老年股骨粗隆骨折患者术后复温的方法与效果对比*

目的 对比分析不同复温方法在老年股骨粗隆骨折患者术后护理中的应用效果。方法 选取2014年2月-2016年1月收治的86例老年股骨粗隆骨折手术患者根据随机分配分成观察组和对照组，每组各43例。对照组实行常规复温方式，观察组采取综合性复温措施。对比两组复温速度、治疗效果、感染率、下地时间、完全负重时间、住院时间及应激程度。结果 观察组复温速度（0.53±0.19）℃/h，明显高于对照组（0.38±0.26）℃/h，差异具有统计学意义（t=3.0544，P=0.016）。观察组感染率2.33%，明显低于对照组的16.28%，差异具有统计学意义（χ2=4.96，P=0.029）；观察组下地时间（4.21±1.45 ）h，较对照组的（5.39±1.37）明显更短，差异具有统计学意义（t=3.8788，P=0.012）；观察组完全负重时间（4.95±1.26）周，明显短于对照组的（5.97±1.34）周，差异具有统计学意义（t=3.6363，P=0.015）；观察组住院时间（23.85±6.82）明显少于（29.67±7.14）d，差异具有统计学意义（t=3.8652，P=0.012）；观察组术后应激因子E（105.39±38.14）ng/ml，明显低于对照组的（136.71±40.25）g/ml，差异具有统计学意义（t=3.7038，P=0.013）；观察组术后NE（126.89±26.22），明显低于对照组的（147.35±35.46）ng/ml，差异具有统计学意义（t=3.0422，P=0.017）；观察组术后R（3.24±1.48）ng/ml，明显低于对照组（4.35±1.56）ng/ml，差异具有统计学意义（t=3.3849，P=0.015）。结论 老年股骨粗隆骨折手术患者采用综合性复温措施不但复温速度更快，且能有效的降低感染发生率和减轻应激反应，并缩短恢复时间。

Comparison of the method and effect of postoperative recovery of elderly patients with femoral intertrochanteric fractureQian Weiqing1, Dong Fanghui1, Hu Sanlian2, Zhou Ling3

Objective to comparative analysis of different thawing methods in the application of the postoperative nursing care in elderly patients with femoral trochanter fracture effect. Methods select in February 2014 - January 2016 86 cases of senile femoral trochanter fracture surgery patients were divided into observation group and control group in medical order, 43 cases in each group. Control group with conventional thawing method, observation group comprehensive thawing measures. Compared the two groups after temperature speed, healing, infection rate and down time, full weight-bearing time, length of hospital stay, and preoperative and postoperative stress levels. Results after temperature speed observation group was obviously higher than that of control group (P < 0.05); Two groups of treatment was no significant difference (P > 0.05); The infection rate of observation group was obviously lower than the control group (P < 0.05); Observation group down time, full load time, shorter hospitalization time is obviously than the control group (P < 0.05); Two groups of preoperative level of stress factor has no obvious difference (P > 0.05); Postoperative stress factor level in observation group was obviously lower than the control group (P < 0.05). Conclusion in elderly patients with femoral trochanter fracture surgery adopts comprehensive after thawing measures not only faster, and can effectively reduce the incidence of infection and reduce stress reaction, and shorten the recovery time.