多功能肢体牵升架的研制与应用  

Development and Application of Multipurpose Limb-traction-lifting Device

作　　者：贾荣娟[1] 王斌[1] 于雪农[1] 邢丽君[1] 

机构地区：[1]威海市文登中心医院门诊部,山东威海264400

出　　处：《护理学杂志》2005年第8期18-20,共3页

基　　金：国家实用新型专利(ZL 03215104.7)

摘　　要：目的解决骨折肢体在术前消毒时因抬高患肢造成骨折处成角问题。方法自制肢体牵升架,其结构由提升臂、托肢架、固定齿轮和固定杆四部分组成。将100例股骨骨折需要手术治疗的患者,按入院先后顺序随机分为观察组和对照组,各50例。观察组采用肢体牵升架牵升患肢,对照组采用人工牵拉法牵升患肢。观察两组牵引效果,消毒时肢体污染情况和消毒所需时间。结果牵引有效率观察组78.0%,对照组54.0%,两组比较,差异有显著性意义(P<0.05);观察组消毒时无1例污染,污染率为零;对照组消毒时污染9例,污染率18.0%,两组比较,差异有显著性意义(P<0.01);观察组消毒时间平均(17.7±2.2)min,对照组(20.4±3.2)min,两组比较,差异有显著性意义(P<0.01)。结论肢体牵升架既能抬高患肢,又具有效牵引作用,能明显减轻骨折处成角,且操作简便。Objective To solve the problem of angulation of fracture site during the lifting of limbs with fracture patients. Methods A limb-traction-lifting device was developed, which consisted of lifting arm, supporting frame, fixation wheels and rods. One hundred fracture patients who needed surgical treatment were divided into two groups, an observation group and a control group randomly, with 50 patients in each group. The home-made device was employed for the traction and lifting for limbs in the observation group before operation, while the traction and lifting were manually performed in the control group. Comparison was made between the two group in terms of the effects of traction and lifting, limb contamination and time for disinfection. Results The effective rate of traction and lifting was 78.0%, against the rate of 54.0% in the control group, and the difference was significant (P<0.05). No contamination occurred in the observation group and the average disinfection time was (17.7±2.2) min. In the controls, contamination occurred in 9 cases (18.0%) and the disinfection time was (20.4±3.2)min, with the differences between the two groups being statistically significant (P<0.01). Conclusion The device can be effectively used for the lifting and traction of limbs and help to reduce angulation at fracture sites. It is effective, easy to use, and can save time and labor.

关 键 词：肢体牵升架 研制与应用 多功能 对照组 观察组 显著性 术前消毒 手术治疗 股骨骨折 先后顺序 污染情况 消毒时间 牵引作用 污染率 患肢 固定杆 牵拉法 有效率 成角 抬高 

分 类 号：R658[医药卫生—外科学] R472.91[医药卫生—临床医学]