目的：探讨综合护理干预在Tile C1.3型骨盆骨折行经皮骶骨螺钉固定患者中的应用效果。方法：将80例Tile Cl.3型骨盆骨折患者随机分为观察组和对照组各40例，对照组行骨科常规护理方案，观察组在对照组基础上实施围术期综合护理干预措施。结果：观察组护理满意度为97.5﹪，对照组为47.5﹪，两组比较差异有统计学意义（ P﹤0.05）；观察组住院时间（27.96±5.99）d，对照组为（32.33±6.72）d，两组比较差异有统计学意义（ P﹤0.05）；观察组和对照组Majeed骨盆功能评分术后优良率均为100﹪；观察组随访过程中1例患肢短缩﹤2 cm，无不适后遗症，对照组6例患肢短缩﹤2 cm，9例患者劳累或气候变化时后臀部位遗留轻度不适。结论：透视引导下行经皮骶骨螺钉固定Tile Cl.3型骨盆骨折术，能重建骨盆环稳定性，缩短手术时间，减轻损伤，提高患者满意度。%Objective:To discuss the effect of application of the comprehensive nursing intervention in the treatment of patients with Tile type C1. 3 pelvic fracture by percutaneous sacral screw fixation. Methods:80 patients with Tile type Cl. 3 pelvic fracture were randomly di-vided into the observation group and the control group(40 cases in each group). The routine orthopedic nursing care was taken in the con-trol group and the comprehensive perioperative nursing measures were additionally implemented in the observation group. Results:The sat-isfaction rate of nursing care was 97. 5﹪ in the observation group and 47. 5﹪ in the control group,the difference between the two groups was statistically significant(P﹤0. 05);the time of hospitalization was 27. 96 ± 5. 99 days in the observation group and 32. 33 ± 6. 72 days in the control group(P﹤0. 05);the postoperative excellent rate of Majeed functional score was 100﹪ in the observation group and the control group,in the follow-up,the shortened lower limb less than 2 cm was found in one patient in the observation group and 6 patients in the control group. Conclusion:Application of X-ray guided percutaneous sacral screw fixation in the treatment of patients with Tile type Cl. 3 pelvic fracture can reconstruct the stability of pelvic ring,shorten operation time,reduce the damage and improve patient satisfaction.
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