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目的探讨新生儿股骨骨折的护理方法及护理效果。方法回顾性分析2010年1月-2014年7月收治的41例新生儿股骨骨折的护理体会。结果 41例患儿均予股骨垂直悬吊式牵引即Bryant牵引的治疗方式。牵引时间14~28 d,平均23.4 d。拆除牵引装置后14例患儿出现皮肤并发症。出院后门诊随访6~12个月,41例患儿成角畸形正位片均<10°,侧位片均<15°,缩短均<10 mm。结论 Bryant悬吊牵引是治疗新生儿股骨骨折的常用方法,临床效果良好。由于新生儿无表达能力,故治疗期间需保证牵引的持续有效;定时观察肢端循环及合理的健康教育对预防并发症的发生至关重要,是患儿顺利康复的必要条件。
Objective To explore nursing methods and nursing effects of neonatal femoral fractures. Methods The nursing experience of 41 cases of newborn femoral fractures admitted from January 2010 to July 2014 was retrospectively analyzed. Results All the 41 children were treated with vertical femoral traction, that is, Bryant traction. Traction time 14 ~ 28 d, an average of 23.4 d. Fourteen children had skin complications after removal of the distraction device. Outpatients were followed up for 6 to 12 months after discharge. All 41 children underwent angle anterior deformity <10 °, lateral flaps were <15 ° and shortens both <10 mm. Conclusion Bryant suspension traction is a common method for the treatment of neonatal femoral fractures with good clinical results. Due to the lack of expression of newborns, it is necessary to ensure sustained and effective traction during the treatment; regular observation of acral circulation and reasonable health education is essential for the prevention of complications and is a necessary condition for the successful recovery of children.