医用冷敷器在治疗胫腓骨骨折中的疗效观察

Observation on the efficacy of medical cold compress device in the treatment of tibia and fibula fracture

目的:探讨医用冷敷器配合甘露醇静脉注射治疗胫腓骨骨折的疗效。方法:将160例胫腓骨骨折患者随机分为观察组和对照组各80例,两组患者入院后均按医嘱给予20%甘露醇250 ml静脉注射。观察组采用医用冷敷器冷敷,对照组采用自制冰袋冰敷。结果:两组患者疼痛程度、肿胀程度、张力性水疱情况、骨筋膜室综合征发生率及接受手术时间比较差异均有统计学意义(P<0.05)。结论:胫腓骨骨折患者早期应用医用冷敷器,可以有效镇痛、减轻肿胀,使患者手术时间提前,有效降低骨筋膜室综合征的发生率,治疗效果优于自制冰袋。

Objective：To investigate the efficacy of medical cold compress device combined with intravenous injection of mannitol in the treatment of tibia and fibula fracture. Methods ：160 patients with tibia and fibula fracture were randomly divided into the observation group and the control group （ 80 cases in each group）. The patients in both groups were given intravenous injection of 250 ml mannitol （ 20% ） af- ter admission. The patients in the observation group were treated with medical cold compress device and the patients in the control group were treated with homemade ice bag. Results：There were statistically significant differences in the comparison of the degree of pain and swelling of the patients, the incidence of tension blisters and osteofascial compartment syndrome and operation schedule between the two groups （ P 〈 0.05 ）. Conclusion ： Early use of medical cold compress device for fracture of tibia and fibula can effectively relieve pain and swelling, so the operation can be performed as early as possible and the incidence of osteofascial compartment syndrome will be reduced.