摘要
目的 研究观察踝骨骨折合并下胫腓联合分离患者的有效护理措施及价值。方法 择取本院在2020年11月-2022年11月期间骨科临床收治的94例踝骨骨折合并下胫腓联合分离患者，并随机分组。对照组行常规护理；试验组行综合护理。结果 对照组患者对护理干预的总满意度为76.60%显著小于试验组的97.87%（P<0.05），统计学分析有意义。对照组发生并发症的概率为21.28%显著大于试验组的2.13%（P<0.05），统计学分析有意义。结论 对踝骨骨折合并下胫腓联合分离患者实施综合护理，护理满意度明显提高，术后并发症较少，对患者功能康复具有积极的促进作用。
关键词： 踝骨骨折；下胫腓联合分离；护理
Abstract
Objective To study and observe the effective nursing measures and value of patients with ankle fracture combined with lower tibiofibular union. Methods A total of 94 patients with malleolar fracture combined with lower tibiofibular syndesmosis who were admitted to our hospital from November 2020 to November 2022 were selected and randomly grouped. The control group received routine nursing; The experimental group received comprehensive nursing. Results The total satisfaction of the control group was 76.60%, which was significantly lower than that of the experimental group (97.87%) (P<0.05), and the statistical analysis was significant. The probability of complications in the control group (21.28%) was significantly higher than that in the experimental group (2.13%) (P<0.05), and the statistical analysis was significant. Conclusion Comprehensive nursing for patients with malleolar fracture combined with distal tibiofibular syndesmosis can significantly improve nursing satisfaction and reduce postoperative complications, which has a positive role in promoting functional rehabilitation of patients.
Key words： Ankle fracture; Distal tibiofibular syndesmosis; Nursing
参考文献 References
[1] 张文文,薛丽,赵丽娜.踝骨骨折合并下胫腓联分离患者的护理体会[J].双足与保健,2018,27(9):141-142.
[2] 祝文发,张爱牡,刘鹏原.踝关节骨折合并下胫腓分离的临床治疗及效果评估[J].中外医学研究,2016,14(30):5-6.
[3] 李海丽.踝骨骨折合并下胫腓联分离患者的护理体会[J].工企医刊,2018,26(1):42-44.
[4] 吕彩霞.踝关节骨折患者围手术期护理[J].世界最新医学信息文摘:连续型电子期刊,2018,15(38):223-223.
[5] 周丽.围手术期护理对促进踝骨骨折合并下胫腓联合分离功能恢复的探讨[J].世界最新医学信息文摘,2018,18(25):234-236.
[6] 陆淑仙,莫剑妹,曾丽芬,等.中医护理干预在组合式外固定架治疗三踝骨折患者中的应用[J].护理实践与研究,2018(6):57-58.
[7] 石晶,郑剑爽.186 例踝关节骨折围手术期护理[J].中国实用医药,2018,10(36):209-210.
[8] 李春艳.踝骨骨折合并下胫腓联分离的护理干预效果观察[J].双足与保健,2018,20(202):13-14
[9] 柏天婷.踝骨骨折合并下胫腓联分离患者的护理体会[J].双足与保健,2019,22(228):175-176.
[10] 杨静.踝骨骨折合并下胫腓联分离患者的护理体会[J].世界最新医学信息文摘,2018,13(28):474-475.
[11] 李春艳. 踝骨骨折合并下胫腓联分离的护理干预效果观察[J]. 双足与保健, 2018(20):3.
[12] 张建平, 王亚俭, 梁文锴,等. 踝关节骨折合并下胫腓分离患者51例治疗探究[J]. 中国药物与临床, 2017, 17(8):3.
[13] 鲍俊臣. 锁定钢板联合拉力螺钉内固定对踝关节骨折合并下胫腓分离患者关节功能及骨代谢指标的影响[J]. 现代医学与健康研究电子杂志, 2020, 4(20):3.
[14] 余锋. 踝关节骨折合并下胫腓联合关节分离的临床治疗研究[J]. 临床医药文献电子杂志, 2018(84):1.
[15] 于杨. 踝关节骨折并下胫腓联合分离手术治疗的临床效果[J]. 中国医药指南, 2023, 21(2):5.
[16] 王伟, 梁宏伟, 赵宝峰,等. 手术治疗踝关节骨折合并下胫腓联合分离的效果[J]. 武警医学, 2018, 29(11):3.