谢美玉 黄美丽

【摘要】 目的：分析颌面部骨折钛板内固定术后护理对患者的预后影响。方法：选取笔者所在医院2018年1月-2019年6月收治的58例接受钛板内固定术治疗的颌面部骨折患者为研究对象，按数字随机表法分成对照组与试验组，每组29例。对照组术后采用常规护理，试验组术后选择综合护理干预，观察两组预后情况。结果：试验组肿胀消退时间、住院时间均明显短于对照组（P<0.05）。试验组术后并发症发生率为6.9%，明显低于对照组的31.0%（P<0.05）。结论：为接受钛板内固定术治疗的颌面部骨折患者提供科学、系统的术后护理干预，能减少术后并发症，促进患者及早康复，显著改善预后。

【关键词】 颌面部骨折; 钛板内固定; 术后护理; 预后

doi：10.14033/j.cnki.cfmr.2019.27.047 文献标识码 B 文章编号 1674-6805（2019）27-0-03

The Influence of Postoperative Nursing on the Prognosis of Patients with Maxillofacial Fracture with Titanium Plate Fixation/XIE Meiyu，HUANG Meili.//Chinese and Foreign Medical Research，2019，17（27）：-111

【Abstract】 Objective：To analyze the influence of postoperative nursing on the prognosis of patients with maxillofacial fracture with titanium plate fixation.Method：A total of 58 patients with maxillofacial fractures who were treated with titanium plate internal fixation in our hospital from January 2018 to June 2019 were randomly divided into the control group and the experimental group，29 cases in each group.The control group was treated with postoperative routine nursing，while the experimental group was treated with postoperative comprehensive nursing intervention，the prognosis of the patients were observed.Result：The swelling regression time and hospitalization time in the experimental group were significantly shorter than those of the control group（P<0.05）.The incidence of postoperative complications in the experimental group was 6.9%，which was significantly lower than 31.0% of the control group（P<0.05）.Conclusion：Provide scientific and systematic postoperative nursing intervention for patients with maxillofacial fractures treated with titanium plate internal fixation can reduce postoperative complications，promote early recovery of patients and significantly improve the prognosis.

【Key words】 Maxillofacial fracture; Titanium plate internal fixation; Postoperative nursing; Prognosis

First-authors address：Quanzhou First Hospital Affiliated to Fujian Medical University，Quanzhou 362000，China

頜面部骨折属于临床中发生率较高的一种颌面部损伤，在全部颌面部损伤中占比为50%～70%[1]。减少面部畸形，获得良好的功能和外观的关键为可靠、切实的内固定及科学、合理的护理干预[2]。因此，在对颌面部骨折进行及时和正确的治疗时，还应为患者提供科学的护理干预。笔者所在医院选取采用钛板内固定术治疗的颌面部骨折患者为研究对象，为其术后提供科学的护理干预，取得比较理想的效果，对术后护理干预作如下总结。

1 资料与方法

1.1 一般资料

选取笔者所在医院2018年1月-2019年6月收治的58例接受钛板内固定术治疗的颌面部骨折患者。纳入标准：意识清醒;经影像学检查证实为颌面部骨折。排除标准：伴肝肾功能损伤;伴严重全身疾病。按随机数字表法将58例患者分成对照组（29例）与试验组（29例）。对照组男16例，女13例;年龄20～64岁，平均（40.3±10.2）岁;致伤原因：车祸伤16例，坠落伤5例，工伤5例，击打伤3例。试验组男18例，女11例;年龄22～63岁，平均（40.8±9.4）岁;致伤原因：车祸伤14例，坠落伤7例，工伤4例，击打伤4例。……