护理干预对四肢骨折术后肢体肿胀患者康复效果的影响

The effect of nursing intervention for limb swelling after fractures

目的:探讨护理干预对四肢骨折术后肢体肿胀患者康复效果的影响。方法:将我院接受手术治疗的四肢长骨骨折术后肢体肿胀患者84例随机分为研究组和对照组,每组42例,对照组患者术后给予常规护理,并抬高患肢,给予抗炎、抗渗出、消肿止痛等药物治疗;研究组在对照组的基础上给予护理干预,术前进行宣教,术后加压包扎,持续冰敷,并指导患者进行功能锻炼。观察两组患者术后肢体肿胀程度、疼痛程度以及肢体消肿时间。结果:研究组术后第7天肿胀程度明显低于对照组,两组患者术后肢体肿胀程度比较,差异有统计学意义(P<0.05)。术后第3天研究组患者疼痛程度低于对照组,两组比较差异有统计学意义(P<0.05)。研究组患者平均消肿时间为(5.8±1.5)d,对照组患者平均消肿时间为(6.9±2.5)d,两组比较差异有统计学意义(P<0.05)。结论:护理干预能有效的促进四肢骨折患者术后肢体肿胀的康复,减少并发症的发生。

Objective： To investigate the effect of nursing intervention tbr limb swelling after fractures. Methods： 84 patients of limb swelling after long bone fractures were randomly divided into study group and control group, with 42 cases in each group. The control group was treated with conventional care, anti-inflammatory therapy, anti-swelling therapy and other drug treatment; the study group was given nursing intervention, missionary preoperative and postoperative pressure bandage, ice and was guided with functional exercise. The limb swelling, pain and limb swelling time were observed. Results： The study group swelling was significantly lower than the control group after 7 days （P〈0.05）. 3 days after surgery, the pain of the patients in study group was lower than that of control group, the difference was significant （P〈0.05）. The average time of swelling of study group was （5.8±1.5） days and that of the control group was （6.9±2.5） days, the difference was significant （P〈0.05）. Conclusion： Nursing intervention can promote limb fracture rehabilitation and reduce the incidence of complications.