悬吊抬高与枕抬高方法对消除肘关节骨折患者术后患肢肿胀的效果观察

Comparative study on the effects of suspension and pillow elevation on limb swelling after elbow surgery

目的比较悬吊抬高和枕抬高消除肘关节骨折患者术后肢体肿胀的临床效果。方法将100例肘关节骨折术后患者随机分为试验组和对照组，每组各50例，分别采取悬吊抬高患肢和枕抬高的方法消除患肢肿胀，术后1~5 d分别测量两组患者患肢肘下10 cm的周径，记录术后第5 d与第1 d的周径差，对比两组患者患肢消肿效果。结果试验组患者术后第5 d和第1 d的患肢周径差为（2？53＆#177;0？76）cm，对照组周径差为（4？19＆#177;2？36）cm，两组比较，P＜0？05，差异具有统计学意义。结论悬吊抬高患肢可以促进静脉回流，消肿效果好，有利于肘关节骨折患者术后早期功能锻炼，值得临床推广应用。

Objective To compare the clinic effects of suspension and pillow elevation on limb swelling after elbow surgery. Methods One hundred patients receiving operations on elbow fracture were randomly divided into experiment group（suspension elevation）and the control group（pillow elevation）to eliminate limb swelling,50 cases in each group.The forearm circumference（10 cm below elbow）were measured 1-5d after operation,the circumferences on the first day and the fifth day recorded for comparing effects of the limb swelling elimination.Results The circumferences on the 1st day and 5th day of the suspension elevation group and the pillow elevation group were（2？53＆#177;0？76）cm,and（4？19＆#177;2？36）cm,respectively.The differences in circumference between the two groups were statistically significant（P＆lt;0？05）.Conclusion The suspension elevation is more effective in promoting venous circulation and eliminating swelling,so it is conducive for the elbow fracture patients in early functional exercise？