目的：通过对预防老年下肢骨折病人便秘的不同方法进行研究，为临床老年下肢骨折病人便秘的治疗提供科学的依据，并期待能在临床护理中得到推广。从而进一步减轻病人的痛苦，并对病人的病情的好转起到推波助澜的作用。
方法: 2008年2月～2009年1月入院的60例老年下肢骨折患者列为对照组。男40例，女20例，年龄60～82岁，平均67岁。股骨颈骨折12例，股骨粗隆间骨折9例，胫腓骨骨折27例，髌骨骨折12例。2009年2月～2010年1月入院的60例患者列为实验组。男38例，女22例，年龄60～84岁，平均68岁。股骨颈骨折12例，股骨粗隆间骨折9例，胫腓骨骨折26例，髌骨骨折13例。两组患者均在受伤后24h内入院，既往饮食正常，无便秘史。两组患者年龄、性别、受伤部位及病情比较差异无显著性意义（P＞0.05）。对照组患者采用骨外科常规护理，出现便秘者遵医嘱给与导泻药或灌肠。实验组在骨外科常规护理的基础上，运用护理程序进行排便的护理。观察两组患者便秘发生情况，率的比较采用 x 2检验，P＜0.05为差异有统计学意义。
结果: 对照组便秘发生率为35%，实验组应用护理程序后，便秘发生率为10%，明显低于对照组（P＜0.05），差异有显著性意义
结论: 通过运用护理程序对下肢骨折患者进行有针对性的护理，有效降低了便秘发生率，改善了患者生活质量。
关 键 词：护理程序；老年；下肢骨折；便秘
论文类型：应用研究
Abstract
Objective: the treatment of patients with constipation to provide the scientific basis for clinical elderly lower limb fractures through different approaches to the prevention of elderly lower extremity fracture patients with constipation, , and look forward to promotion in clinical nursing. To further reduce the suffering of the patients, and the patient's condition improved play a role in fueling.
Methods: admitted 60 cases of elderly patients which from February 2008 to January 2009 with lower extremity fractures as a control group. 40 males and 20 females, aged 60 to 82 years, the average age of 67. 12 cases of femoral neck fracture, intertrochanteric fractures in 9 cases, 27 cases of fracture of the tibia and fibula, patella fracture in 12 cases. 60 cases of hospitalized patients which from February 2009 to January 2010 as the experimental group. 38 males and 22 females, aged 60 to 84 years, the average 68-year-old. 12 cases of femoral neck fracture, intertrochanteric fractures in 9 cases, 26 cases of fracture of the tibia and fibula, patella fracture in 13 cases. All patients were admitted to hospital within 24 hours after the injury, past a normal diet, no history of constipation. Patients age, sex, injury location and the difference was insignificant (P> 0.05). The control group were treated with routine care of Orthopedic Surgery, doctor's advice to give to guide laxative or enema of constipation. Experimental group on the basis of the routine care of Orthopedic Surgery, the use of nursing procedures for bowel care. We observed in patients with constipation, the rate used to compare the x 2 test, P <0.05 was considered statistically significant.
Results: the control group constipation was 35%, the experimental group after the application of nursing procedures, the constipation was 10% lower than the control group (P <0.05), significant difference
Conclusion: extremity fractures in patients with targeted care, we can reduce constipation, improve patient quality of life through the use of the nursing procedures of lower.
