尺桡骨干双骨折患者的康复护理

Rehabilitation nursing for patients with fractures in radius and ulna

  • 摘要:
      目的  探讨康复护理在促进尺桡骨干双骨折患者恢复中的应用效果。
      方法  选取本院尺桡骨干双骨折患者62例作为研究对象, 所有患者均行手术治疗,随机分为实验组和对照组各31例,对照组围术期给予常规护理干预,实验组在常规护理基础上开展康复护理,护理结束后比较2组患肢功能恢复情况、并发症发生率及骨折完全愈合时间。
      结果  护理后,实验组患者患肢前臂旋前、前臂旋后、腕背伸、腕掌屈度数测定结果均大于对照组(P < 0.05); 术后恢复期间, 2组患者发生关节粘连、桡神经麻痹、延期愈合、不愈合等并发症发生率比较,实验组低于对照组(P < 0.05); 实验组患者骨折完全愈合时间短于对照组(P < 0.05)。
      结论  尺桡骨干双骨折患者术后给予早期康复护理效果显著,能缩短骨折完全愈合时间,提高患肢功能恢复质量,降低术后并发症发生率。

     

    Abstract:
      Objective  To explore the application value of rehabilitation nursing in promoting the recovery of patients with fractures in radius and ulna.
      Methods  A total of 62 patients with fractures in both radius and ulna undergoing surgical treatment in our hospital were selected as research objects, and were randomly divided into experimental group and control group, with 31 cases in each group. The control group was given routine nursing intervention during perioperative period, while the experimental group were given the rehabilitation nursing on the basis of routine nursing. The recovery of affected limb function, the incidence of complications and complete healing time of fracture were compared between the two groups.
      Results  After nursing, the forearm pronation, forearm supination, wrist dorsal extension and wrist palm bending degrees in the experimental group were greater than that in the control group (P < 0.05). During the recovery period, the incidence of complications such as joint adhesion, radial nerve paralysis, delayed healing and nonunion of the experimental group was significantly lower than that of control group (P < 0.05). The complete healing time of fracture in the experimental group was significantly shorter than that in the control group (P < 0.05).
      Conclusion  Early rehabilitation for both fractures of radius and ulna has significant efficacy, which can significantly shorten the time of complete fracture healing, improve the recovery quality of affected limbs, and reduce the incidence of complications after operation.

     

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