皮肤牵引在成人股骨近端骨折中的应用。有什么影响,优点和缺点?范围审查

IF 1.5 Q3 NURSING
Melania Miedico , Fabrizio Quattrini , Salvatore Emanuele Attardo , Margherita Marchioni , Maria Chiara Bassi , Enrico Lucenti , Leopoldo Sarli , Massimo Guasconi
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引用次数: 0

摘要

背景髋关节手术通常是股骨近端骨折的首选治疗方法。建议在髋部骨折后24-48小时内进行手术,但手术可能并不总是及时进行。因此,应用皮肤牵引来减少并发症。本综述的目的是评估皮肤牵引的优点和缺点。方法进行范围界定审查。研究问题是:在骨科病房住院的股骨近端骨折成年患者中,皮肤牵引的效果、优点和缺点是什么?在PubMed、CINAHL、Cochrane、Embase、DOAJ、ClinicalTrials.gov和OpenDissertation数据库中进行搜索。结果包括9项记录,皮肤牵引效果总结为7类:疼痛、压疮、舒适和放松、血栓栓塞、粘合剂损伤、并发症和护理质量。可能的优点是在24到60小时之间减轻疼痛,可能的缺点是皮肤损伤。讨论和结论似乎不建议常规使用皮肤牵引,但需要更一致的证据来做出临床决定。未来的随机对照试验可以集中于住院后24-60小时和手术前皮肤牵引的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The use of skin traction in the adult patients with proximal femur fracture. What are the effects, advantages and disadvantages? A scoping review

Background

Hip surgery is normally the chosen therapy for proximal femur fractures. Surgery within 24–48 h after hip fracture is recommended, but surgery may not always be performed promptly. Consequently, skin-traction is applied to reduce complications. The purpose of this review is to assess both advantages and disadvantages of skin traction.

Methods

A scoping review was conducted. The research question was: which are the effects of skin traction, its advantages and disadvantages in adult patients with proximal femur fractures hospitalised in orthopaedic wards? The search was done in the databases PubMed, CINAHL, Cochrane, Embase, DOAJ, ClinicalTrials.gov and OpenDissertation.

Results

9 records were included, skin traction effects were summarised in 7 categories: pain, pressure sores, comfort and relaxation, thromboembolism, damage from adhesive, complications and quality of care. The possible advantage is pain reduction between 24 and 60 h, the possible disadvantage is skin damage.

Discussion and conclusion

The routine use of skin traction does not appear recommended, but more consistent evidence is necessary to make clinic decisions. Future RCTs could focus on the effects of skin traction 24–60 h after hospitalisation and before surgery.

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CiteScore
2.60
自引率
14.30%
发文量
34
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