摘要
目的总结和分析诱导膜技术治疗感染性骨缺损患者的围术期护理经验。方法对2016年12月至2017年12月本院收治的80例(82处)行诱导膜技术治疗的感染性骨缺损患者,实施心理护理、结合患者的实际情况制订和实施个体化功能锻炼、预防深静脉血栓的发生及钉道护理和感染护理等护理措施。结果本组80例(82处)患者均顺利完成诱导膜技术治疗,骨折均达骨性愈合,且所有患者均未再出现骨折。1例腓骨远端骨折患者清创术后感染未能控制,经多次清创后行踝关节融合术;10例发生钉道感染,经治疗后感染得到控制。结论做好心理护理可提升患者治疗的信心,使其能够更好配合医护人员进行治疗和护理;制订和实施适合患者情况及需求的个体化功能锻炼方案,可促进骨性愈合;预防深静脉血栓的发生及做好钉道护理和感染护理,对减少术后并发症发生具有重要的意义。
Objective To explore perioperative nursing experience to patients with segmental infectious bone defect treated with induced membrane technique. Methods A total of 80 patients with segmental infectious bone defect treated with induction membrane technology were enrolled in our hospital from December 2016 to December 2017. All patients were subjected to perioperative multi-faceted care,including psychological nursing, individual functional training, prevention of deep venous thrombosis and infection nursing and nail tract infection nursing. Results Eighty-two fractures of the 80 patients in this group all reached bone healing, and all patients had no fractures. One patient was managed with ankle arthrodesis after repeated debridement due to uncontrolled infection in the fractures in distal fibula. Ten patients contracted nail tract infections and got recovered after treatment. Conclusions Mental care can enhance the patient＇s confidence in the treatment. Individualized functional exercises can promote the bone recovery and prevention of deep venous thrombosis and nail tract infection is critical for reduction of other complications.
作者
程蓓
邱旭升
施鸿飞
仲小霞
Cheng Bei;Qiu Xusheng;Shi Hongfei;Zhong Xiaoxia(Department of Orthopaedics,the Affiliated Drum Tower Hospital,Nanjing University Medical School,Nanjing,210008,China)
出处
《现代临床护理》
2018年第7期25-28,共4页
Modern Clinical Nursing
基金
国家自然科学基金项目
项目编号为81572132
关键词
诱导膜技术
清创术
骨缺损
围术期护理
induced membrane technique
debridement
bone defect
perioperative nursing
