[1]沈兰娟.老年髋部骨折患者术后患肢体位探讨[J].中医正骨,2011,23(02):74-75.
　SHEN Lan-juan*.*.Explore the position of the operated limb of old age patients with hipbone fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(02):74-75.
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老年髋部骨折患者术后患肢体位探讨()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期数:
2011年02期
页码:
74-75
栏目:
骨伤科护理
出版日期:
2011-02-25

文章信息/Info

Title:
Explore the position of the operated limb of old age patients with hipbone fracture
作者:
沈兰娟
浙江省杭州市第一人民医院,浙江 杭州 311100
Author(s):
SHEN Lan-juan*.*
The First People's Hospital of Hangzhou City,Hangzhou 311100,Zhejiang,China
关键词:
老年 髋部骨折 术后 体位
Keywords:
old age hipbone fracture post-operation position
摘要:
目的:探讨老年髋部骨折患者术后患肢采取何种体位更为合适。方法:选取2006年1月至2007年12月入住我院骨科的122例老年髋部骨折手术患者,随机分为实验组和对照组,实验组病例在术后当天将患肢放于软枕(约2 cm)上,次日将患肢放于软枕上和平放交替; 对照组病例术后按传统方法抬高(约15 cm)。两组患者术后均进行患肢功能锻炼。结果:两组患者术后患肢采取不同的体位后,在髋部和会阴部肿胀、深静脉血栓形成等方面差异有统计学意义(P<0.05)。实验组采取的患肢体位效果优于对照组。结论:术后将患肢放于软枕上(约2 cm)或平放,对老年髋部骨折患者术后恢复更为有利。
Abstract:
Objective: To explore the suitable position for the operated limb of old age patients with hipbone fracture.Methods:122 cases of old age patients with hipbone fracture were enrolled whom were hospitalized in orthopedic ward in our hospital during Jan.2006 to Dec.2007. 122 patients were randomly divided into test group and control group. For the patients in test group the operated limb was put on a soft pillow(about 2cm high)right after the operation, put on soft pillow and on a flat alternately following days.For the patients in control group the operated limb was put on a 15 cm high pad as a traditional done.122 patients all received limb function exercise. Results: There are significantly difference in the degree of swelling of the hip or/and perineam, deep vein thrombosis formation between the patients in different group(P<0.05).the position for the test group is better than for the control group. Conclusion: Putting the operated limb on a soft pillow and on a flat alternately is helpful for the recovery of the old age patients with hipbone fracture.

参考文献/References:

[1] 吕厚山.认真总结经验教训积极推动人工关节外科的发展[J].中华骨科杂志,1996,16(5):267.
[2] 殷晓红.预防人工关节置换术后下肢深静脉形成的护理对策[J].中华护理杂志,2001,36(5):330-332.
[3] 吕厚山,徐斌.人工关节置换术后下肢静脉血栓形成[J].中华骨科杂志, 1999, 19(3):155-156.
[4] 张燕,陈睿,许燕杏.髋关节置换术后患者下肢深静脉血栓形成的预防及护理[J].中国实用护理杂志,2007,23(11):29.
[5] 李凤英,黄伟华,张桂兰,等.下肢骨折并发深静脉血栓形成的相关因素分析与护理[J].护理进修杂志,2005,20(16):544.

更新日期/Last Update: 2011-02-25