骨科保护支架在胫腓骨骨折患者术后护理中的应用效果

Application Effect of Postoperative Nursing of Orthopaedic Protective Stents in Patients with Tibial and Fibular Fracture

目的：探讨骨科保护支架在胫腓骨骨折患者术后护理中的应用效果.方法：选择30例胫腓骨骨折术后患者为研究对象,采用随机数字表法分为观察组和对照组各15例,对照组在术后用软枕抬高下肢,观察组在术后采用自制的骨科保护支架抬高下肢.比较两组肿胀程度与疼痛评分、关节功能、并发症、满意度.结果：肿胀程度与疼痛程度：术后2周时,观察组患肢肿胀消退时间、VAS评分明显低于对照组,Ⅰ度肿胀、轻度疼痛明显高于对照组（t/x^2=6.587～16.861,P〈0.05）;关节功能：术后2周时,观察组Lyaholm评分、关节活动度（Rangeofmotion,ROM）、舒适度均明显高于对照组（t=5.155～15.676,P〈0.05）;并发症：观察组并发症（6.67%）显著低于对照组（20.00%）（x^2=7.988,P〈0.05）;满意度：观察组满意度93.33%明显高于对照组73.33%（x^2=6.975,P〈0.05）.结论：骨科保护支架能早期消除患肢肿胀,减轻疼痛程度,改善关节功能,提高患者满意度.

Objective: To study application effect of postoperative nursing of orthopaedic protective stents in patients with tibial and fibular fracture. Methods: 30 cases of patients with tibial and fibular fracture were divided into observation group was and control group,control group was given soft pillow,observation group was given orthopaedic protective stents. swelling degree,pain scores,joint function,complications,satisfaction were compared between the two groups.Result: Degree of swelling and pain: 2 weeks postoperatively,observation group limb swelling fade time,VAS score were significantly lower than those of the control group,Ⅰ degree swelling,mild pain were significantly higher than those of the control group( t / x2= 6. 587 ~ 16. 861,P < 0. 05); Joint function: 2 weeks postoperatively,observtaion group Lyaholm score,range of motion,comfort were significantly higher than those of the control group( t = 5. 155 ~15. 676,P < 0. 05); Complications: observation group complications( 6. 67%) was significantly lower than that of the control group( 20. 00%)( x2= 7. 988,P < 0. 05); Satisfaction: observation group satisfaction 93. 33% was significantly higher than that of control group 73. 33%( x2= 6. 975,P < 0. 05). Conclusion: Orthopaedic protective stents can early eliminate limb swelling and alleviate pain,then improve joint function and improve patient satisfaction.