Objective:To study the effect of comfort care to alleviate postoperative pain of tibial eminence fracture by fixation. Methods:55 patients with tibial eminence fracture between Apr 2013 and Mar 2015 in our hospital were selected and divided into observation group with 26 patients and control group with 29 cases according to the nursing methods. The control group was given the orthopaedic routine nursing method, and the observation group was given the comfortable nursing method to compare two groups of patients with postoperative pain and psychological status before and after the intervention (HAMA anxiety score and HAMD depression scale). Results:There were significant differences between two groups of patients with pain score after the intervention (t=9.545, P<0.05), and HAMA and HAMD scores decline. HAMA and HAMD scores in the observation group were significantly lower than that in the control group (t=11.593, t=10.628;P<0.05). Conclusion:Comfort care can significantly relieve postoperative pain of the tibial condyle spine fractures and improve postoperative anxiety and depression. It has good clinical application value.%目的：探讨镇痛泵联合补肾活血汤的舒适护理干预对胫骨髁间棘撕脱骨折内固定术后患者疼痛的作用。方法：选取55例胫骨髁间棘撕脱骨折患者，根据护理方法的不同将其分为舒适护理组(26例)和常规护理组(29例)。舒适护理组采用镇痛泵联合补肾活血汤的舒适护理方法，常规护理组予骨科常规护理方法，观察比较两组患者护理干预前后术后疼痛情况，采用汉密尔顿抑郁量表(HAMD-17)及汉密尔顿焦虑量表(HAMA)评分，分析患者的心理状况。结果：两组患者护理干预后疼痛评分比较差异显著(t=9.545，P＜0.05)；HAMA和HAMD评分均较干预前下降，且观察组明显低于对照组，两组比较有差异(t=11.593，t=10.628；P＜0.05)。结论：镇痛泵联合补肾活血汤的舒适护理干预能显著缓解胫骨髁间棘骨折术后疼痛，改善术后焦虑及抑郁状态，具有较好的临床应用价值。
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