王小倩

[摘要] 目的 研究康复护理在采用改良型股骨近端空心锁定钢板治疗股骨颈骨折患者中的应用效果。 方法 选取我院骨科2016年5月～2017年5月收治的30例股骨颈骨折患者，所有患者均采用改良型股骨近端空心锁定钢板治疗，随机将其分为对照组和观察组，各15例。观察组给予康复护理，而对照组给予常规护理。对比两组患者的临床护理效果。 结果 经过护理干预后，观察组的临床护理有效率明显优于对照组（P<0.05）；观察组的并发症发生率明显低于对照组（P<0.05）；观察组的护理满意度明显优于对照组。 结论 康复护理干预在采用改良型股骨近端空心锁定钢板治疗的股骨颈骨折患者的护理中具有很好的效果，可有效的降低并发症发生率，提高护理有效率和护理满意度，值得在临床护理中大力推广。

[关键词] 康复护理；股骨颈骨折患者；临床效果；并发症

[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2018）28-0145-03

[Abstract] Objective To study the effect of rehabilitation nursing on improved hollow proximal femoral locking plate for femoral neck fracture patients. Methods 30 patients with femoral neck fractures who were treated in the Department of Orthopaedics from May 2016 to May 2017 in our hospital were selected. All patients were treated with improved hollow proximal femoral locking plate and randomly divided into control group and observation group， with 15 cases in each group. The observation group was treated with rehabilitation nursing while the control group was given routine care. The clinical nursing effects of the two groups were compared. Results After nursing intervention， the clinical nursing efficiency of the observation group was significantly better than that of the control group（P<0.05）. The incidence of complications in the observation group was significantly lower than that of the control group（P<0.05）. And the satisfaction of the observation group was significantly better than that of the control group. Conclusion Rehabilitation nursing intervention has a good effect in the care of patients with femoral neck fractures treated with improved hollow proximal femoral locking plate， which can effectively reduce the incidence of complications， improve nursing efficiency and nursing satisfaction， and is worthy of promotion in clinical nursing.

[Key words] Rehabilitation nursing； Femoral neck fracture patients； Clinical effect； Complication

股骨颈骨折指的是股骨头下端至股骨颈基底部之间的骨折，多发生在老年人中，而且女性的致病率高于男性[1]。对于老年患者而言，其身体的抵抗力不断下降，加之各种各样的并发症，因此病程比较长，恢复相对较慢，对患者的身心健康产生不良影响[2]。采用改良型股骨近端空心鎖定钢板治疗此类疾病是一种十分有效的方式，但是需要科学的围术期护理与之配合，提高患者的预后，促进患者尽快康复[3]。有研究称，康复护理干预在股骨颈骨折患者的临床应用中具有好的效果，为此，本文选取我院收治的30例股骨颈骨折患者为研究对象，其研究过程如下。

1 资料与方法

1.1一般资料

选取我院2016年5月～2017年5月收治的30例股骨颈骨折患者，所有患者均采用改良型股骨近端空心锁定钢板治疗，随机将其分为对照组和观察组，各15例。对照组患者男9例，女6例；年龄60～75岁，平均（67.2±2.1）岁；……