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目的探讨胫腓骨骨折围手术期护理干预方法及效果。方法回顾性分析该院2015年2月—2016年2月收治的78例胫腓骨骨折手术患者的临床资料,术前术后进行护理干预,出院后给予跟踪护理指导和随访,总结围手术期护理经验。结果 78例胫腓骨骨折手术患者经有效的围手术期护理干预后,手术都获得了成功。出院前,78例患者切口都达到了一级愈合的标准,平均住院时间为(12.7±2.5)d,手术后患者均没有出现切口感染及骨筋膜间区综合症等并发症。手术后,在对78例患者进行半年的随访中发现:患者骨折愈合良好,患肢的运动功能显著改善。结论做好胫腓骨骨折患者的手术期的护理工作,具有保障手术成功,提高手术质量,取得良好治疗效果的不可缺少、无法替代的重要意义。
Objective To explore the perioperative nursing intervention and its effect in tibiofibular fractures. Methods The clinical data of 78 patients with tibiofibular fractures admitted from February 2015 to February 2016 in our hospital were retrospectively analyzed. Nursing interventions were performed before and after surgery. Follow-up nursing guidance and follow-up were given after discharge, and perioperative nursing was summarized experience. Results 78 cases of tibiofibular fractures were successfully surgically treated with effective perioperative nursing intervention. Before discharge, all 78 incisions reached the first-level healing standard with an average length of stay of (12.7 ± 2.5) days. No postoperative complications such as incision infection and interosseous intercostal space syndrome were found. After surgery, 78 patients were followed up for six months and found that the fracture healing was good and the motor function of the affected limb was significantly improved. Conclusions It is an indispensable and irreplaceable significance for the operation of the patients with tibiofibular fractures during the operation. It is of great importance to ensure successful operation, improve the quality of operation and achieve good therapeutic effect.