抬高患肢70-80°及量化功能锻炼对创伤骨科患者术后患肢肿胀的影响  

Effect of raising the affected limb high and quantifying functional exercise on postop limb swelling of traumatic osteopathic patients

作　　者：农春花[1] 傅爱凤[1] 贾赛雄[1] 付爱明[1] 钟丽平[1] 

机构地区：[1]南方医科大学附属深圳宝安医院外四科,广东深圳518101

出　　处：《现代临床护理》2010年第5期61-62,41,共3页Modern Clinical Nursing

基　　金：广东省深圳市科技局资助项目;项目编号为200602146

摘　　要：目的探讨抬高患肢70-80°及量化功能锻炼对创伤骨科患者术后患肢肿胀的影响。方法将87例创伤骨科患者随机分为实验组42例和对照组45例。两组患者术后均采用常规护理方法,对照组抬高患肢20-30°或平心脏水平,关节屈伸功能活动;实验组患肢抬高70-80°并进行量化功能锻炼和患肢按摩。比较两组患肢肿胀情况。结果术后第1d两组患者患肢示指、中指、环指第2节指围大小比较,差异无统计学意义(均P>0.05);术后第7d两组患肢示指、中指、环指第2节指围大小比较,差异具有统计学意义(均P<0.01)。结论抬高患肢70-80°和进行量化功能锻炼,有利于促进患肢静脉回流,减轻患肢的肿胀。Objective To explore the effect of raising the affected limb extraordinarily high and quantifying functional exercise on postop limb swelling in traumatic osteopathic patients. Methods Eighty-seven fracture patients were divided based on the oven and odd numbers of their date of admission into two groups： the control group （n = 42） and the experiment group （n = 45）. Conventional care was used in the two groups. In the control group, patients＇ affected limb were raised to 200-30° or to the heart level, and functional exercise such as joint flexion and extension was performed. In the experiment group, patients＇ limbs were raised extraordinarily high to 70-80°, and quantified functional exercise and limb massage were performed. Results The perimeter of the 2nd dactylopodite of the index finger, middle and ring finger of the affected limb of the patients in the experiment group, compared with these of control group, weren＇t statistically different between the two groups on the first day after operation （P 〉 0.05）, but there were statistically significant difference on the seventh day after operation （P 〈 0.01 ）. Conclusion Raising limb extraordinarily high to 70-80° and performing quantified functional exercise can promote venous returning successfully and reduce the degree of postoperative swelling of the affected limb.

关 键 词：创伤骨科 肢体肿胀 功能锻炼 

分 类 号：R473.6[医药卫生—护理学]