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高龄老人骨折怎么办?如何预防老年人骨折?

发布时间:2016-02-23   问大夫  责任编辑:雪儿

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老年人的身体都是很脆弱的,一般都会出现缺钙的现象,因此在平时如果不小心就会容易出现骨折的现象,一旦老年人出现了骨折的现象就会受到很大的影响,这个时候家人都要能够很好的进行护理,如果护理不得当老年人就会很痛苦的,下面我们就来看看高龄老人骨折怎么办。

高龄老人骨折怎么办?

1、心理护理

当老年人带着病痛来到医院求医,映入他眼帘的是护士、医生、病人、病房,等待的是各种检查、治疗、手术,自理能力丧失,就会表现出烦躁、焦虑、恐惧、激动、多语、失眠等症状,为解除老人的思想负担,子女们要给予老人以安慰。

2、营养护理

一些骨折老人怕给子女增添麻烦,控制饮食减少小便次数。这时应向他们说明营养的重要性,鼓励多饮水、多进食易消化食物,保持大小便通畅,避免便秘。

3、褥疮的预防

骨折患者,因长期卧床,血液循环差,皮肤抵抗力低下,局部组织长期受压,尤其是骶尾部、后枕部、踝关节、足跟部各骨突处容易发生褥疮,应给予气垫床、海绵垫或骶尾部加防褥疮垫,骨突处可垫海绵圈。

4、预防泌尿系感染

老年人因肾血管硬化,肾血流量减少而致肾功能减退,此外膀胱黏膜伴随着老化而萎缩,前列腺肥大等均可发生尿潴留,再加上卧床而引起泌尿系感染,应嘱其多饮水,有尿及时排出,排尿时觉困难,可用手挤压下腹部,使膀胱余尿排空。

5、预防消化系统的并发症

骨折卧床老人易出现腹胀、便秘情况,宜进食粗纤维易消化的食物,饮食有规律、定时定量,必要时可用缓泻剂。

6、防止骨延迟愈合

老年女性病人,由于雌激素水平低下,骨细胞活动性降低,钙的吸收利用率下降,骨折愈合时间明显延长。这时,可给她们服用钙剂,进食含高钙食物,并用适量维生素D增加钙的吸收利用。

7、功能锻炼

骨折术后老人早期可活动健康肢体和伤肢肌肉,3周以后可以做伤肢的关节运动。老年人运动不可过量,慢慢增加次数,离床活动时要有专人扶助,以防止跌倒。

如何预防老年人骨折?

1、老年人首先要预防或延缓骨质疏松的发生。

在日常饮食中,老年人应该多吃些富含钙质的食物,如虾皮、豆制品、芝麻、牛奶等。特别是牛奶,含钙量比较高。人们若坚持每天喝一杯牛奶,效果将优于单纯补钙。另外,老年人还应经常进行一些力所能及的体育锻炼。冬季锻炼时最好能与“日光浴”结合起来,如到户外散步,同时接受阳光的照射。这样可促使人体内合成更多的维生素d。维生素d可促进钙质的吸收。

2.老年人要防止外伤的发生

临床资料表明,跌跤是很多老年人发生骨折最直接的原因。冬季,老人应尽量减少在冰天雪地的室外活动,还要特别注意“室内防摔”。防止老年人在室内跌跤应做到以下六点:①老年人居室的温度应保持在18℃左右。这样可使老年人减少穿衣,活动轻便;②居室里物品的摆放,要以不妨碍老年人行走为原则;③居室里桌椅等家具应稳固,不能摇摆晃动;④居室里的地板和鞋子要防滑。老年人最好不要穿拖鞋;⑤楼梯、过道、卫生间的照明要充足,地面要保持干燥,不要有积水;⑥浴室和坐便器旁边要安装可供老年人方便使用的把手。

如何判断老年人是否发生了骨折?

1、询问老年人有无外伤史

若怀疑老年人发生骨折时,家属应询问其近日有无滑倒或跌伤的情况。如果有,一定要倍加小心。因为,有时老年人所受的外伤虽然非常轻微,却往往会导致严重的骨折。如老年人从33厘米高的床上跌落就可能导致其髋部骨折;如老年人在楼梯上滑倒,臀部着地也可能发生腰椎骨折等。

2、观察局部症状

局部疼痛、肿胀、活动受限是骨折最常见的表现。病人在受伤的当时其疼痛、肿胀的症状可能较轻,甚至可以忍痛进行日常活动。但一般患者在骨折2-3天后其症状才开始明显,受伤的局部皮肤会变得青紫,受伤部位肿胀明显,不能触碰,局部不能活动。

3、看受伤后身体有无畸形

如果老人跌跤后身体出现畸形,一般可以直接肯定有骨折的存在。但若受伤的程度相对轻微,有时畸形并不明显,因此有时也会漏诊。

总结:高龄老人骨折怎么办大家是不是都了解了呢,在平时老年人如果出现了骨折的现象,就一定要能够护理好,特别是在心里上要能够及时的给他们疏导,不要让他们有太大的负担,更不要认为连累了儿女,其实儿女照顾父母是最应该的。

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