甘露醇联合血栓通、临床干预对胫腓骨骨折早期肿痛的临床疗效观察

Clinical observation on the effect of mannitol combined with Xueshuantong on the treatment of early swelling and pain in the patients with tibia and fibula fracture

目的分析胫腓骨骨折早期肿痛患者采用甘露醇联合血栓通、临床干预的综合效果。方法湖州市中心医院自2014年6月～2017年1月期间共接收100例胫腓骨骨折早期肿痛患者，分为观察组（50例）和对照组（50例）。对照组予以常规甘露醇联合血栓通治疗以及常规护理，在对照组的基础上观察组实施护理干预。对比2组患者的治疗效果以及护理效果。结果2组总有效率、护理服务满意度以及治疗后的VAS评分的差异均具有统计学意义（Ρ＜0.05）。结论甘露醇联合血栓通并同时强化临床护理干预，有助于提高胫腓骨骨折早期肿痛患者的治疗效果，减轻疼痛，值得推广应用。

Objective To summarize and analyze the effect of mannitol combined with Xueshuantong on the treatment of early swelling andpain in patients with tibial and fibula fracture.Methods In Huzhou central hospital from June2014to January2017,100cases with early swellingand pain with tibia and fibula fractur were divided into the observation group(50cases)and the control group(50cases).The control group weregiven routine mannitol combined with Xueshuantong treatment and routine nursingcare,at this basis,the observation group were received nursingintervention.The effect of the treatment and nursing in the two groups were compared.Results The total effective rate,nursing service satisfactionand the VAS score after treatment between the two groups were statistically significant(Ρ<0.05).Conclusion The treatment of mannitol combinedwith Xueshuantong and strengthening clinical nursing intervention is helpful to improve the therapeutic effect and alleviate the pain of the patientswith early swelling and pain with tibia and fibula fracture.