摘要
目的:探讨C臂透视下股骨闭合复位内固定手术术中牵引体位的管理效果。方法:选取本院2016年1月至2018年8月行股骨闭合复位固定手术的44例股骨粗隆间骨折患者,随机均分为对照组和观察组,每组22例。对照组接受骨科手术常规护理,观察组在骨科手术常规护理基础上重点做好术中牵引体位管理。对比两组患者手术时间、术中出血量、术程不良反应和术后充分负重时间。结果:两组患者平均手术时间、术中平均出血量、术程不良反应和术后充分负重时间比较均有明显差异,观察组患者手术时间明显短于对照组,观察组术中出血量明显少于对照组,观察组术程不良反应发生率明显低于对照组,观察组术后充分负重时间明显早于对照组,差异均有统计学意义(P<0.05)。结论:加强股骨闭合复位内固定手术患者术中牵引体位管理,可显著缩短患者平均手术时间,降低术中不良反应发生率,促进患者术后康复进程。
Objective:To investigate the impact of hand hygiene compliance monitoring on the incidence of nosocomial infections in patients with neurosurgical tracheotomy.Methods:Forty-four patients with femoral intertrochanteric fracture who underwent femoral closure and reduction surgery from January 2016 to August 2018 in our hospital were randomLy divided into control group and observation group.The control group received routine nursing of orthopedic surgery,and the observation group focused on the management of the traction position during the operation of orthopedic surgery.The operation time,intraoperative blood loss,adverse course of operation and postoperative full weight-bearing time were compared between the two groups.Results:The average operation time,the mean intraoperative blood loss,the adverse course of operation and the time of postoperative full weight-bearing were significantly different between the two groups.The operation time of the observation group was significantly shorter than that of the control group,and the amount of bleeding in the observation group was significantly less than that of the control group.The incidence of adverse reactions in the observation group was significantly lower than that in the control group.The weight-bearing time of the observation group was significantly earlier than that of the control group,and the difference was statistically significant (P<0.05).Conclusion:Strengthening the management of the traction position during the operation of the femoral closure and internal fixation can significantly improve the average operation time of the patient,reduce the incidence of adverse reactions during surgery,and promote the postoperative recovery process.
作者
包二敏
蔡红
张全云
Bao Ermin;Cai Hong;Zhang Quanyun(Operating Room,Lianyungang Second People's Hospital,Lianyungang,Jiangsu 222000)
出处
《中外女性健康研究》
2019年第5期14-15,98,共3页
Women＇s Health Research
关键词
C臂透视
股骨骨折
闭合复位
内固定
术中牵引
体位管理
C-arm fluoroscopy
Femur fracture
Closed reduction
Internal fixation
Intraoperative traction
Position management
