手法整复结合小夹板外固定治疗小儿肱骨髁上骨折的护理研究

目的探讨手法整复结合自制杉树皮小夹板外固定治疗小儿肱骨踝上骨折的护理方法。方法选择2010年3月～2013年11月我院收治的小儿肱骨踝上骨折患者共138例为研究对象，随机分为两组。对照组使用常规护理，实验组使用改革后护理，观察比较两组小儿在护理干预后的疼痛感、肘关节功能和患儿家属满意度。结果实验组患儿的疼痛感为（2．33±1．32）分，对照组疼痛感为（4．09±1．55）分，患儿肘关节功能明显优于对照组，患儿家属满意度高于对照组，各项指标对比差异有统计学意义（P〈0．05）。结论使用手法整复联合自制杉树皮小夹板外固定治疗小儿肱骨踝上骨折给予改革后护理，可以降低患者不适感，提高肘关节的功能，并改善患儿家属的满意度，效果较好。

Nursing research of manipulative reduction combined with plintlet external fixationin treatment of children with humeral supracondylar fractures

Objective To investigate the nursing method of manipulative reduction combined with homemade cedar bark plintlet external fixation in the treatment of children with humeral supracondylar fractures. Methods A total of 138 children with humeral supracondylar fractures treated in our hospital from March 2010 to November 2013 were selected as the clinical study subjects and randomly divided into two groups. The control group received conventional nursing and the experiment group received reformed nursing. The sense of pain, elbow joint function and family satisfaction of the two groups of children after nursing intervention were observed and compared. Results The sense of pain of the experiment group was （2.33 ± 1.32） points and that of the control group was （4.09 ± 1.55） points. The observation group had significantly better elbow joint function and higher family satisfaction degree than the control group. All the indicators were significantly different between the two groups, with statistically significant differences （P 〈 0.05）. Conclusion The implementation of reformed nursing in children with humeral supraeondylar fractures treated by manipulative reduction combined with homemade cedar bark plintlet external fixation can reduce the patients＇ sense of discomfort, improve the elbow joint function and improve the children＇s family satisfaction, achieving good effects.