改良芒硝多纳敷袋在四肢骨折早期患者中消肿止痛的应用  

Design and application of modified multifunctional dressing bag with glauber's salt for relieving swelling and pain in early patients with limb fracture

作　　者：池根英 郑建红[1] 蒋青仙 余燕华[1] 郑娟丽[1] Chi Genying;Zheng Jianhong;Jiang Qingxian;Yu Yanhua;Zheng Juanli(Department of Joint Surgery,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)

机构地区：[1]浙江省立同德医院关节外科,杭州310012

出　　处：《中国实用护理杂志》2021年第16期1267-1271,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨改良芒硝多纳敷袋在四肢骨折早期患者中消肿止痛的应用疗效。方法将浙江省立同德医院关节外科收治的111例四肢骨折患者按入院时间分为2组,2018年1—8月入院的患者53例为对照组,使用普通芒硝袋联合冰袋外敷;2018年9月至2020年1月入院的患者58例为观察组,使用改良芒硝多纳敷袋局部外敷。观察2组患者伤后72 h内疼痛程度、皮纹症出现时间、重度肿胀出现例数、等待手术时间、患者使用的依从性和舒适性。结果观察组的疼痛程度、皮纹症出现时间、等待手术时间、重度肿胀出现例数分别为(1.8±0.7)分、(4.5±1.2)d、(5.7±1.2)d、1例,均低于对照组的(2.2±0.8)分、(6.0±1.5)d、(6.5±1.4)d、19例,2组比较差异均有统计学意义(t值为-2.6、-5.6、-3.3,χ^(2)值为21.8,均P<0.05)。观察组的总依从率为82.76%(48/58),高于对照组的56.60%(30/53),差异有统计学意义(χ^(2)值为9.34,P<0.05)。观察组的舒适度为82.76%(48/58),显著高于对照组的3.77%(2/53),差异有统计学意义(χ^(2)值为69.8,P<0.05)。结论改良芒硝多纳敷袋在四肢骨折早期患者中的应用能减轻肢体肿胀,减少皮肤水疱出现,达到止血止痛的作用,缩短等待手术时间,同时提高患者使用的依从性和舒适性。Objective To explore the effect of modified multifunctional dressing bag with glauber's salt for relieving swelling and pain in early patients with limb fracture.Methods A total of 111 patients with limb fracture in Tongde Hospital of Zhejiang Province were divided into two groups according to the admission time.The control group consisted of 53 patients with limbs fracture using common mirabilite bag with glauber′s salt and ice bag for external application admitted from January to August 2018,and the observation group consisted of 58 patients with limbs fracture using modified multifunctional dressing bag with glauber′s salt admitted from September 2018 to January 2020.The degree of pain,the time of appearance of dermatoglyphia,the cases of severe swelling,waiting time for operation,compliance and comfort of the patients were observed within 72 hours after injury.Results The degree of pain,the time of appearance of dermatoglyphia,the waiting time,the cases of severe swelling for surgery in the observation group were(1.8±0.7)points,(4.5±1.2)days,(5.7±1.2)days,1 case,respectively,which were all lower than those in the control group(2.2±0.8)points,(6.0±1.5)days,(6.5±1.4)days,19 cases,the differences between the two groups were statistically significant(t values were-2.6,-5.6,-3.3,χ^(2) value was 21.8,all P<0.05).The total compliance rate in the observation group was 82.76%(48/58),higher than that in the control group 56.60%(30/53),the differences were statistically significant(χ^(2) value was 9.34,P<0.05).The comfort of the observation group was 82.76%(48/58),significantly higher than that of the control group 3.77%(2/53),the difference was statistically significant(χ^(2) value was 69.8,P<0.05).Conclusions The modified multifunctional dressing bag with glauber′s salt can reduce the swelling of limbs,reduce the appearance of skin blisters,stop bleeding and pain,and shorten the waiting time for operation,at the same time,it improves the compliance and comfort of the patients.

关 键 词：芒硝 冰袋 外敷 四肢骨折 护理 

分 类 号：R473.6[医药卫生—护理学]