气动肢体循环促进装置在下肢骨折术后消肿中的效果评估研究  

Effect assessment of pneumatic limb circulation promoting device in postoperative swelling reduction of lower limb fracture

作　　者：张耀国 韩倩倩 王寒明[1] 刘晓磊[2] ZHANG Yao-guo;HAN Qian-qian;WANG Han-ming(Rehabilitation Center of Orthopedics,Beijing Rehabilitation Hospital of Capital Medical University,Beijing 100144,China;不详)

机构地区：[1]首都医科大学附属北京康复医院骨科康复中心,北京100144 [2]首都医科大学附属北京康复医院骨一科康复中心,北京100144

出　　处：《中国医学装备》2023年第12期139-143,共5页China Medical Equipment

基　　金：2020年首都卫生发展科研专项(首发2020-2-2050)“骨折愈后仪联合肢体气压装置在老年股骨粗隆间骨折患者康复训练中的应用”。

摘　　要：目的:探讨气动肢体循环促进装置在下肢骨折术后消肿中的应用效果。方法:选取医院收治的48例下肢骨折患者,按照随机数表法将其分为观察组和对照组,每组24例。所有患者术后均实施常规康复治疗,对照组康复治疗中实施常规消肿处理,观察组康复治疗中应用LymphaTouch型气动肢体循环促进装置进行消肿治疗。应用视觉模拟量表(VAS)评分对比治疗前后两组患者疼痛强度变化,应用改良Barthel指数评价患者的日常生活能力,应用生活质量评价简式-36(SF-36)量表评价患者生活质量,对比治疗后两组患者肌围度差值,评价其患肢肿胀情况,对比两组患者并发症发生率。结果:两组患者治疗前和治疗后3 d时的VAS评分比较差异无统计学意义,治疗后5 d、7 d时VAS评分均降低,差异有统计学意义(t=26.046,t=25.255;P<0.05);治疗前和治疗后3 d两组患者肌围度差值对比差异无统计学意义,治疗后5 d、7 d时两组患者肌围度差值均降低,差异有统计学意义(t=26.046,t=25.255;P<0.05);治疗后两组患者改良Barthel指数和SF-36评分均升高,且观察组高于对照组,差异有统计学意义(t=2.970,t=3.433;P<0.05);观察组并发症发生率明显低于对照组,差异有统计学意义(x^(2)=4.550,P<0.05)。结论:下肢骨折术后增加气动肢体循环促进装置,应用LymphaTouch型气动肢体循环促进装置进行治疗,能够减轻患者术后疼痛强度与肢体肿胀程度,提升患者日常生活能力与生活质量,降低并发症发生率。Objective:To explore the application effect of pneumatic limb circulation promoting device in postoperative swelling reduction of lower limb fracture.Methods:A total of 48 patients with lower limb fractures who admitted to hospital were selected.According to the random number table method,they were divided into an observation group(n=24)and a control group(n=24).All patients received routine rehabilitation treatment,and the control group conducted routine swelling reduction treatment,and the observation group used LymphaTouch device to conduct swelling reduction treatment.The visual analogue scale(VAS)was applied to compare the change of pain intensities of two groups between before and after treatment,and the modified Barthel index was used to evaluate the ability of daily living,and the simplified formula for evaluating quality of life(short form-36,SF-36)was used to evaluate the life quality of patient.The differences of the muscle circumferences between two groups after treatment were compared,and the swelling conditions of affected limbs of the patients were evaluated.And then,the incidences of complications of two groups were compared.Results:There were no statistically significant differences in VAS scores between the two groups of patients before and 3 days after treatment,and the VAS scores of two groups of patients decreased significantly at the 5th d and 7th day after treatment(t=26.046,t=25.255,P<0.05).The differences of the difference values of muscle circumferences of the two groups of patients between before and 3 days after treatment were not statistically significant.The difference values of muscle circumferences of the two groups of patients decreased at the 5th d and 7th day after treatment,and the differences were statistically significant(t=26.046,t=25.255;P<0.05),respectively.After treatment,the modified Barthel indexes and SF-36 scores increased in both groups of patients,and the observation group was significantly higher than the control group,with a statistically significant difference(t=

关 键 词：气动肢体循环促进装置 下肢骨折 疼痛强度 肌围度 

分 类 号：R683.42[医药卫生—骨科学]