老年骨质疏松并发股骨颈骨折的术后护理分析

温晓娟（江西吉安市中心人民医院 吉安 343000）

老年骨质疏松并发股骨颈骨折的术后护理分析

温晓娟
（江西吉安市中心人民医院 吉安 343000）

摘 要目的：探讨老年骨质疏松并发股骨颈骨折的术后护理效果。方法：选取2012年6月至2014年3月收治的老年骨质疏松并发股骨颈骨折患者79例，按照随机数字表法分为观察组40例和对照组39例。术后对照组采取常规护理，如血压控制、血糖水平控制等，观察组在常规护理基础上进行综合护理干预，如心理护理、体位护理、康复训练等。观察两组患者术后Harris评分情况、临床疗效及并发症发生情况。结果：术后1、3、6个月，观察组Harris评分均高于同期对照组，差异有统计学意义（P＜0.05）。观察组总有效率为100.00%，对照组为79.49%，组间差异有统计学意义（P＜0.05）。观察组总并发症发生率（5.00%）显著低于对照组（30.77%），差异有统计学意义（P＜0.05）。结论：对老年骨质疏松并发股骨颈骨折患者进行综合护理干预，可有效改善患者Harris评分，提高治疗总有效率，降低并发症的发生，值得临床推广。

关键词骨质疏松症 股骨颈骨折 老年人 术后护理

Analysis of the effect of the postoperative nursing on the elderly patients with osteoporosis complicated with the transcervical fracture

WEN Xiaojuan
(Central People’s Hospital of Jian City, Jiangxi 343000, China)

ABSTRACTObjective: To explore the effect of the postoperative nursing on the elderly patients with osteoporosis complicated with the transcervical fracture. Methods: Seventy-nine cases with osteoporosis complicated with the transcervical fracture who were hospitalized for the treatment from June 2012 to March 2014 were selected and divided into an observation group with 40 cases and a control group with 39 cases according to the random number table method. After the operation, the control group was cared with the conventional nursing, such as the blood pressure control, blood sugar level control and others. On the basis of the conventional nursing, the observation group was cared with the comprehensive nursing intervention, such as the psychological and posture nursing, rehabilitation training and others. The Harris scores, clinical treatment effect, and complication occurrence of two groups were observed. Results: The Harris scores in the observation group after postoperative 1, 3 and 6 months were higher than those in the control group, and the difference had the statistical significance (P<0.05). The total effective rate in the observation group was 100.00%, and that in the control group 79.49%, and the difference between the groups had the statistical significance (P<0.05). The occurrence rate of the total complications in the observation group was 5.00% and lower than that in the control group 30.77%, and the difference had the statistical significance (P<0.05). Conclusion: The comprehensive nursing intervention on the elderly patients with osteoporosis complicated with the transcervical fracture can improve their Harris scores effectively, enhance the total treatment effective rate, and reduce the occurrence of the complication, which is worthy of the clinical promotion.

KEY WORDSosteoporosis; transcervical fracture; elderly people; postoperative nursing

引起老年股骨颈骨折的主要原因是老年骨质疏松，多因小的外力即可引发。治疗股骨颈骨折，需要及时牵引复位，并手术治疗[1]。对于老年骨质疏松并发股骨颈骨折的患者，在完成手术后，配合适当的护理，更利于患者康复。现将我院在护理方面采取的措施报道如下。

1 资料与方法

1.1 一般资料

纳入2012年6月至2014年3月我院收治的老年骨质疏松并发股骨颈骨折患者79例，患者均符合骨质疏松症诊断标准，排除血液系统疾病、肝肾功能不全者等情况。……