大范围冰敷对儿童肱骨髁上骨折术后肿痛的影响

Effect and Nursing of Large Area of Ice Compress on the Gall of Child after the Supracondylar Fractures Operation

目的:探讨大范围冰敷对儿童肱骨髁上骨折术后肿痛的影响。方法:选取我科89例肱骨髁上骨折术后患者,随机分为两组,观察组43例,对照组46例,观察组在术后常规治疗基础上大范围冰敷患处及周围,持续冰敷2天,对照组不用冰敷。比较术后、术后8小时、术后第1天、术后第2天患肢疼痛评分(VAS)及术后、术后6小时、术后第2天、术后第4天、术后第6天患肢肿胀程度。结果:观察组术后8小时、术后第1天、术后第2天疼痛评分及术后6小时、术后第2天、术后第4天、术后第6天患肢肿胀值明显低于对照组,差异均有统计学意义(P<0.001)。结论:大范围冰敷能明显改善儿童肱骨髁上骨折术后肿痛。

Objective： To investigate the effect and nursing of large area of ice compress on the gall of child after the supracondylar fractures operation. Methods： 89 patients with supracondylar fractures of the humerus were randomly divided into two groups： the observation group （n= 43） and control group （n= 46）. A wide range of ice compress was used in the treatment group based on the routine treatment. Meanwhile, the control group didn＇t add the ice compress.The pain scores （VAS） of postoperative patients after the operation, 8 hours later, 1 day and 2 days later and the limb swelling degree after the operation, 6 hours later, 2 days and 4 days later were compared. Results： The pain score of the observation group was lower than that of the control group at 8 hours after operation, on the first day and the second day after operation, the same as the limb swelling degree was significantly lower than that of the control group at 6 hours postoperatively, 2 days after operation, 4 days after operation and 6 days after operation, the difference was statistically significant （P0.001）. Conclusion： A wide range of ice compress can significantly improve the postoperative swelling and pain of the supracondylar fracture of the humerus in children.