辅助复位-床旁栓系式下肢垫在胫腓骨骨折患者术前牵引中的应用效果评价  

Effects evaluation of the lower limb pad with the functions of fracture-reduction and bed-belts using for the pre-operation patients of tihiofibular fracture

作　　者：徐虹霞[1] 徐强[1] Xu Hongxia Xu Qiang .(Department of Orthopedics Hospital of Sichuan Province, Chengdu 610041, China)

机构地区：[1]四川省骨科医院足踝科,成都610041

出　　处：《中国实用护理杂志》2017年第26期2024-2027,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨辅助复位-床旁栓系式下肢垫对移位胫腓骨骨折患者术前跟骨牵引的应用效果。方法将60例移位胫腓骨骨折的患者，按照随机数字表法随机分为试验组30例，采用辅助复位-床旁栓系式下肢垫，对照组30例，采用普通梯形下肢抬高垫，比较2组患者1周内（牵引当日起，至术前）护理不良事件发生率（包括下肢垫移动、小腿坠落）、骨折周围皮肤完整情况、肿胀、舒适度、医生调节牵引次数及视觉模拟评分。结果下肢垫移动／小腿坠落次数次数、医生调节断端移位的次数试验组分别为0．00（0．00—0．00）、0．00（0．00～0．00）；对照组分别为2．00（0．00—4．00）、2．00（0．00～4．50），差异有统计学意义（Z=-3．907、-3．248，P〈0．01或0．05）；2组患者骨折周围皮肤情况比较，差异有统计学意义（X2=16．525，P〈0．01）；2组患者舒适度得分比较差异有统计学意义（X2=13．416，P=0．001）；视觉模拟评分结果显示，牵引术后第1、3天试验组分别为（5．15±1．451）、（4．29±1．66）分，对照组分别为（6．65±2．45）、（5．55±1．89）分，差异有统计学意义（t=-3．201、-2．964，P〈0．05）；第5、7天试验组分别为（3．22±1．32）、（3．25±1．13）分，对照组分别为（3．45±1．45）、（3．35±1．24）分，差异无统计学意义（t=-1．538、-1．177，P〉0．05）。结论胫腓骨骨折跟骨牵引的患者使用辅助复位-床旁栓系式下肢垫能维持牵引的最佳效能，对降低患者术前牵引下肢垫移动／小腿坠落的发生率，提高患者舒适度，减轻医生工作量，维持有效复位，有效消肿，减少患者术前等待时间均有明显效果。Objective To probe into the lower limb pad with the functions of fracture-reduction and bed-belts using for the pre-operation patients of tibiofibular fracture. Methods A total of 60 tibiofibular fracturewere selected by using random number table method.and they were divided into experimental group and control group, 30 cases in each. The experimental group used the lower limb pad with the functions of fracture-reduction and bed-belts,and the control group used the common trapezoid lower limb pad;compareing the incidence of nursing adverse events in two group in one week,the skin condition around the fracture,the swelling, the comfort, the adjusting times of bone traction,and VAS. Results In the experimental group, the frequency of low-limb mat movement/calves falling and the frequency of the doctor adjusting the displacement of fractured ends were 0.00 （0.00-0.00） and 0.00 （0.00- 0.00）, respectively. Besides, corresponding frequency was 2.00 （0.00-4.00） and 2.00 （0.00-4.50） in the control group, the differences were statistically significant between groups （Z=-3.907,-3.248, P=0.009, 0.012）. Furthermore, there was an obvious difference in the skin condition around the fracture between groups （x2=16.525, P=0.001）. Statistical difference was also found in the comparison of patient comfort score between groups （x2=13.416, P=0.001）. VAS score results showed that the score was （5.15 ± 1.451） points and （6.65±2.45） points on the first day after traction in the experimental group and the control group, respectively, and the difference was statistically significant （t=-3.201, P〈0.05）. On the third day after traction, statistical difference was also found that the VAS score was （4.29± 1.66） points in the experimental group and （5.55± 1.89） points in the control group （t= -2.964, P〈0.05）. However, no obvious statistical difference was observed between the experimental group and the control group on the fifth day [（3.22±1.32） points vs. （3.45±1.45） points

关 键 词：新型下肢垫 胫腓骨远端骨折 牵引术 效果 

分 类 号：R687.3[医药卫生—骨科学]