股骨干骨折交锁髓内钉内固定术后的护理

目的 探讨交锁髓内钉内固定术后的护理方法和效果.方法 将96例股骨干骨折行交锁髓内钉内固定术后的患者随机分为两组,对照组48例按术后常规护理,实验组48例在常规护理的基础上,增加患肢蜡疗联合TDP神灯照射疗法,观察并记录术后1周内并发症及护理问题.结果 术口疼痛Ⅱ度以上对照组33例,实验组12例;术口水肿（＋＋）以上对照组33例,实验组12例;两组患者在术口疼痛、水肿、感染及深静脉血栓等方面比较差异具有统计学意义（P＜0.05）.结论 蜡疗联合TDP神灯照射疗法,对预防交锁髓内钉内固定术后水肿、疼痛等护理问题效果显著,对预防术后感染、深静脉血栓等护理无影响.

Nursing care on interlocking intramedullary nail internal fixation for femoral shaft fracture

Objective To explore the nursing method and effect of interlocking intramedullary nail fixation.Methods We randomly divided 96 cases of femoral shaft fracture with interlocking intramedullary nail fixation into two groups.The control group received routine nursing after the operation,while the experimental group,based on routine nursing,was added the therapy of Wax associating with TDP lamp irradiation.The we observed and recorded the complications and nursing problems within 1 week in the operation.Result There was significant difference in the treatment efficiency of two therapies （P ＜ 0.05）.Conclusion The therapy of Wax associating with TDP lamp irradiation has a significant effect on the prevention of nursing problems such as edema,pain and so on caused by interlocking intramedullary nail fixation,without affecting infection,deep vein thrombosis.