舒适型下肢抬高垫的研究设计与临床应用
|
摘要
目的研制舒适型下肢抬高垫应用于胫腓骨骨折抬高消肿,评估其临床应用价值。方法根据人体工程学及临床实际研究设计舒适型下肢抬高垫,收集2016年9月—2017年10月中国人民解放军联勤保障部队第920医院(原成都军区昆明总医院创伤骨科研究所)需住院消肿治疗的胫腓骨骨折患者90例,随机分为抬高垫组、布朗氏架组,各45例。抬高垫组患者给予半圆弧状下肢抬高垫抬高消肿,布朗氏架组患者患肢置于布朗氏架面上抬高消肿,评估并记录两组患者入院当天、第3、6天的VAS评分,舒适度,肢体周径差值(患肢周径与健侧对应部位周径)。结果入院第6天抬高垫组VAS评分较布朗氏架组低[(2.67±0.80)分vs.(3.22±0.93)分,P=0.003],表明舒适型下肢抬高垫减轻疼痛作用优于布朗氏架;入院第3天抬高垫组舒适度较布朗氏架组高[(23.62±2.42)分vs.(22.29±3.38)分,P=0.034)]、第6天抬高垫组舒适度较布朗氏架组高[(25.82±1.56)分vs.(24.96±1.64)分,P=0.012],提示舒适型下肢抬高垫较布朗氏架可明显提高患者舒适度;抬高垫组第3天[(3.27±0.70)cm vs.(3.60±0.78)cm,P=0.038]及第6天[(1.75±0.39)cm vs.(1.99±0.54)cm,P=0.022)]肢体周径差值均低于布朗氏架组,表明舒适型下肢抬高垫消肿效果较布朗氏架好。结论在胫腓骨骨折抬高消肿治疗中,舒适型下肢抬高垫可有效抬高消肿、减轻疼痛、提高患者的舒适度,具有良好的临床应用价值。
Objective To design the comfortable mat for lifting lower limb and to compare the clinical efficacy of the mat for lifting and the B9 hler-Braun Frame on limb elevation and detumescence in tibiofibular fracture.Methods According to ergonomics and clinical application,the comfortable mat for lifting lower limb was designed.From Sep. 2016 to Oct. 2017,90 patients with tibiofibular fractures who were enrolled and treated by the Institute of Trauma Department of Orthopedics 920 th Hospital of Joint Logistics Support Force,the former Kunming General Hospital of Chengdu Military Command. Patients were randomly divided into the mat for lifting group and the B99 hler-Braun Frame group,with 45 cases in each group. The mat for lifting group was given a comfortable mat for lifting lower limb for elevation and detumescence,the B9 hler-Braun Frame group was given the B9 hler-Braun Frame for elevation and detumescence. The VAS score,comfortable degree and the difference limb circumference( the circumference of the swelling part of the fracture limb subtracting the circumference of the corresponding part of the healthy side) on the first day,3 rd,6 th day of hospitalization were recorded and compared between with two groups.Results On the 6 th day of admission,the VAS scores in the mat for lifting group was lower than in the B9 hlerBraun Frame group(( 2. 67 ± 0. 80) vs.( 3. 22 ± 0. 93),P = 0. 003),indicating that the comfortable mat for lifting lower limb was better than the B9 hler-Braun Frame in pain alleviation. The comfortable degree of the mat for lifting group was higher than that of the B9 hler-Braun Frame group on the 3 rd day(( 23. 62 ± 3. 00) scores vs.( 22. 29 ±3. 38) scores,P = 0. 034) and the 6 th day(( 25. 82 ± 1. 56) scores vs.( 24. 96 ± 1. 64) scores,P = 0. 012). It suggested that comfortable mat could raise patients' comfortable dergree than the B9 hler-Braun Frame. The difference of limb circumference of the mat for lifting group was lower than that of the B9 hler-Braun Frame group on the3 rd(( 3. 27 ± 0. 70) cm vs.( 3. 60 ± 0. 78) cm,P = 0. 038) and the 6 th day(( 1. 75 ± 0. 39) cm vs.( 1. 99 ± 0. 54)cm,P = 0. 022). It indicated that the comfortable mat for lifting was more effective than the B9 hler-Braun Frame in detumescence. Conclusion The comfortable mat for lifting lower limb is effective in detumescence,pain alleviation and improvement of the patients' comfortable degree in the treatment of tibiofibular fractures,and it has good clinical application value.
Objective To design the comfortable mat for lifting lower limb and to compare the clinical efficacy of the mat for lifting and the B9 hler-Braun Frame on limb elevation and detumescence in tibiofibular fracture.Methods According to ergonomics and clinical application,the comfortable mat for lifting lower limb was designed.From Sep. 2016 to Oct. 2017,90 patients with tibiofibular fractures who were enrolled and treated by the Institute of Trauma Department of Orthopedics 920 th Hospital of Joint Logistics Support Force,the former Kunming General Hospital of Chengdu Military Command. Patients were randomly divided into the mat for lifting group and the B99 hler-Braun Frame group,with 45 cases in each group. The mat for lifting group was given a comfortable mat for lifting lower limb for elevation and detumescence,the B9 hler-Braun Frame group was given the B9 hler-Braun Frame for elevation and detumescence. The VAS score,comfortable degree and the difference limb circumference( the circumference of the swelling part of the fracture limb subtracting the circumference of the corresponding part of the healthy side) on the first day,3 rd,6 th day of hospitalization were recorded and compared between with two groups.Results On the 6 th day of admission,the VAS scores in the mat for lifting group was lower than in the B9 hlerBraun Frame group(( 2. 67 ± 0. 80) vs.( 3. 22 ± 0. 93),P = 0. 003),indicating that the comfortable mat for lifting lower limb was better than the B9 hler-Braun Frame in pain alleviation. The comfortable degree of the mat for lifting group was higher than that of the B9 hler-Braun Frame group on the 3 rd day(( 23. 62 ± 3. 00) scores vs.( 22. 29 ±3. 38) scores,P = 0. 034) and the 6 th day(( 25. 82 ± 1. 56) scores vs.( 24. 96 ± 1. 64) scores,P = 0. 012). It suggested that comfortable mat could raise patients' comfortable dergree than the B9 hler-Braun Frame. The difference of limb circumference of the mat for lifting group was lower than that of the B9 hler-Braun Frame group on the3 rd(( 3. 27 ± 0. 70) cm vs.( 3. 60 ± 0. 78) cm,P = 0. 038) and the 6 th day(( 1. 75 ± 0. 39) cm vs.( 1. 99 ± 0. 54)cm,P = 0. 022). It indicated that the comfortable mat for lifting was more effective than the B9 hler-Braun Frame in detumescence. Conclusion The comfortable mat for lifting lower limb is effective in detumescence,pain alleviation and improvement of the patients' comfortable degree in the treatment of tibiofibular fractures,and it has good clinical application value.
引文
[1] 朱毅,刘震,李凝,等.肌内效胶布贴扎术应用于人工全膝关节置换术后早期康复疗效观察[J].中国骨与关节损伤杂志,2011,26(6):552-553.
[2] 林慧玲.介绍一种骨科下肢抬高垫[J].护理研究,2007,21(4):369-369.
[3] 陈治,袁诚霞.介绍一种为布朗氏架牵引患者盖被的方法[J].中华护理杂志,2006,41(12):1149.
[4] 左细莲.自制海绵垫在骨牵引中的应用[J].护理学杂志,2011,26(8):21.
[5] 丁玉兰.人机工程学[M].北京:北京理工大学出版社,2005:23.
[6] 顾玉东,侍德.手外科手术学[M].上海:上海医科大学出版社,1999:379-380.
[7] Stephenson NL,Herman JA.Pain measurement:a comparison using horizontal and vertical visual analogue scales [J].Appl Nurs Res,2000,13(3):157-158.
[8] 王丹丹,黄益琼,许洁芳,等.萧氏舒适护理模式在甲状腺功能亢进患者围手术期护理中的应用[J].中国中医药咨讯,2010,2(33):135-136.
[9] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:230-234.
[10] 廖前德,钟达,陈刚.骨折治疗体系的回顾与展望[J].中国医师杂志,2006,8(4):571-573.
[11] American geriatric society panel on persistent pain in older persons. pharmacological management of persistent pain in older persons [J].J Am Geriatr Soc,2009,57(8):1331-1346.
[12] 徐道明,郭海英,张丽丽.创伤及术后肢体肿胀的康复治疗进展[J].中国康复,2011,26(2):130-131.
[13] 戚晓红,余卫平.病理与生理学[M].北京:科学与技术出版社,2001:53.
[14] 苏芙蓉,卫建萍.创伤肢体抬高消肿的护理观察[J].实用骨科杂志,2003,9(6):567.
[2] 林慧玲.介绍一种骨科下肢抬高垫[J].护理研究,2007,21(4):369-369.
[3] 陈治,袁诚霞.介绍一种为布朗氏架牵引患者盖被的方法[J].中华护理杂志,2006,41(12):1149.
[4] 左细莲.自制海绵垫在骨牵引中的应用[J].护理学杂志,2011,26(8):21.
[5] 丁玉兰.人机工程学[M].北京:北京理工大学出版社,2005:23.
[6] 顾玉东,侍德.手外科手术学[M].上海:上海医科大学出版社,1999:379-380.
[7] Stephenson NL,Herman JA.Pain measurement:a comparison using horizontal and vertical visual analogue scales [J].Appl Nurs Res,2000,13(3):157-158.
[8] 王丹丹,黄益琼,许洁芳,等.萧氏舒适护理模式在甲状腺功能亢进患者围手术期护理中的应用[J].中国中医药咨讯,2010,2(33):135-136.
[9] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:230-234.
[10] 廖前德,钟达,陈刚.骨折治疗体系的回顾与展望[J].中国医师杂志,2006,8(4):571-573.
[11] American geriatric society panel on persistent pain in older persons. pharmacological management of persistent pain in older persons [J].J Am Geriatr Soc,2009,57(8):1331-1346.
[12] 徐道明,郭海英,张丽丽.创伤及术后肢体肿胀的康复治疗进展[J].中国康复,2011,26(2):130-131.
[13] 戚晓红,余卫平.病理与生理学[M].北京:科学与技术出版社,2001:53.
[14] 苏芙蓉,卫建萍.创伤肢体抬高消肿的护理观察[J].实用骨科杂志,2003,9(6):567.