CAJ | 학술논문

目的探讨弹力绷带在减轻臂闭合性骨折患者肿胀的效果.方法 2012年1-7月采用方便抽样方法选取广东省中医院珠海医院急诊科接受手法复位的前臂闭合性骨折患者86例,随机分为观察组和对照组,每组43例,观察组在手法复位后,对患处进行弹力绷带包扎,再行小夹板固定.对照组手法复位后,直接行小夹板固定.观察两组患者术后患肢肿胀程度、张力性水泡的发生率.结果复位后第7天肢体肿胀Ⅰ度和正常患者:观察组占83.72％,对照组占51.16％,两组患者患肢肿胀程度比较,差异有统计学意义(x2 =0.7675,P＜0.01).观察组患者发生张力性水泡2例,对照组15例,两组比较差异有统计学意义(x2 =11.918,P＜0.01).结论弹力绷带包扎对减轻骨折后患肢肿胀和张力性水泡的发生有一定效果.
목적 탐토탄력붕대재감경비폐합성골절환자종창적효과.방법 2012년1-7월채용방편추양방법선취광동성중의원주해의원급진과접수수법복위적전비폐합성골절환자86례,수궤분위관찰조화대조조,매조43례,관찰조재수법복위후,대환처진행탄력붕대포찰,재행소협판고정.대조조수법복위후,직접행소협판고정.관찰량조환자술후환지종창정도、장력성수포적발생솔.결과 복위후제7천지체종창Ⅰ도화정상환자:관찰조점83.72％,대조조점51.16％,량조환자환지종창정도비교,차이유통계학의의(x2 =0.7675,P＜0.01).관찰조환자발생장력성수포2례,대조조15례,량조비교차이유통계학의의(x2 =11.918,P＜0.01).결론 탄력붕대포찰대감경골절후환지종창화장력성수포적발생유일정효과.
Objective To study the effect of elastic bandage on alleviating limb swelling of patients with closed fracture of forearm.Methods Eighty-six cases of patients with closed fracture of forearm who had received manipulative reduction were randomly divided into the observation group and the control group,each with 43 cases.The observation group used elastic bandage to bind up and small splint for fixation after manipulative reduction,while the control group directly used small splint for fixation.Swelling degree and tension blister incidence were observed and compared between two groups.Results On the seventh day after manipulative reduction,patients with degree Ⅰ swelling or no swelling were 83.72％ in the observation group and 83.72％ in the control group.And there was statistically significant difference of swelling degree between two groups (x2 =0.7675,P ＜ 0.01).There was two cases of tension blister in the observation group and 15 in the control group,and the difference was statistically significant (x2 =11.918,P ＜ 0.01).Conclusions Elastic bandage is helpful to reduce limb swelling and tension blister in patients with fractures.