延伸护理干预在预防股骨骨折术后延迟性肺动脉栓塞中的应用

目的探讨延伸护理干预对预防股骨骨折术后发生延迟性肺动脉栓塞（pulmonary embolism,PE）的作用。方法选择2010年1月—2012年6月收治的股骨骨折265例,随机分为干预组184例和对照组81例。对照组住院期间按骨科护理常规进行护理,出院后进行常规随访。干预组在此基础上给予健康宣教、功能锻炼和延伸护理干预。观察两组PE发生情况。结果干预组出院3个月内延迟性PE发生率低于对照组,差异有统计学意义（P〈0.05）。结论延伸护理干预可以减少股骨骨折术后延迟性PE的发生。

Effect of Outspread Nursing Intervention on Prevention of Tardive Pulmonary Embolism after Femoral Fractures Surgery

Objective To explore the effect of outspread nursing intervention on prevention of tardive pulmonary embolism （PE） after femoral fractures surgery. Methods A total of 265 patients with femoral fractures surgery were ran- domly divided to intervention group （n = 184） and control group （n = 81 ）. Patients in control group were given routine nursing in hospital and routine follow-up after discharge; while on the base of routine nursing, patients in intervention group were given health dissemination, functional exercise and outspread nursing intervention. The incidence rates of PE in two groups were observed. Results During 3 months post-discharge the incidence rate of tardive PE in intervention group was significantly lower than that in control group（ P 〈 0.05）. Conclusion Outspread nursing intervention may decrease the incidence rate of tardive PE after femoral fractures surgery.