甘露醇加低分子右旋糖酐治疗骨关节软组织损伤所致肢体肿胀的疗效研究与护理观察

Curative Effect and Nurse Care of Mannitol and Low Molecular Dextran Treatment in Limb Swelling due to Joint Soft Tissue Injury

目的:探讨甘露醇加低分子右旋糖酐(后为低右)治疗骨关节软组织损伤所致肢体肿胀的效果。方法:120例患者随机分成两组,每组60例,观察两组肢体肿胀、疼痛的消退、消失时间,张力性水泡及骨筋膜室综合征发生率,进行对比分析。结果:实验组肢体肿胀消退时间(4·0±0·7)d、疼痛消失时间为(2·5±0·8)d,张力性水泡形成率为21·7%(13/60),骨筋膜室综合征发生率为0。而对照组分别为(5·7±0·8)d、(4·3±0·9)d、40·2%(25/60)和6·7%(4/60),二者差异比较有显著意义(P<0·05)。结论:甘露醇加低右治疗骨关节组织损伤所致肢体肿胀,能有效地促进局部肿胀和疼痛的消除,显著降低局部张力性水泡的形成和防止骨筋膜室综合征的发生,促进损伤愈合。

Objective：To investigate the therapentic effects of mannitol plus dextran 40（after the lower right）in bone and joint injuries due by soft tissue swelling of the limb effect.Methods：120 patients were randomly divided into two groups of 60 cases were observed limb swelling,pain dissipated,disappeared,tension vesicle compartment syndrome and the incidence were analyzed.Results：The limb swelling subsided time（4.0±0.7）d,and the pain disappeared in（2.5±0.8）d,tension vesicle formation rate was 21.7%（13/60）,bone compartment syndrome occurred in 0.And the control group,respectively（5.7±0.8）d（4.3±0.9）d,40.2%（25/60）and 6.7%（4/60）,the difference more significantly（P〈0.05）.Conclusion：The lower right and mannitol treatment tissue injury caused by bone and joint swelling of limbs,to effectively contribute to local swelling and pain,the elimination of a significant reduction in regional tension vesicle formation and prevent bone compartment syndrome occurred,and promote wound healing.