摘要
本论文对关节镜下踝关节骨折手术进行了综述和分析,探讨手术中可能遇到的问题和术后常见问题及并发症,并提出了解决问题的策略。首先介绍了踝关节骨折的流行病学特征和分类,以及关节镜下手术的原理和技术。分析了手术中可能遇到的常见问题和困难,以及这些问题对手术结果和患者康复的影响。总结了术后潜在的并发症和不良效应,并分析了这些问题对患者康复和生活质量的影响。强调了早期护理干预在骨折患者康复中的重要性和必要性,并分析了早期护理干预措施的内容、方法以及对术后问题的解决效果和影响。提出了针对术后并发症的干预措施和治疗方法,并讨论了这些策略的有效性和可行性。通过对早期护理干预措施的实施情况和效果评估的分析,探讨了早期护理干预在解决手术相关问题和并发症中的作用。最后,总结了本研究的主要发现和结论,并展望了未来研究的方向和应用前景。
关键词: 关节镜下踝关节骨折手术;问题;早期护理干预;并发症
Abstract
This paper provides a review and analysis of arthroscopic surgery for ankle joint fractures, explores potential problems encountered during surgery, common postoperative problems, and complications, and proposes strategies to address these issues. Firstly, the epidemiological characteristics and classification of ankle fractures were introduced, as well as the principles and techniques of arthroscopic surgery. Analyzed the common problems and difficulties that may be encountered during surgery, as well as their impact on surgical results and patient recovery. Summarized the potential postoperative complications and adverse effects, and analyzed the impact of these issues on patients' rehabilitation and quality of life. The importance and necessity of early nursing intervention in the rehabilitation of fracture patients were emphasized, and the content and methods of early nursing intervention measures, as well as the effectiveness and impact of solving postoperative problems, were analyzed. Intervention measures and treatment methods for postoperative complications were proposed, and the effectiveness and feasibility of these strategies were discussed. By analyzing the implementation and effectiveness evaluation of early nursing intervention measures, the role of early nursing intervention in solving surgical related problems and complications was explored. Finally, the main findings and conclusions of this study were summarized, and the future research directions and application prospects were prospected.
Key words: Arthroscopic surgery for ankle joint fractures; Problem; Early care intervention; Complications
参考文献 References
[1] 于铭,孙旭东. 踝关节镜下切开复位内固定治疗踝关节骨折的临床观察[J]. 中国医疗器械信息, 2022, 28(20): 125-127.
[2] 邹相杰,陶天奇,蒋逸秋. 踝关节镜下清理联合局部微骨折术治疗距骨骨样骨瘤[J]. 中医正骨,2022,34(03):73-76.
[3] 蒋卫华. 踝关节骨折手术治疗方案的选择与疗效研究[J]. 系统医学,2021,6(04):94-96.
[4] 陈磊,孙妍. 踝关节镜下内固定治疗三踝骨折的疗效分析[J]. 中国医疗器械信息,2020,26(23):101-102.
[5] 杨根,梁龙芳. 关节镜下微创手术治疗老年踝关节骨折患者的临床效果[J]. 医疗装备,2020,33(06):7-8.
[6] 谭中江,郭爱峰. 踝关节镜下切开复位内固定手术治疗踝关节骨折的临床探讨[J]. 双足与保健,2019, 28(19): 162-163.
[7] 饶婷婷.关节镜下手术治疗踝关节骨折的护理对策探讨[J].东方食疗与保健, 2017, 000(004):224.
[8] 黄颖,袁芳.优质护理在关节镜下手术治疗踝关节骨折患者中的应用效果[J].现代医药卫生, 2018, 34(15):3. DOI:CNKI:SUN:XYWS.0.2018-15-049.
[9] 姚雪梅.优质护理在踝关节骨折患者围手术期应用[J]. 2020.
[10] 杜苗,韩利朵.快速康复理念下护理干预在踝关节骨折患者术后恢复中的应用[J].检验医学与临床, 2019, 16(18):4. DOI:10.3969/j.issn.1672-9455.2019.18.028.
[11] 高亚丽.临床护理路径对踝关节骨折患者功能锻炼依从性及恢复效果的影响[J].山西医药杂志, 2019, 048(001):120-122. DOI:CNKI:SUN:SXYY.0.2019-01-053.
[12] 陈惠雅.个体化护理干预对踝关节骨折患者术后功能锻炼依从性疼痛程度以及恢复效果的作用[J].山西医药杂志, 2020, 49(21):3.
[13] 孙志坚,孙旭,孙伟桐,等.加速康复外科理念下踝关节骨折与桡骨远端骨折诊疗方案优化的专家调查[J].中华创伤骨科杂志, 2019, 21(10):5. DOI: 10.3760/cma.j. issn.1671-7600.2019.10.008.