral intertrochanteric fracture after PFNA can obviously accelerate the recovery of post-operative hip joint function,shorten the out-of-bed activity time,and reduce the occurrence of complications.
出处
《长春中医药大学学报》
2016年第4期789-791,共3页
Journal of Changchun University of Chinese Medicine
基金
河北省科技进步项目(2011JB242-07)
关键词
仙灵骨葆胶囊
护理
老年人
股骨粗隆间骨折
Xianling Gubao capsule
nursing
elder
femoral intertrochanteric fracture
