| 摘要: |
| ［摘要］ 目的 探讨解剖型钢板治疗股骨远端粉碎性骨折围手术期护理要点及护理和康复训练对疗效的影响。方法 63例患者术前常规进行心理及全身情况评估，术后监测生命体征（血压、体温、脉搏、呼吸）, 引流及伤口情况，并指导患者进行康复功能锻炼。结果 所有病例均获得骨性愈合，骨性愈合时间平均为17.3周（15～20周），膝关节活动度伸膝：-5°～5°（平均2.3°），屈膝95°～120°（平均112°），HSS评分85～90分，平均88.2分。结论 运用解剖型钢板治疗股骨远端骨折疗效满意；围手术期护理及正确的康复功能锻炼对疗效有重要影响。 |
| 关键词: 解剖型钢板 股骨远端粉碎性骨折 护理康复训练 |
| DOI：10.3969/j.issn.1674-3806.2009.06.44 |
| 分类号:R681.8；R 472 |
| 基金项目: |
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| The perioperative nursing and rehabilitation training for the distal femoral fracture patients treated with open reduction internal fixation using the anatomically condylar plates |
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YANG Yan-ping
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Department of Orthropaedics, the People′s Hospital of Guangxi Zhuang Autonomous Regions, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the effect of the nursing care during pre- and postoperative and rehabilitation training on the outcome of the treatment of the distal femoral fracture with open reduction internal fixation using the anatomically condylar plates.Methods Sixty-three patients were assessed physically and psychologically preoperatively, postoperatively.The vital sign (including blood pressure, pulse, temperature, respiration), drainage and the operative incision were evaluated routinely.All patients were taught to exercise the extend and flexion of the knee step by step.Results All the distal femoral fractures were bone healing.The intervals between operation and bonely healing were 15～20weeks (average 17.3 weeks), the ROM of knee extend -5°～5°(average 2.3°); flexion 95°～120°（average 112°）, the HSS score were 85～90(average 88.2).Conclusion Treating the distal femoral fracture with open reduction internal fixation using the anatomically condylar plates can improve the clinical outcome;nursing during pre- and postoperative and rehabilitation training have significant effect on the clinical outcome. |
| Key words: Anatomically condyar plates Distal femoral fracture Nursing care rehabilitation training |
