冰硝散外敷与乙醇湿敷对胫腓骨骨折早期肢体疼痛和肿胀的疗效观察
| 作者: |
1吴谐,
1张丽娟,
1黄文霞,
1马茜,
1倪月娟,
1吴梦瑶
1 南京中医药大学附属苏州市中医医院护理部，江苏 苏州 215009 |
| 通讯: |
张丽娟
Email: 27487409@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.06.020 |
| 基金: | 苏州市科技局民生科技医疗卫生应用基础研究(SYSD2018162)。 |
摘要
目的：比较冰硝散外敷与乙醇湿敷对胫腓骨骨折患者早期肢体疼痛和肿胀的疗效。方法：根据入院先后顺序纳入77例胫腓骨骨折需行手术治疗的患者，随机分为对照组(24例)、乙醇湿敷组(26例)、冰硝散外敷组(27例)。对照组予常规止痛和消肿方法，乙醇湿敷组在常规治疗基础上加用75%乙醇湿敷，冰硝散外敷组在常规治疗基础上加用改良的冰硝散外敷。患者入院后开始干预；于入院时、入院干预24 h，48 h，72 h，168 h后观察3组患者的疼痛程度、肢体肿胀度；记录患者手术等待时间、住院总费用及住院期间并发症发生情况。结果：干预后，3组患者的肢体肿胀度和疼痛程度均较干预前显著降低(P<0.01)；乙醇湿敷组和冰硝散外敷组患者的肢体肿胀度在干预24 h和72 h时低于对照组(均P<0.05)，疼痛程度在干预24 h，72 h和168 h时低于对照组。而与乙醇湿敷组比较，冰硝散外敷组患者的肢体肿胀程度和疼痛程度在干预72 h时更轻(P<0.05)。另外，冰硝散外敷组患者的术前等待时间显著短于对照组和乙醇湿敷组(均P<0.05)，并发症发生率亦低于其他2组患者(均P<0.01)，且住院期间的医疗支出显著低于对照组(P<0.05)。结论：在常规治疗和护理的基础上，外治疗法可加速胫腓骨骨折患者肢体消肿，减轻疼痛，减少手术等待时间、医疗支出及并发症发生率，冰硝散外敷的效果优于75%乙醇湿敷。
关键词：
冰硝散；乙醇；胫腓骨骨折；肿胀；疼痛
Clinical observation of Bingxiao powder external application and wet application of 75% ethanol on treatment of swelling and pain after fracture of tibia and fibula
CorrespondingAuthor: ZHANG Lijuan Email: 27487409@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.06.020
Foundation: This work was supported by the Basic Research on Application of Minsheng Science and Technology in Medical and Health Care of Suzhou Science and Technology Bureau, China (SYSD2018162).
Abstract
Objective: To compare the effects of Bingxiao Powder external application and wet application of 75% alcohol in the early treatment of swelling after fracture of tibia and fibula. Methods: According to the order of admission, 77 patients with tibiofibular fractures requiring surgical treatment were randomly divided into 3 groups, including 24 patients in the control group, 26 patients in the 75% alcohol wet compress group, and 27 patients in the Bingxiao powder external application group. The patients in the control group received conventional method, the patients in the 75% alcohol wet compress group received wet compress with 75% alcohol on the basis of conventional treatment, and the patients in the Bingxiao powder external application group received Bingxiao powder external application on the basis of conventional treatment. The intervention began after admission, and the pain degree and limb swelling degree of the three groups of patients were observed at admission, 24 h, 48 h, 72 h and 168 h after admission. In addition, the waiting time for surgery, total hospitalization expenses and complications during hospitalization were recorded. Results: After intervention, the degree of limb swelling and pain in the three groups were significantly lower than before intervention (P<0.01).T he degree of limb swelling in the 75% alcohol wet compress group and the Bingxiao Powder external application group was lower than that in the control group at 24 h and 72 h after intervention (P<0.05), and the degree of pain was lower than that in the control group at 24 h, 72 h and 168 h after intervention. Compared with the 75% alcohol wet compress group, the degree of limb swelling and pain in the Bingxiao powder external application group was lighter at 72 h after intervention (P<0.05). In addition, the preoperative waiting time of the Bingxiao powder external application group was significantly shorter than that in the control group and the 75% alcohol wet compress group (P<0.05), the complication rate was also lower than that in the other 2 groups (P<0.01), and the medical expenditure during hospitalization was significantly lower than that in the control group (P<0.05). Conclusion: On the basis of routine treatment and nursing care, external treatment can accelerate the limb swelling of patients with tibiofibular fracture, reduce pain, the waiting time for surgery ,medical expenses and the complication rate. The effect of external application of Bingxiao powder is better than that of 75% alcohol wet application.
Keywords：
Bingxiao powder; alcohol; fracture of tibia and fibula; swelling; pain