床上康复操预防股骨骨折术后患者深静脉血栓的效果(1)
[摘要]目的 探討床上康复操在股骨骨折术后患者预防深静脉血栓(deep vein thrombosis DVT)中的应用价值。方法 选择2017年1月～2018年1月我院收治的120例单侧股骨闭合性骨折患者作为研究对象，简单随机化法分为两组，每组各60例。对照组患者接受骨伤科常规护理，观察组患者在对照组基础上接受床上康复操训练。比较两组患者的深静脉血栓发生率、肢体功能恢复情况以及总满意度。结果 观察组中有2例患者出现了DVT，发生率为3.33%；对照组中有8例患者出现DVT，发生率为13.33%，观察组的DVT发生率明显低于对照组，差异有统计学意义(P<0.05)。护理前，观察组和对照组的运动功能评分分别为(51.5±11.1)、(52.3±12.0)分，差异无统计学意义(P>0.05)；护理后，观察组和对照组的运动功能评分分别为(83.2±10.4)、(62.0±13.5)分，与护理前比较均升高(P<0.05)，且观察组评分明显高于对照组(P<0.05)。观察组患者满意率显著高于对照组，差异均有统计学意义(P<0.05)。结论 在股骨骨折术后患者的护理中，实施床上康复操，能够大大降低DVT发生率，促进患肢功能的康复，提高了患者的满意度，值得推广。
[关键词]床上康复操；股骨骨折；深静脉血栓；预防；价值
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)4(c)-0033-03
Effect of bed rehabilitation exercise in the prevention of deep venous thrombosis in patients with femoral fracture after operation
LIANG Fei-yan1 RAO Jing-yun2▲ FENG Xiu-ping3 ZOU Jing-yi3 DENG Shun-hua4 ZHANG Dai-xiong5 YAN Shao-mei1 LIANG Si-min1
1.Department of Surgery，Affiliated Hospital of Zhaoqing Medical College，Guangdong Provinve，Zhaoqing 526000，China；2.Department of Nursing，Zhaoqing Medical College，Guangdong Province，Zhaoqing 526000，China；3.Department of Orthopedics，the First People′s Hospital of Zhaoqing City，Guangdong Province，Zhaoqing 526000，China；4.Department of Nursing，the First People′s Hospital of Zhaoqing City，Guangdong Province，Zhaoqing 526000，China；5.Department of Stomatology，Affiliated Hospital of Zhaoqing Medical College，Guangdong Province，Zhaoqing 526000，China
[Abstract]Objective To investigate the bed rehabilitation exercise in postoperative patients with femoral fracture prevention application of deep venous thrombosis.Methods From January 2017 to January 2018，120 cases of unilateral closed femoral fracture patients were selected as the research objects treated in our hospital，the simple random differentiation were divided into two groups，60 cases in each group.The control group of orthopedic patients were received routine nursing care，the observation group patients on the basis of routine nursing care were accepted bed rehabilitation training.The incidence of deep venous thrombosis，recovery of limb function and satisfaction were compared between the two groups.Results In the observation group， 2 patients had deep vein thrombosis (Deep Vein Thrombosis DVT)，the incidence rate was 3.33%.In the control group，8 patients had DVT and the incidence was 13.33%.Compared with the two groups，the incidence of DVT in the observation group was significantly lower (P<0.05).Before nursing，observation group and control group，the motor function scores were (51.5±11.1)，(52.3±12.0) point，the difference was not statistically significant (P>0.05)；after nursing care，observation group and control group，the motor function scores were (83.2±10.4)，(62.0±13.5) point，the two group and the nursing before the deal was increased compared (P<0.05)，and the observation group was significantly higher than that of control group(P<0.05).The satisfaction rate of the patients in the observation group was significantly higher than that of the control group，the differences were statistically significant(P<0.05).Conclusion In the nursing care of patients with femoral fracture after operation，the implementation of bed rehabilitation，can greatly reduce the incidence of DVT and promote the limb function rehabilitation，improve patient satisfaction，worthy of promotion., http://www.100md.com(梁飞雁 饶静云 冯秀萍 邹镜宜 邓顺华 张带兄 严少媚 梁斯敏)
[关键词]床上康复操；股骨骨折；深静脉血栓；预防；价值
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)4(c)-0033-03
Effect of bed rehabilitation exercise in the prevention of deep venous thrombosis in patients with femoral fracture after operation
LIANG Fei-yan1 RAO Jing-yun2▲ FENG Xiu-ping3 ZOU Jing-yi3 DENG Shun-hua4 ZHANG Dai-xiong5 YAN Shao-mei1 LIANG Si-min1
1.Department of Surgery，Affiliated Hospital of Zhaoqing Medical College，Guangdong Provinve，Zhaoqing 526000，China；2.Department of Nursing，Zhaoqing Medical College，Guangdong Province，Zhaoqing 526000，China；3.Department of Orthopedics，the First People′s Hospital of Zhaoqing City，Guangdong Province，Zhaoqing 526000，China；4.Department of Nursing，the First People′s Hospital of Zhaoqing City，Guangdong Province，Zhaoqing 526000，China；5.Department of Stomatology，Affiliated Hospital of Zhaoqing Medical College，Guangdong Province，Zhaoqing 526000，China
[Abstract]Objective To investigate the bed rehabilitation exercise in postoperative patients with femoral fracture prevention application of deep venous thrombosis.Methods From January 2017 to January 2018，120 cases of unilateral closed femoral fracture patients were selected as the research objects treated in our hospital，the simple random differentiation were divided into two groups，60 cases in each group.The control group of orthopedic patients were received routine nursing care，the observation group patients on the basis of routine nursing care were accepted bed rehabilitation training.The incidence of deep venous thrombosis，recovery of limb function and satisfaction were compared between the two groups.Results In the observation group， 2 patients had deep vein thrombosis (Deep Vein Thrombosis DVT)，the incidence rate was 3.33%.In the control group，8 patients had DVT and the incidence was 13.33%.Compared with the two groups，the incidence of DVT in the observation group was significantly lower (P<0.05).Before nursing，observation group and control group，the motor function scores were (51.5±11.1)，(52.3±12.0) point，the difference was not statistically significant (P>0.05)；after nursing care，observation group and control group，the motor function scores were (83.2±10.4)，(62.0±13.5) point，the two group and the nursing before the deal was increased compared (P<0.05)，and the observation group was significantly higher than that of control group(P<0.05).The satisfaction rate of the patients in the observation group was significantly higher than that of the control group，the differences were statistically significant(P<0.05).Conclusion In the nursing care of patients with femoral fracture after operation，the implementation of bed rehabilitation，can greatly reduce the incidence of DVT and promote the limb function rehabilitation，improve patient satisfaction，worthy of promotion., http://www.100md.com(梁飞雁 饶静云 冯秀萍 邹镜宜 邓顺华 张带兄 严少媚 梁斯敏)