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目的探讨对疾病偏瘫后股骨颈骨折患者实施辨证康复训练护理的效果。方法将2015年1月~2017年2月本院收治的126例疾病偏瘫后股骨颈骨折患者纳入研究,采用随机数字表法将其分为观察组和对照组,每组63例,对照组常规康复训练护理,观察组实施辨证康复训练护理,比较2组的疗效、术后疼痛情况、Harris髋关节评分情况及患者对护理的满意度。结果观察组临床疗效优良率为96.83%,明显高于对照组的76.19%;观察组患者术后10d和20d疼痛程度VAS评分分别为(4.06±0.53)分和(2.53±0.47)分,明显低于对照组的(5.17±1.02)分和(3.66±0.84)分;观察组患者术后1个月、3个月、6个月Harris髋关节评分分别为(82.28±3.15)分、(86.78±2.14)分和(89.35±2.03)分,明显高于对照组;观察组患者对护理的满意度为95.24%,明显高于对照组的73.02%,比较差异均有统计学意义(P<0.05)。结论对疾病偏瘫后股骨颈骨折患者实施辨证康复训练护理有助于提高临床效果、缓解术后疼痛、加快髋关节恢复,能获得更理想的护理满意度。
Objective To investigate the effect of dialectical rehabilitation training on patients with femoral neck fracture after hemiplegia. Methods One hundred and sixty-six patients with femoral neck fracture who were treated in our hospital from January 2015 to February 2017 were enrolled in this study. The patients were divided into observation group and control group by random number table. Each group had 63 cases. Rehabilitation training nursing, observation group implementation of dialectical rehabilitation training nursing, the efficacy of the two groups, postoperative pain, Harris hip score and patient satisfaction with nursing. Results The excellent and good rate of clinical curative effect in the observation group was 96.83%, which was significantly higher than 76.19% in the control group. The VAS score of the pain group in the observation group was (4.06 ± 0.53) and (2.53 ± 0.47) points on the 10th and 20th postoperative days respectively, (5.17 ± 1.02) and (3.66 ± 0.84) points in the control group. The Harris hip scores at 1 month, 3 months and 6 months after operation in the observation group were (82.28 ± 3.15) points and (86.78 ± 2.14) points and (89.35 ± 2.03) points respectively, which were significantly higher than that of the control group. The satisfaction rate of the patients in the observation group was 95.24%, which was significantly higher than that of the control group (73.02%), with significant difference (P <0.05) . Conclusion Nursing of patients with femoral neck fracture after hemiparalysis of the disease can improve the clinical effect, alleviate the postoperative pain, speed up the recovery of hip joint, and achieve better nursing satisfaction.