CAJ | 학술논문

目的比较3种不同处理方式对预防严重胫骨平台骨折后骨筋膜室综合征的效果.方法将90例严重胫骨平台骨折患者随机分为3组,小腿按压组患者30例给予小腿静脉按压,冰袋冷敷组患者30例给予冰袋冷敷,对照组30例进行常规护理,3组患者入院后均给予常规脱水剂快速静脉滴注.比较3组效果.结果在骨筋膜室综合征的发生率、张力性水疱、1周内皮肤皱褶方面冰袋冷敷组与对照组比较差异有统计学意义(1比4,3比9,22比15；x2值分别为4.284,3.822,3.875;P＜0.05),小腿按压组与对照组比较差异也有统计学意义(0比4,2比9,23比15；x2值分别为4.784,5.986,4.593;P ＜0.05)；而冰袋冷敷组与小腿按压组之间差异无统计学意义(x2值分别为0.005,0.215,0.085;P＞0.05).结论早期局部冰袋冷敷和小腿静脉按压均能减轻软组织的肿胀,预防骨筋膜室综合征发生.
목적 비교3충불동처리방식대예방엄중경골평태골절후골근막실종합정적효과.방법 장90례엄중경골평태골절환자수궤분위3조,소퇴안압조환자30례급여소퇴정맥안압,빙대랭부조환자30례급여빙대랭부,대조조30례진행상규호리,3조환자입원후균급여상규탈수제쾌속정맥적주.비교3조효과.결과 재골근막실종합정적발생솔、장력성수포、1주내피부추습방면빙대랭부조여대조조비교차이유통계학의의(1비4,3비9,22비15；x2치분별위4.284,3.822,3.875;P＜0.05),소퇴안압조여대조조비교차이야유통계학의의(0비4,2비9,23비15；x2치분별위4.784,5.986,4.593;P ＜0.05)；이빙대랭부조여소퇴안압조지간차이무통계학의의(x2치분별위0.005,0.215,0.085;P＞0.05).결론 조기국부빙대랭부화소퇴정맥안압균능감경연조직적종창,예방골근막실종합정발생.
Objective To compare the effect of three different process models on the compartment syndrome prevention after serious fracture of tibial plateau.Methods Totals of 90 cases with serious fracture of tibial plateau were randomly divided into three groups,with 30 cases every group,crus press group received the intervention of leg vein press,cold packs group received the cold packs intervention,and the control group received the traditional nursing care.All the patents received the rapid intravenous drip of dehydrant.Results The incidence of compartment syndrome,tension sex blisters,skin folds in one week of cold packs group was significantly different with that of control group( 1 vs 4,3 vs 9,22 vs 15;x2 =4.284,3.822,3.875,respectively;P ＜ 0.05 ),and between crus press group and control group,the difference was statistically significant (0 vs 4,2 vs 9,23 vs 15; x2 =4.784,5.986,4.593,respectively; P ＜ 0.05 ),while there was no significantly difference between cold packs group and crus press group( P ＞ 0.05 ).Conclusions The process model of leg vein press and cold packs early can alleviate the swell of soft tissue of patients with fracture of tibial plateau,so as to prevent the compartment syndrome occurring.