摘要
目的探讨芒硝外敷对治疗胫腓骨骨折患者肿胀疼痛的效果。方法将该院2016年6月~2018年6月胫腓骨骨折患者60例随机分为治疗组和对照组,各30例。对照组采用创伤后即开始抬高患肢,静脉点滴20%甘露醇的治疗方法,治疗组在对照组的基础上,入院当天即开始使用芒硝外敷。在伤后24 h、48 h、72 h分别比较两组患者的消肿和疼痛程度。结果两组患者在治疗的24 h、48 h、72 h与治疗前的肿胀度比较,差异均有统计学意义(均P<0.01),且治疗组肿胀减轻程度显著优于对照组,差异有统计学意义(P<0.01)。治疗24 h、48 h、72 h后治疗组和对照组的VAS评分与治疗前比较均显著下降,差异有统计学意义(均P<0.05),且治疗组疼痛缓解显著优于对照组,差异有统计学意义(P<0.05)。结论胫腓骨骨折患者早期局部外敷芒硝,可有效减轻患者的肿胀与疼痛。
Objective To investigate the effect of mirabilite external application on swelling and pain of patients with tibiofibular fracture. Methods A total of 60 patients with tibiofibular fracture in this hospital from June 2016 to June 2018 were randomly divided into treatment group and control group, with 30 patients each. The control group adopted the treatment method of elevating the affected limb immediately after the trauma and intravenous drip of 20% mannitol. On the basis of the control group, the treatment group began to use glauber's salt external application on the day of admission.After 24 hours, 48 hours, 72 hours after injury, the degree of swelling and pain in the two groups were compared. Results There were statistically significant differences in swelling degree between the two groups at 24 hours, 48 hours and 72 hours after treatment and before treatment (P<0.01), and the degree of swelling reduction in the treatment group was significantly better than that in the control group, with statistically significant differences(P<0.01). VAS scores in the treatment group and control group decreased significantly after 24 hours, 48 hours and 72 hours of treatment compared with that before treatment, with statistically significant differences(P<0.05), and pain relief in the treatment group was significantly better than that in the control group, with statistically significant differences(P<0.05). Conclusions Early local application of mirabilite in patients with tibiofibular fracture can effectively reduce the swelling and pain of patients.
作者
刘琪希
罗警艺
冯燕
吴锦清
詹陈菊
Liu Qixi;Luo Jingyi;Feng Yan;Wu Jinqing;Zhan Chenju(Nursing Department, Mingdong Hospital Affiliated to Fujian Medical University , Fu'an City of Fujian Province 355000, China;Orthopaedic Department, Mingdong Hospital Affiliated to Fujian Medical University , Fu'an City of Fujian Province 355000, China)
出处
《国际护理学杂志》
2019年第12期1805-1809,共5页
international journal of nursing
基金
宁德市科学计划项目(20160189).
关键词
胫腓骨骨折
芒硝外敷
软组织肿胀
疗效观察
Fracture of tibia and fibula
External application of mirabilite
Soft tissue swelling
Observation of curative effect
