外固定支架治疗胫腓骨骨折的中西医结合护理效果分析

目的对外固定支架治疗胫腓骨骨折的中西医结合护理效果进行分析。方法将2016年1月~2017年1月在我科应用外固定支架治疗的80例胫腓骨骨折患者随机分为干预组和对照组,每组各40例,对照组予以常规西医护理,干预组在此基础上配合中医中药进行护理,应用统计学方法,对比分析两组患者治疗后的疼痛程度、护理满意度及并发症情况。结果治疗后,干预组轻度疼痛比率达40.0%,明显高于对照组,差异有统计学意义(P0.05),重度疼痛比率7.5%,明显低于对照组,差异有统计学意义(P0.05)。治疗后,干预组出现压疮2例、关节僵硬1例、无一例出现感染,对照组出现感染1例、压疮4例、关节僵硬3例,两组术后并发症发生率分别为7.5%、20.0%,干预组患者术后的并发症发生率明显低于对照组,差异有统计学意义(P0.05)。干预组的护理满意度达97.5%,明显高于对照组,差异有统计学意义(P0.05)。结论应用外固定支架治疗胫腓骨骨折的同时配合中西医结合护理可以明显减轻患者的疼痛,降低术后并发症的发生率,还有利于提高护理质量及护理满意度。

Effect of traditional Chinese Medicine and Western Medicine combined nursing on the tibiofibular fractures treated by external fixator

Objective To analyze the effect of traditional Chinese Medicine and Western Medicine combined nursing on the tibiofibular fractures treated by external fixator. Methods 80 patients with tibiofibular fractures treated with external fixator in our department from January 2016 to January 2017 were randomly divided into intervention group and control group, with 40 cases in each group. The control group was given routine Western nursing intervention. The intervention group was treated with traditional Chinese medicine based on the treatment of control group. Statistical methods were used to compare the degree of pain, nursing satisfaction and complications between the two groups after treatment. Results After treatment, the mild pain rate was 40.0% in the intervention group, which was significantly higher than that in the control group, and the difference was significant(P<0.05). Severe pain rate in the intervention group was 7.5%, which was significantly lower than that in the control group, with significant difference(P<0.05). After treatment, there were 2 cases of pressure ulcer, 1 case of joint stiffness and no case of infection in the intervention group, while there was 1 case of infection, 4 cases of pressure ulcer and 3 cases of joint stiffness in control group. The incidence of postoperative complications in the intervention group and the control group was 7.5% and 20.0% respectively. The incidence of postoperative complications in the intervention group was significantly lower than that in the control group, and the difference was significant(P<0.05). The nursing satisfaction of the intervention group was 97.5%,which was significantly higher than that of the control group, and the difference was significant(P<0.05). Conclusion The application of external fixator combined with traditional Chinese Medicine and Western Medicine nursing in the treatment of tibiofibular fractures can significantly reduce the pain, reduce the incidence of postoperative complications,and improve the quality of nursing quality and nursing satisfaction.