林建群

【摘要】 目的：分析老年股骨颈骨折患者行人工股骨头置换术的围术期护理干预措施与实施效果。方法：选取2015年1月-2017年12月本院收治的老年股骨颈骨折患者60例。经信封式分组法将其分为对照组和观察组，各30例。对照组给予常规围术期护理干预，观察组给予围术期系统化康复护理干预。比较两组关节功能（Harris评分）、术后并发症发生情况。结果：护理后，观察组各维度髋关节Harris评分及总分均高于对照组，比较差异均有统计学意义（P<0.05）;观察组术后并发症发生率为3.33%，低于对照组的23.33%（P<0.05）。结论：老年股骨颈骨折患者行人工股骨头置换术的围术期系统化康复护理干预效果显著，其对患者关节功能改善有利。

【关键词】 老年; 股骨颈骨折; 人工股骨头置换术; 系统化康复护理; 围术期护理干预

Perioperative Nursing Intervention Analysis of Artificial Femoral Head Replacement in Elderly Patients with Femoral Neck Fracture/LIN Jianqun.//Medical Innovation of China，2019，16（06）：0-087

【Abstract】 Objective：To analyze the perioperative nursing intervention of artificial femoral head replacement in elderly patients with femoral neck fracture.Method：A total of 60 elderly patients with femoral neck fracture admitted to our hospital from January 2015 to December 2017 were selected.By envelope grouping method，they were divided into control group and observation group，30 cases in each group.The control group was given routine perioperative nursing intervention，while observation group was given systematic perioperative rehabilitation nursing intervention.The joint function（Harris score）and complications between two groups were compared.Result：After nursing，the each dimension of Harris score and total score in observation group were higher than those of control group，the differences were statistically significant（P<0.05）.The incidence of postoperative complications in observation group was 3.33%，which was lower than 23.33% in control group（P<0.05）.Conclusion：Systematic rehabilitation nursing intervention for elderly patients with femoral neck fracture undergoing artificial femoral head replacement during perioperative period has significant effect，which is beneficial to improve the joint function of patients.

【Key words】 Elderly; Femoral neck fracture; Artificial femoral head replacement; Systemic rehabilitation nursing; Perioperative nursing intervention

First-authors address：Ruijin Peoples Hospital，Ruijin 342500，China

doi：10.3969/j.issn.1674-4985.2019.06.022

股骨頸骨折为骨科临床中较为常见的一种骨折类型，老年人为该疾病的主要患病人群，人工股骨头置换术为目前临床中治疗该疾病的常用措施，该项治疗措施可以促进患者生存质量的提升。但是老年患者的机体耐受力欠佳，且通常有多种基础疾病合并存在，在接受治疗的过程中极易有相关并发症出现，影响其关节功能以及机体的康复[1]。本研究特抽选部分在本院接受治疗的患者进行比较研究，现报道如下。

1 资料与方法

1.1 一般资料 选取2015年1月-2017年12月本院收治的老年股骨颈骨折患者60例。（1）纳入标准：与《老年人康复护理》标准相符的患者[2];骨折以前负重能力和行走能力均正常的患者;经过X线检查、CT检查、MRI检查被确诊，且接受人工股骨头置换术治疗的患者。（2）剔除标准：髋关节有急性感染性疾病合并存在的患者;有类风湿性关节炎骨折合并存在或者有病理性骨折存在的患者;有心血管、脑血管疾病以及肝肾功能异常等情况存在的患者;有凝血功能障碍存在的患者。……