杨永洁

[摘要] 目的 探讨系统化护理在骨外固定支架治疗四肢长管状骨骨折患者中的应用价值。 方法 选取2014年2月～2017年2月于本院实施骨外固定支架治疗四肢长管状骨骨折的100例患者作为研究对象，按照随机数字表法将患者分成两组，每组50例，一组采用骨科常规护理方式进行护理，为对照组，另一组采用系统化护理，为观察组，对比分析两组患者的护理优良率和不良事件发生情况。 结果 对照组患者的护理优良率为48%，观察组患者的护理优良率为70%，对照组护理优良率低于观察组（P<0.05）；对照组不良事件的发生率为30%，观察组不良事件的发生率为10%，对照组不良事件发生率高于观察组（P<0.05）。 结论 系统化护理对于骨外固定支架治疗四肢长管状骨骨折患者具有较好的护理价值，可以提升护理效果，减少不良事件的发生，该护理方式在骨外固定支架治疗四肢长管状骨骨折患者的临床护理中具有较高的应用价值。

[关键词] 系统化护理；骨外固定支架；四肢长管状骨骨折；护理疗效

[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2018）02-0136-03

[Abstract] Objective To study the value of systematic nursing in the treatment of long tubular fractures of the limbs in patients with external fixation of bone. Methods 100 patients with long tubular fractures of the limbs who were treated with external fixator of bone in our hospital from February 2014 to February 2017 were selected as the research object. The patients were divided into two groups including control group and observation group according to the digital randomization method， with 50 cases in each group. The patients in the control group were treated with routine orthopedic nursing and the patients in the observation group were treated with systematic nursing. The excellent and good rate of nursing and the incidence of adverse events were compared between the two groups. Results The excellent and good rate of nursing in the control group was 48%， which was lower than 70% in the observation group（P<0.05）. The incidence of adverse events in the control group was 30%， which was higher than 10% in the observation group（P<0.05）. Conclusion Systematic nursing is of great value in the treatment of patients with long bone fractures of extremities with the external fixation of bone， which can improve the nursing effect and reduce the incidence of adverse events. This nursing method has high application value in the clinical nursing of patients with long tubular fractures of the limbs treated with external fixation of bone.

[Key words] Systematic nursing； External fixation of bone； Long tubular fractures of the limbs； Nursing efficacy

四肢骨折是骨科中比較常见的一种骨折类型，传统一般采用内固定方式进行治疗，但对于患者来说，内固定需要经历二次手术取出固定钢板，伤害比较大，与之不同的则是骨外固定支架，其具有方便、无需二次手术等优势，但在临床治疗中，骨外固定支架治疗四肢长管状骨骨折常易发生骨折愈合延迟、骨折关节移位等不良事件，对患者的治疗产生了不利影响[1]。因此，对于骨外固定支架治疗护理方式的选择十分重要。为了明确系统化护理对于骨外固定支架治疗四肢长管状骨骨折患者的护理价值，本研究选取2014年2月～2017年2月于本院实施骨外固定支架治疗四肢长管状骨骨折的100例患者进行研究，现报道如下。

1 资料与方法

1.1 一般资料

选取2014年2月～2017年2月于本院实施骨……