中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
33期
4257-4259
,共3页
革新推广%残肢伤口固定套%截肢
革新推廣%殘肢傷口固定套%截肢
혁신추엄%잔지상구고정투%절지
Innovation to promote%Wound fixed sets%Amputation
目的：利用自制残肢伤口固定套固定残肢伤口，探讨其临床应用效果。方法选择急诊行截肢手术的肢体毁损伤患者68例，随机分为观察组35例，术后利用自制残肢伤口固定套固定；对照组33例采用敷料外U型石膏固定。比较两组患者术后伤口引流量、局部肿胀程度、残肢皮肤压疮、伤口感染、邻近关节活动功能情况。结果观察组感染率为5．71％，皮肤压疮坏死率为8．57％，肿胀发生率为28．57％，均低于对照组（18．18％，15．15％，54．55％），差异有统计学意义（χ2值分别为3．810，3．340，4.790；P＜0．05）。观察组患者术后伤口引流量为（46．80±12．35） ml，邻近关节活动度为（145．68±13.20）°，对照组分别为（89．81±10．61）ml，（112．46±9．21）°，两组比较差异有统计学意义（t值分别为24．721，11．330；P＜0．05）。结论利用自制残肢伤口固定套固定残肢伤口，能减少伤口术后出血，促进肿胀消退，减少皮肤压疮，有利于早期邻近关节功能锻炼。
目的：利用自製殘肢傷口固定套固定殘肢傷口，探討其臨床應用效果。方法選擇急診行截肢手術的肢體燬損傷患者68例，隨機分為觀察組35例，術後利用自製殘肢傷口固定套固定；對照組33例採用敷料外U型石膏固定。比較兩組患者術後傷口引流量、跼部腫脹程度、殘肢皮膚壓瘡、傷口感染、鄰近關節活動功能情況。結果觀察組感染率為5．71％，皮膚壓瘡壞死率為8．57％，腫脹髮生率為28．57％，均低于對照組（18．18％，15．15％，54．55％），差異有統計學意義（χ2值分彆為3．810，3．340，4.790；P＜0．05）。觀察組患者術後傷口引流量為（46．80±12．35） ml，鄰近關節活動度為（145．68±13.20）°，對照組分彆為（89．81±10．61）ml，（112．46±9．21）°，兩組比較差異有統計學意義（t值分彆為24．721，11．330；P＜0．05）。結論利用自製殘肢傷口固定套固定殘肢傷口，能減少傷口術後齣血，促進腫脹消退，減少皮膚壓瘡，有利于早期鄰近關節功能鍛煉。
목적：이용자제잔지상구고정투고정잔지상구，탐토기림상응용효과。방법선택급진행절지수술적지체훼손상환자68례，수궤분위관찰조35례，술후이용자제잔지상구고정투고정；대조조33례채용부료외U형석고고정。비교량조환자술후상구인류량、국부종창정도、잔지피부압창、상구감염、린근관절활동공능정황。결과관찰조감염솔위5．71％，피부압창배사솔위8．57％，종창발생솔위28．57％，균저우대조조（18．18％，15．15％，54．55％），차이유통계학의의（χ2치분별위3．810，3．340，4.790；P＜0．05）。관찰조환자술후상구인류량위（46．80±12．35） ml，린근관절활동도위（145．68±13.20）°，대조조분별위（89．81±10．61）ml，（112．46±9．21）°，량조비교차이유통계학의의（t치분별위24．721，11．330；P＜0．05）。결론이용자제잔지상구고정투고정잔지상구，능감소상구술후출혈，촉진종창소퇴，감소피부압창，유리우조기린근관절공능단련。
Objective To discuss the clinical effect of homemade stump wound fixed sets for amputees. Methods From January 2010 to November 2013 we treated sixty eight cases of patients with smashed wound, who received emergency amputation surgery.We randomly selected thirty five cases of using homemade stump wound fixed sets as experimental group, and chosenthirty three cases of using the U-shaped plaster dressingmethodto dress outside wound as control group, comparing two groups with postoperative wound drainage, local swelling, stump skin pressure sores, wound infection, joint function close to the situation. Results In the experimental group, the infection rate was 5.71%, skin necrosis rate 8.57%, incidence of swelling 28.57%,while those rate in the control group were 18.18%,15.15% and 54.55% respectively, the differences were statistically signifcant (χ2 =3.81,3.34,4.79, respectively;P<0.05).In the experimental group, the wound drainage averaged (46.8.0 ±12.35) ml, and the activities degrees of neighboring joint was (145.68 ±13.20)°;meanwhile in the control group the wound drainage averaged (89.81 ±10.61)ml, and the activities degrees of neighboring joint was (112.46 ±9.21)°, the differences were statistically significant (t=24.721,11.330,P<0.05).Conclusions It is a commendable approach to promote homemade stump wound fixed sets for amputees, because it can significantly reduce postoperative bleeding, promote swelling, reduce skin pressure sores, and can contribute the function exerciseof the neighboring jointearlier.
