中医护理临床路径在缓解桡骨远端骨折患者患肢肿胀时间及预防并发症中的作用

Clinical pathway of traditional Chinese medicine nursing in relieving distal radial fracture patients with limb swelling time and prevention

目的:探讨中医护理临床路径在缓解桡骨远端骨折患者患肢肿胀时间及预防并发症中的作用。方法:选择2016年5月―2018年5月于我院进行治疗的桡骨远端骨折患者98例作为研究对象,通过不同护理模式分为试验组48例,对照组50例,对照组运用常规护理,试验组运用中医护理临床路径。比较两组患者的肿胀消退时间及并发症发生率等。结果:试验组患者住院天数及肿胀消退时间分别短于对照组,住院费用少于对照组,差异有统计学意义(P<0.05)。试验组患者并发症发生率8.33%,低于对照组(26.00%),差异有统计学意义(P<0.05)。试验组患者总有效率97.92%,高于对照组(84.00%),差异有统计学意义(P<0.05)。结论:中医护理临床路径有助于缓解桡骨远端骨折患者患肢肿胀时间,并降低并发症发生率。

Objective: To explore the effect of TCM nursing clinical pathway on relieving limb swelling time and preventing complications in patients with distal radius fracture. Methods: 98 cases of patients with distal radius fracture who were treated in our hospital from May 2016 to May 2018 were selected as the research subjects. Through different nursing modes, they were divided into 48 cases in the experimental group and 50 cases in the control group. The control group received conventional nursing, the experimental group received traditional Chinese medicine clinical pathway nursing. The edema regression time and complication rate of the two groups were compared. Results: The length of hospital stay and swelling regression time of patients in the experimental group were shorter than those in the control group, and the hospitalization cost was less than that in the control group, which was with statistically significant differences (P < 0.05). The incidence of complications in the experimental group was 8.33%, which was lower than that in the control group (26.00%), and the difference was statistically significant (P < 0.05). The total effective rate of the experimental group was 97.92%, which was higher than that of the control group (84.00%), and the difference was statistically significant (P < 0.05). Conclusion: TCM clinical pathway nursing was helpful to alleviate the swelling time of the affected limb in patients with distal radius fracture and reduce the incidence of complications.