精准调节前臂骨折消肿架的研制及临床应用效果

The invention and clinical application of a precise-adjustment device of forearms detumescence

目的研制并探讨精准调节前臂消肿架对患肢不同程度肿胀的前臂骨折患者的消肿作用。方法按肿胀程度纳入为Ⅰ、Ⅱ、Ⅲ度前臂骨折患者各60例,各程度随机分为对照组和观察组30例。对照组采用充气软枕抬高伤肢,观察组使用自制的精准调节前臂消肿架抬高伤肢,Ⅰ度肿胀调节杆置于10 cm调节点,Ⅱ度肿胀调节杆置于15 cm调节点,Ⅲ度肿胀将调节杆置于刻度20~30 cm范围处。两组均予以其他相同的治疗和护理,在伤后不同时间点测量患肢周径并进行比较。结果各组患者的患肢周径在伤后1~3 d持续增加,在第3天达到最大值,随后逐渐减少。同一肿胀程度的患者在同一时间点,观察组的肿胀程度较对照组减轻,差异均有统计学意义(P <0.05)。结论自制的精准调节前臂消肿架对于前臂骨折患者的消肿效果优于传统气垫消肿,值得临床推广应用。

Objective To develop a precise-adjustment device of forearms detumescence and evaluate its value in clinical practice. Methods A total of 180 subjects with forearm fracture were recruited(60 patients with first-degree fracture, 60 patients with second-degree fracture and 60 patients with third-degree fracture). Patients with the same degree of fracture were equivalently and randomly divided into the control group(n=30) and the observation group(n=30). Subjects in the control group utilized inflatable pillows, while subjects in the observation group utilized our precise-adjustment devices. There was no difference in other remedies. Circumferences of injured forearms were recorded at different time points and comparison was made between two groups. Results Circumference of injured forearm of each subject increased after the injury, peaking at the third day after injury and then gradually decreasing. At each time point, subjects showed greater swelling of forearms in the control group than that in the observation group. Conclusions The precise-adjustment device of forearms detumescence has a better clinical effect in treating forearm fracture than the effect of traditional treatment.Thus, it can be widely used.