骨折张力性血性水泡去顶处理术与抽吸术临床效果的随机对照研究  

A Randomized Controlled Study of the Clinical Effect of Defecating Technique and Aspiration for Tension Blood Vesicles in Fractures

作　　者：霍妍 臧青青 贾云洋 高昕超 米萌 谭杰 Huo Yan;Zang Qingqing;Jia Yunyang;Gao Xinchao;Mi Meng;Tan Jie(Beijing Jishuitan Hospital,Capital Medical University Beijing 102208,China;不详)

机构地区：[1]首都医科大学附属北京积水潭医院,北京市102208

出　　处：《中国病案》2024年第12期109-112,共4页Chinese Medical Record

摘　　要：目的探讨去顶处理技术在骨折后并发张力性血性水泡的临床效果,为临床处理骨折后血性水泡提供新方法。方法选取2023年6月29日-2024年4月30日,在某院创伤骨科住院的踝关节骨折且合并张力性血性水泡的术前患者86例。采用单盲随机对照研究,分为实验组43例和对照组43例,实验组采用去顶处理技术,对照组采用抽吸技术,符合正态分布计量资料以均数±标准差表示(x±s),比较采用t检验,计数资料以例数和百分率表示,比较采用χ^(2)检验,P<0.05为差异有统计学意义。患者创面愈合时间、手术等待时间、换药次数。结果最终完成研究实验组42例,对照组41例。实验组患者在创面愈合时间(5.12±1.84)天优于对照组(7.66±3.38)天,差异有统计学意义,P<0.05;实验组换药次数(3.26±1.15)次少于对照组(5.59±2.50)次,差异有统计学意义,P<0.05。手术等待时间实验组(7.43±1.98)天,虽然在时间上优于对照组(8.44±2.60)天,但差异无统计学意义,P>0.05。结论去顶处理技术可促进创面愈合,缩短术前等待时间、减少换药次数、提高患者满意度,利于患者术后康复。Objectives To investigate the clinical effect of defecating technique in the treatment of tension blood blisters after fracture,and provide a new method for the clinical treatment of blood blisters after fracture.Methods From June 29th,2023 to April 30th,2024,a total of 86 preoperative patients with ankle fracture combined with tension blood blisters were selected from the traumatic orthopedics department of a hospital.A single-blind randomized controlled study was conducted,which was divided into experimental group(43 cases)and control group(43 cases).The experimental group was treated with defecating technique,and the control group was treated with suction technique.Measurement data conforming to normal distribution were expressed as mean±standard deviation(x±s).P<0.05 was considered statistically significant.Wound healing time,operation waiting time,dressing changes.Results The experimental group was 42 cases and the control group 41 cases.The wound healing time of experimental group(5.12±1.84)days was better than that of control group(7.66±3.38)days,the difference was statistically significant,P<0.05;The number of dressing changes in the experimental group(3.26±1.15)was less than that in the control group(5.59±2.50),the difference was statistically significant(P<0.05).The operation waiting time of the experimental group was(7.43±1.98)days,which was better than that of the control group(8.44±2.60)days,but the difference was not statistically significant(P>0.05).Conclusions Defecating technique could promote wound healing,shorten the waiting time before surgery,reduce the number of dressing changes,improve patient satisfaction,and facilitate postoperative rehabilitation of patients.

关 键 词：骨折张力性水泡 血性水泡 创面愈合 加速康复 去顶技术 

分 类 号：R687.3[医药卫生—骨科学]