自制肘背托带在股骨骨折内固定术患者中应用

摘要

Objectives:To discuss the application of self-made girdle in nursing of internal fixation of femoral fracture.Methods: Selected 60 patients receiving internal fixation of femoral fracture in our hospital from March to August 2016, and they were divided into 26 cases in the observation group and 34 cases in the observation group randomly, the patients in the observation group had their fractured upper limbs with self-made elbow and back girdle during operation, and the patients in the control group had their limbs fixed in normal body position during operation.Comparison was made on the body position placement time, limb comfort and adverse reaction during operation (including loosening of limbs, affecting C arm filming, nausea, dysphoria and other discomforts), complications of limb fixation and patients' scoring of perioperative comfort after operation.Results: The pre-operation body position placement time of patients in the observation group was shorter than that of patients in the control group (P<0.05), and 30min and 60min after body position placement, the discomfort of patients in the observation group was less than that of patients in the control group (P<0.05).The post-operation adverse reaction of patients in the observation group was less than that of patients in the control group (P<0.05).After operation, upon examination of upper limb fixation of patients in the two groups, no relevant complications were seen.The perioperative comfort scores of patients in the observation group were higher than those of patients in the control group (P<0.05).Conclusion:The self-made elbow and back girdle could effectively shorten the body position placement time, avoid the influence of limb movement during operation on the operation course and avoid the discomfort of patients' limbs due to lifting of limbs, so as to improve the patients' comfort and reduce their pain.%目的:探讨自制肘背托带在股骨骨折内固定手术护理中的应用.方法:选取2016年3~8月在我院手术室接受股骨骨折内固定术的患者60例,随机分为对照组26例和观察组34例,观察组术中予以自制肘背托带固定患侧上肢;对照组术中予以常规体位摆放固定肢体.比较两组患者体位摆放时间、肢体舒适度、术中不良反应发生情况(包括肢体松动、影响C臂摄片及恶心烦躁等不适)、固定肢体并发症以及术后患者对围手术期舒适度评分.结果:观察组患者术前体位摆放时间短于对照组(P<0.05).体位摆放30,60 min时观察组患者肢体不适感少于对照组(P<0.05).观察组患者术中不良情况发生少于对照组(P<0.05).手术后检查两组患者固定的上肢情况,均未见相关并发症.观察组患者对围手术期舒适度评分高于对照组(P<0.05).结论:自制肘背托带能有效缩短体位摆放的时间,避免术中肢体活动对手术进程造成影响,避免抬高肢体对患者造成的肢体不适,提高患者的舒适度,减轻了患者的痛苦.