下肢外展支垫的设计与贴附

Zhen-hua Xu, Jie Wang, J. Shen, Ying Huang, Qiaoyun Xi
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引用次数: 0

摘要

目的探讨自制的下肢外展支垫在骨科股骨颈骨折、股骨粗隆间骨折、股骨头置换术后帮助患者翻转的效果。方法2016年10月至2017年8月,在江苏省某上三甲医院骨科1科室随机抽取100例患者作为实验组,2科室随机抽取80例患者作为对照组。实验组采用下肢外展支垫,对照组采用枕头、靠背和衣服。比较两组患者舒适度、皮压伤发生率、关节脱位率及依从性。结果实验组舒适感评分为3级(感觉轻微疼痛和不舒服)的患者数量明显高于对照组(OD值为5.801,P<0.01),而舒适感评分为1级(感觉疼痛、难以忍受和极度不舒服)的患者数量明显低于对照组(OD值为0.168,P<0.01)。实验组应力损伤与脱位的比例较低(OD值为0.126,P=0.046)。两组股骨头置换术后脱位率(OD值为0.000,P=0.444)和下肢深静脉血栓形成率(OD值为0.000,P=1.000)比较,差异无统计学意义。结论下肢外展支垫能有效提高患者的舒适度,降低应激性损伤的发生率。关键词:骨科股骨颈骨折;转子间骨折;股骨头置换;支撑垫
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The design and adhibition of lower extremitas abduction brace pads
Objective To investigate the effect of the lower extremitas abduction brace pads which is designed by our team in helping patient turnover after orthopedic femoral neck fracture, intertrochanteric fracture, femoral head replacement. Methods Using prospective cohort study to facilitate sampling From October 2016 to August 2017, in an upper third-class hospital of Jiangsu province, we selected 100 patients in Orthopedics dept. No.1 at random as the experimental group and 80 patients in dept. No.2 as the control group. Lower extremitas abduction brace pads were used in experimental group and pillows, backrests and clothes were used in control group. Comfort level, incidence of skin pressure injury, joint dislocation rate and the compliance of the two groups were compared. Results The number of patients in experimental group who rated the comfort up to 3 (feel a little pain and uncomfortable) was much higher than that in control group (OD value was 5.801, P<0.01), while which rated 1 (feel painful, unbearable and extremely uncomfortable) was lower than that of control group (OD value was 0.168 ,P<0.01) . The ratio of stress injury and dislocation were lower in experimental group (OD value was 0.126, P=0.046). There was no significant difference between two groups in the ratio of dislocation after femoral head replacement (OD value was 0.000, P=0.444) and leg deep vein thrombosis (OD value was 0.000, P=1.000). Conclusion Lower extremitas abduction brace pads can effectively improve the comfort of the patients and reduce the ratio of stress injury. Key words: Orthopedic femoral neck fracture; Intertrochanteric fracture; Femoral head replacement; Brace pads
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