体位干预对髋部骨折患者肺部感染的影响

Influence of position intervention on pulmonary infection in patients with hip fracture

  • 摘要: 目的 探究体位干预对髋部骨折患者肺部感染的影响。方法 选取2016年1月-2017年6月医院收治的238例行髋部骨折手术治疗的患者为研究对象,按照随机数表法分为试验组和对照组,对照组患者行骨科常规护理措施,试验组患者在对照组基础上采取相应的体位干预措施,对比两组患者术后肢体功能恢复情况及手术围术期的肺部感染情况。结果 试验组患者总有效率为90.76%,高于对照组患者的82.35%(P=0.039); 试验组患者肺部感染率为9.24%,低于对照组患者的22.69%(P=0.012); 试验组患者术后住院时间为(10.4±3.9)d,短于对照组患者的(15.1±3.7)d,试验组患者术后发热时间为(3.5±1.1)d,短于对照组患者的(6.7±2.3)d(P<0.05)。结论 对髋部骨折采取体位干预,可以有效地减少患者手术围术期的肺部感染情况,提高患者生存质量,值得临床推广使用。

     

    Abstract: OBJECTIVE To investigate the effect of body position intervention on pulmonary infection in patients with hip fracture. METHODS A total of 238 patients undergoing hip fracture surgery from Jan.2016 to Jun.2017 were enrolled in the study.The patients were divided into the experimental group and the control group according to the random number table method.The control group underwent routine orthopedic care measures.The patients in the group were given corresponding postural interventions on the basis of the control group, and the recovery of postoperative limb function and the perioperative pulmonary infection were compared between the two groups. RESULTS The total effective rate was 90.76% in the observation group and 82.35% in the control group, the difference was significant (P<0.05).The lung infection rate in the observation group was 9.24% and the mortality rate was 2.52%, whereas the infection rate was 22.69% and the mortality rate was 4.20% in the control group, the difference was significant (P<0.05).The postoperative hospital stay was (10.4 ± 3.9) days in the observation group and (15.1 ± 3.7) days in the control group.The number of days after fever was (3.5 ± 1.1) days in the observation group and (6.7 ± 2.3) days in the control group, the difference was significant (P<0.05). CONCLUSION Taking body position intervention for hip fracture can effectively reduce the rate of perioperative pulmonary infection in patients and improve the quality of life of patients, which is worthy of clinical promotion.

     

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