摘要
目的:观察消毒活血汤对胫腓骨骨折术后感染的预防效果。方法:选择胫腓骨骨折患者118例,分为研究组和对照组,每组59例。对照组采用常规护理方式;研究组在常规护理基础上采用中医特色护理(情志护理、饮食调节和口服消毒活血汤),比较入院1天、术后1天、术后14天两组患者白细胞数量、中性粒细胞比例、IL-6、IL-1和TNF-α的含量;治疗疗效、切口感染发生情况和护理满意度。结果:研究结果显示,研究组术后1天、术后14天血清炎性因子白细胞数量、中性粒细胞比例、IL-6、IL-1和TNF-α水平低于对照组(P<0. 05);研究组治疗总有效率为91. 53%,显著高于对照组治疗总有效率的77. 97%(P<0. 05);研究组伤口感染发生率为1. 69%,显著高于对照组伤口感染发生率为11. 86%(P<0. 05);研究组护理满意率为96. 61%,显著高于对照组护理满意率为86. 44%(P<0. 05)。结论:消毒活血汤对胫腓骨骨折术后切口感染有预防作用,其在护理实践中的应用,可以明显改善血液炎性指标,提高临床治疗效果,提升护理满意度。
Objective: To investigate the preventive effect of Xiaodu Huoxue Decoction for postoperative infection of fracture of tibia and fibula. Methods: 118 patients with fracture of tibia and fibula were selected and divided into study group and controlled group,59 cases in each group. The controlled group received routine nursing care. The study group used the characteristics of traditional Chinese medicine on the basis of conventional nursing care( psychological care,diet and oral disinfection Decoction),compared the number of white blood cells,neutrophils,IL-6,IL-1 and TNF-alpha content at hospitalized 1 d,postoperative 1 d,14 d of the two groups,and compared curative effect and nursing satisfaction,incision infection of the two groups. Results: The results showed that the study group,postoperative 1 D,the number of white blood cells,serum inflammatory factor 14 d percentage of neutrophils,IL-6,IL-1 and TNF-α levels were lower than the controlled group( P < 0. 05); The total effective rate of the treatment group was 91. 53%,was significantly higher than the controled group( 77. 97%,P < 0. 05). The wound infection rate of the study group was 1. 69%,significantly higher than the controlled group. The incidence of wound infection was11. 86%( P < 0. 05). The nursing satisfaction rate of the study group was 96. 61%,significantly higher than the controlled group which was 86. 44%( P < 0. 05). Conclusion: Xiaodu Huoxue Decoction has preventive effect on incision infection after operation of tibia and fibula fracture,and its application in nursing practice can obviously improve blood inflammatory indexes,improve clinical treatment effect,and improve nursing satisfaction.
作者
李荣
杨阳
高英
LI Rong;YANG Yang;GAO Ying(Bone One Department of the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine (Shenyang Niaoning 110034,China))
出处
《四川中医》
2018年第12期198-201,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
胫腓骨骨折
术后感染
护理
Fracture of tibia and fibula
Postoperative infection
Nursing care
