预防性护理干预对骨折患者脂肪栓塞发生率及预后的影响研究

目的 探讨早期预防性护理干预对骨折后脂肪栓塞发生率及预后的影响.方法 选取我院4年内900例骨折患者,随机分为两组,其中A组450例,B组450例,A组给予常规护理,共出现脂肪栓塞59例归入a组,B组给予预防性护理干预,共出现脂肪栓塞32例归入b组.对a组患者进行常规护理,对b组患者进行综合护理干预.对两组患者治疗前后血氧浓度(SPO2)、氧分压(PaO2)、血红蛋白(Hb)、血小板和心率(HR)进行监测并统计.结果 A组脂肪栓塞发生率为13.11%,B组脂肪栓塞发生率为7.11%,两组差异有统计学意义(P<0.05).两组患者经过治疗与护理SPO2、PaO2、Hb、血小板和HR与治疗前相比均有明显好转,有统计学意义(P<0.05);但是两组患者之间差别并不明显,无统计学意义(P>0.05).结论 对于骨科手术并发脂肪栓塞应给予积极的预防护理,减少严重不良后果的发生;一旦发生脂肪栓塞,应进行积极治疗.

Preventive Care Intervention on Fat Embolism After the Fracture About Occurred Rate and Prognosis

Objective To investigate the preventive care intervention on fat embolism after the fracture about occurred rate and prognosis. Methods 900 cases of fracture patients were randomly divided into two groups, group A and group B,450 cases in each group, A group received conventional care, there were 59 ca- ses of fat embolism who were classified as a group, Group B received preventive care interventions, there were 32 cases of fat embolism who were classified in group b. Give routine care to group a and give comprehensive nursing intervention for patients in group b. The Oxygen concentration （ SPO2, ）, the partial pressure of oxygen （ PaO2 ）, hemoglobin （ Hb）, platelets and heart rate （HR） in the two groups of patients before and after treat- ment were taken for monitoring and statistics. Results Fat embolism incidence rate in Group A fat was 13. 11%, and 7. 11% in Group B, two groups have significant difference （P 〈0. 05）. The SPO2, the PaO2 and Hb, platelet and HR after treatment and treatment compared with before, they were significantly improved, there were statistically significant （P 〈 0.05） ; but there was not obvious difference between the two groups of patients, and with no statistically significance （P 〉 0. 05）. Conclusion Preactive and preventive care should be given to orthopedic surgery patients in order to reduce the incidence of serious adverse consequences. Active treatment should be carried out to reduce the event of fat embolism.