骨科保护支架的研制及应用

Manufacture and application of protective trestle for post-operative patients with lower limb fracture

目的研制骨科保护支架并观察其临床应用效果。方法2015年3—6月将手术后的60例下肢骨折住院患者随机分为对照组与观察组，各为30例，对照组采用托马斯支架对患者肢体进行固定，观察组采用自制的骨科保护支架对患者肢体进行固定，比较两组患者的疼痛评分、平均住院天数、患者对护理的满意度情况。结果观察组患者术后48h的疼痛评分为（3．50±0．63）分，低于对照组的（5．53±0．82）分，两组比较差异有统计学意义（t=10．78，P〈0．01）；观察组平均住院天数为（16．47±2．68）d，低于对照组的（22．47±7．32）d，两组比较差异有统计学意义（t=4．22，P〈0．01）；观察组患者对护理的满意度得分为（8．80±0．61）分，高于对照组的（6．93±1．36）分，两组比较差异有统计学意义（t=-6．85，P〈0．01）。结论骨科保护支架可减轻患者的疼痛，缩短患者的住院平均天数，提高患者的满意度。

Objective To develop and explore the clinical application effect of orthopedic protective trestle for post-operative patients with lower limb fracture.Methods Totally 60 patients with lower limb fracture that hospitalized in Osteopathic Department from March to June 2015 were randomly divided into the observation group（n = 30） and the control group （n = 30）. Patients in the control group were given Thomas trestle for the fixation while patients in the observation group were given orthopedic protective trestle for the fixation. The pain score, average hospitalization days and patients＇ satisfaction degree in two groups were compared.Results The pain score of patients in the observation group after 48 h was （3.50＋0.63） points, which was significantly lower than the score in the control group （5.53＋0.82） points （t = 10.78 ,P〈0.05） ; the average hospitalization days in the observation group was （16.47±2.68） d, which was significantly lower than that in the control group （22.47± 7.32） d （t = 4.22,P〈0.05） ; the satisfaction score of patients in the observation group was （8.80±0.61） points, which was significantly higher than the score in the control group （ 6.93± 1.36） points （ t = - 6.85, P〈 0.05 ）. Conclusions Orthopedic protective trestle for patients with lower limb fracture can relieve the pain of patients, reduce the length of average hospitalization days and improve the satisfaction of patients.