护理干预对四肢骨折术后肢体肿胀患者康复效果的影响(1)
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[摘要] 目的：探讨护理干预对四肢骨折术后肢体肿胀患者康复效果的影响。方法：将我院接受手术治疗的四肢长骨骨折术后肢体肿胀患者84例随机分为研究组和对照组，每组42例，对照组患者术后给予常规护理，并抬高患肢，给予抗炎、抗渗出、消肿止痛等药物治疗；研究组在对照组的基础上给予护理干预，术前进行宣教，术后加压包扎，持续冰敷，并指导患者进行功能锻炼。观察两组患者术后肢体肿胀程度、疼痛程度以及肢体消肿时间。结果：研究组术后第7天肿胀程度明显低于对照组，两组患者术后肢体肿胀程度比较，差异有统计学意义(P<0.05)。术后第3天研究组患者疼痛程度低于对照组，两组比较差异有统计学意义(P<0.05)。研究组患者平均消肿时间为(5.8±1.5)d，对照组患者平均消肿时间为(6.9±2.5)d，两组比较差异有统计学意义(P<0.05)。结论：护理干预能有效的促进四肢骨折患者术后肢体肿胀的康复，减少并发症的发生。
[关键词] 骨折术后；肿胀；护理；康复
[中图分类号] R683.42 [文献标识码] A [文章编号] 1673-7210(2011)11(b)-109-02
The effect of nursing intervention for limb swelling after fractures
DENG Zhiping
Department of Orthopedics, Gaotanyan Southwest Hospital of Shapingba District, Chongqing 400038, China
[Abstract] Objective: To investigate the effect of nursing intervention for limb swelling after fractures. Methods: 84 patients of limb swelling after long bone fractures were randomly divided into study group and control group, with 42 cases in each group. The control group was treated with conventional care, anti-inflammatory therapy, anti-swelling therapy and other drug treatment; the study group was given nursing intervention, missionary preoperative and postoperative pressure bandage, ice and was guided with functional exercise. The limb swelling, pain and limb swelling time were observed. Results: The study group swelling was significantly lower than the control group after 7 days (P<0.05). 3 days after surgery, the pain of the patients in study group was lower than that of control group, the difference was significant (P<0.05). The average time of swelling of study group was (5.8±1.5) days and that of the control group was (6.9±2.5) days, the difference was significant (P<0.05). Conclusion: Nursing intervention can promote limb fracture rehabilitation and reduce the incidence of complications.
[Key words] Fracture surgery; Swelling; Care; Rehabilitation
四肢骨折术后患者常伴有不同程度的肢体肿胀，影响患肢动脉供血和静脉回流，不仅导致患肢疼痛，同时影响了骨折的愈合，甚至可导致骨筋膜室综合征和深静脉血栓形成[1]。因此对于四肢骨折患者采取有效的措施尽早消除术后患肢肿胀，对于促进骨折愈合，减少术后并发症具有重要的意义。为探讨护理干预对四肢骨折术后肢体肿胀患者康复效果的影响，笔者对84例手术治疗的四肢长骨骨折术后肢体肿胀患者进行随机对照研究，取得了满意的效果。现报道如下：
1 资料与方法
1.1 一般资料
我院2009年1月～2010年12月收治的四肢长骨骨折术后出现肢体肿胀患者84例，将其随机分为研究组和对照组。研究组42例 ......
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