便捷式保温热熨脚套应用于下肢骨折患者内固定术后康复中的临床实践  

Clinical practice of convenient thermal insulation and hot ironing foot cover in rehabilitation of patients with lower extremity fractures after internal fixation

作　　者：袁凝秋 孙丽萍[1] YUAN Ningqiu;SUN Liping(Department of Orthopedics,Jiangyin Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Jiangyin Jiangsu 226600,China)

机构地区：[1]南京中医药大学江阴附属医院骨伤科,江苏江阴214400

出　　处：《临床与病理杂志》2023年第4期782-787,共6页Journal of Clinical and Pathological Research

基　　金：江阴市社会发展科技示范项目(JY0603-A021014-210040-PB)。

摘　　要：目的:探讨便捷式保温热熨脚套应用于下肢骨折患者内固定术后康复治疗中的效果。方法:选择2021年3月至2022年3月南京中医药大学江阴附属医院收治的下肢骨折患者90例,对所有患者临床资料进行回顾性分析,依据干预方式的不同分为对照组和研究组,每组45例。对照组使用传统中药足部热熨康复治疗,研究组使用便捷式保温热熨脚套进行康复治疗。对比2组熏蒸舒适度、术后肢体肿胀程度、治疗前后生活质量变化,并统计术后并发症发生率。结果:研究组熏蒸舒适度较对照组优(P<0.01);研究组术后肢体肿胀程度较对照组轻(P<0.01);研究组治疗后生活质量各维度评分均较对照组高(均P<0.01);研究组术后总并发症发生率较对照组低(P<0.01)。结论:便捷式保温热熨脚套应用于下肢骨折患者内固定术后康复中可提高熏蒸舒适度,减轻术后肢体肿胀程度,改善生活质量,降低并发症发生率。Objective:To explore the effect of convenient thermal insulation hot ironing foot cover in the rehabilitation of patients with lower extremity fractures after internal fixation.Methods:A total of 90 patients with lower limb fracture admitted to Jiangyin Affiliated Hospital of Nanjing University of Traditional Chinese Medicine from March 2021 to March 2022 were selected,and clinical data of all patients were retrospectively analyzed.According to different intervention methods,the patients were divided into a control group and a study group(45 cases in each group).The control group was treated with foot hot ironing of traditional Chinese medicine,and the study group was treated with convenient heat preservation and hot ironing foot cover.The comfort level of fumigation,the degree of postoperative limb swelling and the change of life quality before and after treatment were compared between the 2 groups,and the incidence of postoperative complications were analyzed.Results:The fumigation comfort in the study group was better than that in the control group(P<0.01);the postoperative limb swelling in the study group was lighter than that in the control group(P<0.01);the scores of various dimensions of quality of life in the study group after intervention were higher than those in the control group(all P<0.01).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.01).Conclusion:The application of the convenient heat-insulating hot-ironing foot covers in the rehabilitation of patients with lower extremity fractures after internal fixation can improve the comfort of fumigation,reduce the degree of postoperative swelling of the limbs,improve the quality of life,and reduce the incidence of complications.

关 键 词：便捷式保温热熨脚套 下肢骨折 舒适度 肢体肿胀 生活质量 并发症 

分 类 号：R473.6[医药卫生—护理学]