无栓病房建立对下肢骨折患者术后患肢肿胀及预后的影响
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摘要
目的探讨无栓病房建立对下肢骨折患者术后患肢肿胀及预后的影响。方法采用简单随机抽样法抽取2016年3月至2017年2月的300例下肢骨折患者设为对照组,按照下肢骨折围手术护理常规实施护理; 2017年3月至2018年5月的300例患者设为观察组,在对照组常规护理基础上建立无栓病房及管理,观察比较两组患者术后第7天患肢肿胀的疗效及入院时、术后第1天、第3天、第7天患肢周径和疼痛状况。结果术后第7天,观察组患肢肿胀疗效优于对照组,术后第1天、第3天、第7天患肢周径和数字化疼痛评估法(NRS)评分观察组均低于对照组,差异有统计学意义(P<0.01)。结论无栓病房建立能减轻下肢骨折患者术后患肢肿胀和疼痛的程度,提高患肢肿胀的疗效。
Objective To investigate the effect of establishment of thrombosis-free ward on the swelling and prognosis of patients with lower limb fracture after operation.Methods 300 cases of lower limb fracture patients from March 2016 to February 2017 selected by simple random sampling method were included in control group,and the nursing was carried out according to the perioperative nursing routine of lower limb fracture in this group. A total of 300 patients from March 2017 to May 2018 were included in observation group,and thrombosis-free ward was established for this group on the basis of routine nursing care in the control group.And then,the curative effects of limb swelling on the 7 th day after operation as well as the circumference of affected limb and pain status of the affected limbs on admission,on the 1 st,3 rd and 7 th day after operation were observed and compared between the two groups. Results On the 7 th day after operation,the curative effect of limb swelling in the observation group was better than that in the control group,and on the 1 st,3 rd and 7 th day after operation,the circumference of affected limbs and NRS score in the observation group were lower than those in the control group,difference was statistically significant( P<0.01).Conclusion The establishment of thrombosis-free ward can reduce the degree of postoperative swelling and pain of the affected limb in patients with lower limb fracture and promote the curative effect of the affected limb swelling.
Objective To investigate the effect of establishment of thrombosis-free ward on the swelling and prognosis of patients with lower limb fracture after operation.Methods 300 cases of lower limb fracture patients from March 2016 to February 2017 selected by simple random sampling method were included in control group,and the nursing was carried out according to the perioperative nursing routine of lower limb fracture in this group. A total of 300 patients from March 2017 to May 2018 were included in observation group,and thrombosis-free ward was established for this group on the basis of routine nursing care in the control group.And then,the curative effects of limb swelling on the 7 th day after operation as well as the circumference of affected limb and pain status of the affected limbs on admission,on the 1 st,3 rd and 7 th day after operation were observed and compared between the two groups. Results On the 7 th day after operation,the curative effect of limb swelling in the observation group was better than that in the control group,and on the 1 st,3 rd and 7 th day after operation,the circumference of affected limbs and NRS score in the observation group were lower than those in the control group,difference was statistically significant( P<0.01).Conclusion The establishment of thrombosis-free ward can reduce the degree of postoperative swelling and pain of the affected limb in patients with lower limb fracture and promote the curative effect of the affected limb swelling.
引文
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[2]赵锦秀,毕宏政,孙美洁.气压冰囊冷敷联合中药喷涂用于跟骨骨折术前肿胀的疗效观察[J].护理实践与研究,2017,14(18):60-61.
[3]王军.桃核承气汤加减方联合甘露醇治疗胫腓骨双骨折术后水肿的临床观察[J].陕西中医,2016,37(12):1617-1618.
[4]中华医学会骨科学分会.中国骨科大手术静脉血栓栓塞症预防指南[J].中华骨科杂志,2009,29(6):602-604.
[5]刘联群.骨伤科专病护理路径[M].北京:人民卫生出版社,2010:3-6.
[6]黄娟娟,杨立倩,韦仁杰,等.快优临床护理路径在股骨骨折手术患者中的应用[J].广西医学,2017,39(9):1456-1458.
[7]Autar R.Nursing assessment of clients at risk of deep vein thrombosis(DVT):the Autar DVT scale[J].J Adv Nurs,1996,23(4):763-770.
[8]王曙红.临床护理评价量表及应用[M].长沙:湖南科学技术出版社,2011:150-151.
[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,2005:231-233.
[10]真启云,费文勇,杨文婷.四肢骨折患者肢体肿胀的护理干预[J].护理学杂志,2016,31(12):17-19.
[11]程红霞,张琴,付艳,等.中药伤科油纱外敷改善四肢骨折患者术后肢体疼痛及肿胀的效果观察[J].广西医科大学学报,2017,34(1):147-150.
[12]Razak HR,Razak NF,Tan HC.Prevalence of Venous Thromboembolic Events is Low in Asians after Total Knee Arthroplasty Without Chemoprophylaxis[J].J Arthrpolasty,2016,32(3):974-979.