杨丽娟

[摘要] 目的 分析综合护理配合全髋关节置换术治疗老年股骨颈骨折的应用效果。 方法 选取2013年5月～2015年2月我院收治的76例老年股骨颈骨折患者进行对照研究，入院后均行全髋关节置换术治疗，采用抽签法将患者分为两组，对照组进行常规护理，观察组进行综合护理干预，分析两组患者的临床疗效护理满意度及并发症发生情况护理满意度。结果 观察组患者的优良率和并发症发生率以及满意度分别为86.84%、5.26%、92.1%，对照组分别为65.79%、23.68%、76.3%，差异均有统计学意义（P均<0.05）。 结论 就老年股骨颈骨折患者而言，在对其行全髋关节置换术治疗前后及时对患者行综合护理的效果显著，可推广。

[关键词] 老年；股骨颈骨折；全髋关节置换术；综合护理

[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2016）09-0148-03

[Abstract] Objective To analyze the application effect of comprehensive nursing combined with total hip replacement in the treatment of femoral neck fracture in elderly patients. Methods A total of 76 cases of elderly patients with femoral neck fracture were selected to be studied from May 2013 and February 2015. The patients were all treated by total hip replacement method. And then were randomly divided into two groups. The control group was given routine nursing care while the observation group was given comprehensive nursing intervention. The clinical efficacy and complications and nursing satisfaction were compared. Results The excellent rate and complication rate as well as degree of satisfaction of the observation group were 86.84% and 5.26% as well as 92.1% respectively， the excellent and good rate of the control group was 65.79%， the incidence of complications was 23.68%， the degree of satisfaction was 76.3%， the differences were statistically significant（P<0.05）. Conclusion The elderly patients with femoral neck fracture， in the treatment of the total hip arthroplasty in a timely manner before and after the comprehensive nursing care of patients with significant effect， can be extended.

[Key words] Eldly； Femoral neck fracture； Total hip arthroplasty； Comprehensive nursing

股骨颈骨折在临床上的发病率较高，全髋关节置换术属于常用的治疗方法，对于患者的髋关节功能有着十分显著的改善作用，但是手术治疗后，部分患者也会出现疼痛、下肢静脉血栓等并发症，这就会对手术治疗的效果和患者的预后质量产生严重影响[1，2]。在临床上，综合护理属于一种新型的护理干预模式，强调要对患者实施全方位的优质护理干预，不仅有利于提高护理质量，还可能建立良好的护患关系。为了深入地分析在全髋关节置换术围手术期对老年股骨颈骨折患者进行综合护理干预的实际价值，特实施本次临床对照研究。

1 资料与方法

1.1 临床资料

选取2013年5月～2015年2月我院收治的76例老年股骨颈骨折患者进行对照研究，其中男46例，女30例，年龄57～78岁，平均（63.3±2.4）岁。其中股骨头下型36例，股骨基底型15例，股骨颈型25例。……