目的:评价综合康复措施对预防地震髋部骨折伤员深静脉血栓形成的作用。方法:按深静脉血栓形成的高危因素对195例地震髋部骨折伤员进行分级评估,并针对性实施综合康复措施,观察深静脉血栓的症状和体征,了解深静脉血栓的发生情况。结果:地震髋部骨折伤员应用综合康复措施后,尚未发现下肢深静脉血栓形成的病例。结论:综合康复措施能有效地预防地震髋部骨折伤员深静脉血栓的形成。
目的:探讨术后早期康复护理干预对骨盆恶性肿瘤半骨盆切除、组合式半骨盆+全髋关节置换术后的患肢功能的影响。方法:从2004年9月至2007年5月采用半骨盆切除、组合式半骨盆假体+全髋关节置换术治疗骨盆恶性骨肿瘤8例。其中软骨肉瘤4例,平滑肌肉瘤2例,骨肉瘤1例,恶性骨巨细胞瘤1例。外科分期:ⅠB期6例,ⅡB期2例。术后根据肿瘤切除范围、人工假体置换术后稳定性和骨盆髋周动力肌修复后的平衡程度,决定术后患肢体位、患髋活动范围、是否使用髋部支具;同时指导患者分阶段、渐进地进行患肢足踝、膝、髋关节的主被动训练,以及下床负重时间和步态调整。结果:随访10~32个月,平均15月。1例术后16个月死于恶性肿瘤扩散转移,7例存活。术后8个月患肢功能评定:优2例,良6例。ISOLS评分:15~26分,平均19.47分。结论:①对骨盆恶性骨肿瘤患者积极进行术后早期康复护理干预能有效的防止人工髋关节早期脱位;②患肢各关节分阶段有序的主动康复护理训练能提高骨盆和髋周肌肉肌力及其平衡度,对维持术后患者行走和步态的稳定有重要意义。
ObjectiveTo reporte the nursing experience of non-healing incision due to allograft rejection after osteosarcoma surgery. MethodsOne patient with non-healing incision due to allograft rejection after osteosarcoma surgery treated in September 2013 was selected. The suitable moist healing dressings was chosen to control inflammation, prevent infection, manage exudation, promote the growth of granulation, protect the surrounding skin, shorten the dressing time and reduce the suffering of patients. ResultThe wound healed well after 65 days of dressing with the function of the right upper limb recovered. ConclusionThe moist healing dressing not only improved the quality of patient's life and increased the patient's confidence of overcoming the disease, but also made the patients more active to cooperate in the next treatment.
ObjectiveTo explore the effect of level management model in the application of nursing for pressure ulcers after spinal surgery. MethodA total of 3 558 patients underwent spinal surgeries between January 2014 and September 2015 were selected. We established a level management model, confirmed the personnel responsibilities, strengthened the pressure ulcers risk assessment of new inpatients, and standardized the processes of reporting pressure sores. We carried out the level management model between January and June 2014, summarized experience and formed a system file between July and December 2014, applied to the clinical work after continuous improvement between January and September 2015. High risk of pressure ulcers reporting rate, incidence of high-risk pressure ulcers, and healing rate of pressure ulcers were compared at the various stages. ResultsThe reporting rate of pressure ulcers raised, the incidence of pressure ulcers increased and the curing rate decreased after continuous improvement (P<0.05). ConclusionsLevel management model may effectively improve the quality of the nursing for spinal pressure ulcers.