自制三联式乙醇冰袋在胫腓骨骨折早期肿胀的应用  

The Application of Self-made Triple Ethanol Ice Bag in the Treatment of Early Swelling of Tibia and Fibula Fractures

作　　者：帅品花 黄丽君[1] 张玉红 邓文静 熊润萍 SHUAI Pinhua;HUANG Lijun;ZHANG Yuhong;DENG Wenjing;XIONG Runping(Department of Trauma and Orthopedics,Affiliated Hospital of Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院创伤骨科,江西南昌330006

出　　处：《中国中医药现代远程教育》2025年第1期140-143,共4页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生健康委科技计划项目【No.202210730】;江西省科学技术厅省临床研究中心项目【No.20212BCG74004】。

摘　　要：目的探究自制三联式乙醇冰袋联合中药外敷对胫腓骨骨折患者早期肿胀的临床效果。方法进行回顾性研究,将60例胫腓骨骨折患者分为对照组及观察组,各30例。对照组运用传统冰敷,观察组运用自制三联式乙醇冰袋冰敷联合中药外敷。观察两组患者伤后24 h、48 h的骨折部位肿胀评分,疼痛程度数字评定量表(NRS)评分以及住院时间、治疗满意度、护理满意度,以评价临床疗效。结果观察组住院时间少于对照组(P<0.05)。与对照组相比,观察组伤后48 h NRS评分、骨折部位肿胀评分均显著下降(P<0.05)。观察组治疗满意度90.00%(27/30)高于对照组的66.67%(20/30)(P<0.05),治疗总有效率90.00%(27/30)高于对照组的66.67%(20/30)(P<0.05)。结论自制三联式乙醇冰袋联合中药外敷用于胫腓骨骨折患者可早期消除患肢肿胀,减轻患者疼痛,缩短住院时间,临床疗效显著,值得推广应用。Objective To explore the effect of self-made triple alcohol ice bag combined with external application of traditional Chinese medicine on early swelling of patients with tibia and fibula fractures.Methods A retrospective study was conducted.A total of 60 patients with tibiofibular fractures were divided into control group(30 cases)and observation group(30 cases).The control group was treated with traditional ice pack,and the observation group was treated with self-made triple ethanol ice pack.The swelling score of fracture site,NRS pain score,length of stay,treatment satisfaction and nursing satisfaction of the two groups of patients 24 hours and 48 hours after injury were observed to evaluate the clinical efficacy.Results The hospitalization time of observation group was less than that of control group(P<0.05).Compared with the control group,the NRS score and the swelling score of the fracture site in the observation group at 48 h after injury were significantly decreased(P<0.05).The treatment satisfaction of observation group was 90.00%(27/30),which was higher than that of control group(66.67%,20/30)(P<0.05),the total effective rate was 90.00%(27/30),which was higher than that of control group(66.67%,20/30)(P<0.05).Conclusion The self-made triple ethanol ice bag combined with external application of traditional Chinese medicine can early eliminate the swelling of the affected limb,relieve the pain of the patient,shorten the hospital stay,and has significant clinical effect,which is worthy of clinical promotion and application.

关 键 词：胫腓骨骨折 肢体肿胀 骨折并发症 自制三联式乙醇冰袋 

分 类 号：R473.6[医药卫生—护理学]