厚敷料保护在加压包扎对四肢创伤围手术期消肿的作用

Effect of Thick Dressing Protection on Swelling During Perioperative Period of Limb Trauma by Compression Bandaging

目的分析厚敷料保护在加压包扎防控肿胀的效果与起效的机制。方法2017年1月—2019年12月四肢骨创伤患者60例,采用随机数字分组法将患者分为两组。对照组高分子夹板固定+甘露醇+冰敷+冷疗消肿处理。试验组选择厚敷料保护性普通绷带加压包扎+冰敷+冷疗+高分子夹板外固定处理。结果试验组入院到手术时间、术前患肢周径增加峰值、术后患肢周径增加峰值、患肢主动康复时间、围手术期消肿相关治疗费用低于对照组,差异有统计学意义(P<0.05)。试验组创伤相关并发症合计发生率低于对照组,差异具有统计学意义(P<0.05)。结论在加压包扎对四肢创伤围手术期消肿中应用厚敷料保护,可以保护创伤部位皮肤软组织、加速肿胀控制及减轻肢体肿胀疼痛,为康复创造条件,减少治疗费用。

Objective To analyze the effect and mechanism of thick dressing protection in the prevention and control of swelling by pressure bandaging.Methods From January 2017 to December 2019,the patients were divided into two groups by random number table.The control group was treated with high polymer splint fixation+mannitol+ice compress+cold treatment and detumescence.The test team was treated with thick dressing,protective common bandage,compression bandage,ice compress,cold treatment and external fixation.Results The time from admission to operation,the peak value of the increase of the peripheral diameter of the affected limb before operation,the peak value of the increase of the peripheral diameter of the affected limb after operation,the time of the active rehabilitation of the affected limb,the expenses related to perioperative detumescence were lower than those in the control group,the difference was statistically significant(P<0.05).The total incidence of trauma related adverse events and complications in the test team was lower than that in the control group(P<0.05).Conclusion The application of thick dressing in the pressure bandage can protect the skin and soft tissue,accelerate the swelling control and reduce the swelling pain of limbs,create conditions for rehabilitation and reduce the cost of treatment.