纪红玲

[摘要] 目的 观察综合护理对髋关节置换术治疗股骨颈骨折的临床效果。方法 选取2018年1月～2019年1月在我院住院治疗的60例髋关节置换术患者作为研究对象，随机分为两组，每组30例，对照组行常规对症护理，干预组实施综合护理，对比分析两组的治疗效果及干预前后VAS评分的变化情况及术后并发症发生率情况。 结果 干预组患者治疗后的治疗优良率为90.0%，显著高于对照组的70.0%，两组比较，差异具有统计学意义（P<0.05）。干预后两组患者的VAS评分分别较干预前显著降低，且干预组干预后的VAS评分显著低于对照组，组间对比，差异具有统计学意义（P<0.05）。干预组患者治疗后的并发症发生率为16.7%，显著低于对照组的30.0%，两组比较差异具有统计学意义（P<0.05）。 结论 对股骨颈骨折患者应用髋关节置换术治疗的同时配合综合护理，有利于提高治疗效果，减轻患者的疼痛程度，降低术后并发症的发生率。

[关键词] 股骨颈骨折程度;综合护理;髋关节置换术;VAS评分

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2019）19-0158-03

[Abstract] Objective To observe the clinical effect of comprehensive nursing on hip joint replacement for femoral neck fracture. Methods A total of 60 patients with hip joint replacement who were hospitalized in our hospital from January 2018 to January 2019 were selected as the research object and randomly divided into two groups， with 30 cases in each group. The control group received routine symptomatic care and the intervention group implemented comprehensive nursing. The treatment effect， the changes of VAS scores before and after intervention， and the incidence of postoperative complications of the two groups were comparatively analyzed. Results The excellent and good rate of treatment in the intervention group was 90.0% after treatment， which was significantly higher than that in the control group（70.0%）. The difference between the two groups was significant（P<0.05）. After the intervention， the VAS scores of the two groups were significantly lower than those before the intervention， and the VAS scores of the intervention group were significantly lower than those of the control group. The comparison between the groups showed significant difference（P<0.05）. The incidence of postoperative complications of the intervention group was 16.7%， which was significantly lower than that of the control group （30.0%）. The difference between the two groups was significant（P<0.05）. Conclusion The application of hip joint combined with comprehensive nursing for patients with femoral neck fracture is beneficial to improve the treatment effect， reduce the pain degree of patients and reduce the incidence of postoperative complications.

[Key words] Femoral neck fracture; Comprehensive nursing; Hip joint replacement; VAS score

股骨頸骨折是骨科的常见病、多发病，近年来随着交通业的不断发展，其发病率逐年升高[1]，目前临床对股骨颈骨折多采取髋关节置换术，许多研究证明，对髋关节置换术患者进行护理干预，有利于降低术后并发症发生率，提高治疗效果[2]。综合护理包括心理护理、饮食护理、健康教育等多方面内容，对患者采取综合性护理干预措施，尤其是实施心理护理干预，近年来广泛应用于各种疾病的治疗中并取得了较好的效果[3-4]。本研究对应用髋关节置换术治疗的老年股骨颈骨折手术患者进行综合性护理干预，取得了较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2018年1月～2019年1月在我院住院治疗的60例髋关节置换术患者作为研究对象，排除合并严重心肺功能障碍、内分泌疾病及精神疾病者。将60例患者随机分为观察组和对照组，每组30例，两组患者在性别、年龄、骨折部位、伴随疾病等方面比较，差异无统计学意义（P>0.05），具有可比性。见……