摘要
目的 分析康复管理捆绑式护理在小儿肱骨髁上骨折克氏针外固定术围术期护理中的效果。方法 收集2023年1月-2023年12月期间，在本院行肱骨髁上骨折克氏针外固定术的30例患儿资料，此期间采用常规护理模式，作为对照组（n=30例）。再收集2024年1月-2024年12月期间的30例同类患儿资料，此期间采用康复管理捆绑式护理，作为观察组（n=30例）。对比两组患儿的肘关节功能恢复情况、肘关节活动度、炎症因子水平、并发症发生情况。结果 观察组患儿的肘关节功能恢复情况、肘关节活动度均明显优于对照组，且各项炎症因子水平、并发症发生率，均明显比对照组更低，差异均有统计学意义（P＜0.05）。结论 在小儿肱骨髁上骨折克氏针外固定术围术期实施康复管理捆绑式护理，可促进肘关节功能及活动度恢复、降低炎症因子水平与并发症发生率。
关键词： 小儿肱骨髁上骨折；克氏针外固定术；康复管理捆绑式护理；应用效果
Abstract
Objective To analyze the effect of rehabilitation management binding nursing in perioperative nursing care of children with supracondylar fracture of humerus treated with Kirschner wire external fixation. Methods From January 2023 to December 2023, the data of 30 children who underwent external fixation of supracondylar fracture of humerus in our hospital were collected. During this period, the routine nursing mode was adopted as the control group (n=30 cases). Then, the data of 30 children of the same kind from January 2024 to December 2024 were collected. During this period, bundled nursing of rehabilitation management was adopted as the observation group (n=30 cases). The recovery of elbow joint function, elbow joint activity, inflammatory factor level and complications were compared between the two groups. Results The recovery of elbow joint function and elbow joint activity in the observation group were significantly better than those in the control group, and the levels of inflammatory factors and the incidence of complications were significantly lower than those in the control group, with statistical significance (P < 0.05). Conclusion Bundled nursing of rehabilitation management during the perioperative period of external fixation with Kirschner wire for supracondylar fracture of humerus in children can promote the recovery of elbow joint function and range of motion, and reduce the level of inflammatory factors and the incidence of complications.
Key words： Supracondylar fracture of humerus in children; Kirschner wire external fixation surgery; Bundled nursing for rehabilitation management; Application effect
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