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目的:总结人工髋关节置换治疗股骨粗隆间骨折内固定失败患者的临床护理。方法:收集了2009年1月至2015年9月收治的30例股骨粗隆间骨折内固定失败的患者采用人工髋关节置换,术前、术后给予适时的心理护理、早期功能锻炼训练、积极预防深静脉血栓的形成。本组30例30髋,术后均在2—3天下床活动,无肺炎、压疮等发生。结果:随访5-48个月,平均15.6个月。病人均恢复良好,未发生假体松动、下沉现象。均掌握功能康复锻炼要点及注意事项。术后早期脱位1例,复位后未再次脱位。术后行走功能恢复正常。对医疗护理满意度达95%以上。结论:做好人工髋关节置换治疗股骨粗隆间骨折内固定失败患者的护理,可减少卧床时间及并发症的发生,有利于早期功能恢复,提高病人的生活质量。
OBJECTIVE: To summarize the clinical nursing of patients with failed fixation of femoral intertrochanteric fractures by artificial hip arthroplasty. Methods: Thirty patients with unsuccessful internal fixation of intertrochanteric fractures from January 2009 to September 2015 were enrolled in this study. Artificial hip arthroplasty was performed. Preoperative and postoperative psychological nursing, early functional training and active Prevention of deep vein thrombosis formation. The group of 30 patients with 30 hips, after bed activity in 2-3 days, no pneumonia, pressure sores and so on. Results: The patients were followed up for 5-48 months with an average of 15.6 months. All patients recovered well without loosening and sinking of prosthesis. Are functional rehabilitation exercise points and precautions. Postoperative dislocation in 1 case, did not dislocate again after the reset. After walking function returned to normal. Satisfaction with medical care is more than 95%. CONCLUSION: Nursing of patients with failed fixation of femoral intertrochanteric fractures with artificial hip replacement can reduce the time and complications of bed rest, facilitate early functional recovery and improve the quality of life of patients.