周茜　　兰树华

[摘要] 目的 探讨髋臼骨折患者切开复位术后的康复护理措施效果。 方法 选取2014年1月～2017年1月我院骨科收治的髋臼骨折且行切开复位术治疗的患者137例，按随机数字表法分為对照组与观察组。对照组68例实施常规护理。观察组69例基于对照组的护理内容实施围手术期康复护理。对比两组患者并发症发生率，护理改善效果及生活质量数据。 结果 观察组并发症发生率明显低于对照组（4.35% vs 20.59%），差异有统计学意义（P<0.05）；观察组生活质量评分明显高于对照组，差异有统计学意义（P<0.05）；观察组护理总有效率明显高于对照组[97.10%（67/69） vs 86.76%（59/68）]，差异有统计学意义（P<0.05）。 结论 髋臼骨折患者切开复位术后的康复护理能够降低并发症发生率，提高护理效果与患者生活质量，值得临床推广与应用。

[关键词] 髋臼骨折；切开复位术；康复护理；效果

[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2018）01-0152-04

Evaluation on the effect of rehabilitation nursing measures for patients with acetabular fractures after open reduction

ZHOU Qian LAN Shuhua

Department of Joint Surgery， Lishui Central Hospital in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To evaluate the effect of rehabilitation and nursing measures in the patients with acetabular fractures after open reduction. Methods 137 patients with acetabular fractures who were admitted to the department of orthopedics and were given open reduction from January 2014 to January 2017 were selected. According to the random number table method， the patients were divided into control group and observation group. The control group of 68 patients was given routine nursing care， and the observation group of 69 patients were given perioperative rehabilitation and nursing care based on the nursing contents of the control group. The data on the incidence rate of complications， nursing improvement and quality of life were compared between the two groups. Results The incidence rate of complications in the observation group was significantly lower than that in the control group（4.35% vs 20.59%）， and there was statistically significant difference between the two groups（P<0.05）； the quality of life score in the observation group was significantly higher than that in the control group， and there was statistically significant difference between the two groups（P<0.05）； the total effective rate of nursing in the observation group was significantly higher than that in the control group[97.10%（67/69） vs 86.76%（59/68）]， and there was statistically significant difference between the two groups（P<0.05）. Conclusion The rehabilitation nursing for patients with acetabular fractures after open reduction can reduce the incidence rate of complications， improve the nursing effect and the quality of life of patients， which is worthy of clinical application and promotion.

[Key words] Acetabular fractures； Open reduction； Rehabilitation and nursing； Effect

作为骨科常见、多发的骨折类型，髋臼骨折属重度损伤，具有病情复杂、护理较难、康复期长的特点[1]。患者在骨折后如果不及时采取针对性处理措施，任其发展，轻则会导致骨折部位畸形愈合，重则引发感染至残或者死亡[2]。对该病临床上多主张行早期手术治疗，可促使患者尽早离床活动。研究显示[3]，有效的术后康复护理和并发症防御措施可促进患者尽快康复。我院通过对2014年1月～2017年1月骨科收治的髋臼骨折住院患者137例，行切开复位术治疗并配合围手术期的康复护理措施，疗效肯定，现报道如下。

1 资料与方法

1.1 一般资料

本次研究对象均来自于我院2014年1月～2017年1月骨科，137例患者均属于髋臼骨折且行切开复位术治疗的患者137例，分为对照组（68例）与观察组（69例）。患者男75例，女62例；年龄18～53岁，平均（41.48±1.45）岁；伤后至手术时间3～18 d，平均（9.79±1.52）d；两组患者的基线资料比较，差异无统计学意义（P>0.05），具有可比性。……