摘要 目的：分析优质护理对肱骨髁上骨折闭合复位经皮克氏针固定治疗患儿中的应用效果及对失眠的影响。方法：选取2017年1月至2018年10月漳州市中医院收治的肱骨髁上骨折闭合复位经皮克氏针固定治疗的患儿109例作为研究对象，根据护理方法的不同分为观察组和对照组，其中对照组52例，观察组57例。对照组实施常规护理，观察组实施优质护理。比较2组患儿的临床护理效果、护理前后的疼痛[模拟视觉疼痛评分法(VAS)]和睡眠质量[匹兹堡睡眠质量指数(PSQI)]。结果：观察组的临床护理总有效率显著高于对照组，护理后的VAS评分和PSQI评分均显著低于对照组，差异有统计学意义(P<0.05)。结论：优质护理在肱骨髁上骨折闭合复位经皮克氏针固定治疗患儿中的应用效果较好，可以提升治疗效果，减轻患儿疼痛，改善睡眠质量，值得临床推广。

    关键词 儿童;肱骨髁上骨折;克氏针;优质护理;疼痛;睡眠质量

    Abstract Objective：To analyze the effect of high-quality nursing in children with supracondylar fracture of humerus treated with closed reduction and percutaneous Kirschner wire fixation and its influence for insomnia.Methods：A total of 109 children with supracondylar fracture of humerus treated with closed reduction and percutaneous Kirschner wire fixation from January 2017 to October 2018 were randomly divided into control group 52 cases and observation group 57 cases.The control group were with routine nursing ......