保温护理在四肢骨折伴主要血管损伤患者护理中的应用效果

张巧红1，鱼红进2

（1.陕西省凤翔县医院，陕西 宝鸡，721400；2. 西安高新医院，陕西 西安，710075）

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摘要：

目的 探讨保温护理在四肢骨折伴主要血管损伤患者护理中的应用效果。方法 选取本院2013年2月至2016年1月收治的100例四肢骨折伴主要血管损伤患者为本次研究对象，采取信封式随机方法将其分为对照组与观察组，各50例。对照 组予以传统护理，术前、后均为常温22~25℃，观察组在传统护理的基础上实施保温护理，提高温度为30~35 ℃，术后予以烤灯局部照射至30~35℃，持续14 d，并观察两组患者的肿胀消退时间、视觉模拟评分（VAS 评分）、骨折伤口愈合及预后情况。结果 观察组患者的肿胀消退时间和VAS 评分均显著优于对照组，差异具有统计学意义（P<0.05）。观察组患者的愈合优良率 为100.00豫，对照组的愈合优良率为70.00%，观察组的愈合优良率显著高于对照组，差异具有统计学意义（P<0.05）。观察组 患者的预后情况显著优于对照组，差异具有统计学意义（P<0.05）。结论 保温护理在四肢骨折伴主要血管损伤患者护理中的 临床应用效果显著，可提高疗效，促进肿胀组织消肿，缓解疼痛，改善预后，值得在临床中推广实施。

关键词：保温护理；四肢骨折；血管损伤；肿胀消退

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)35-0162-02

Application effect of warm-keeping nursing for patients with limb fractures combined with major vascular injuries
ZHANG Qiao-hong1, YU Hong-jin 2
(1. the Hospital of Fengxiang County, Baoji 721400, China; 2. Xi``an Gaoxin Hospital, Xi``an 710075, China)

ABSTRACT: Objective To study and evaluate the clinical application effect of warm-keeping nursing for patients with limb fractures combined with major vascular injuries. Methods From February 2013 to January 2016, 100 patients with limb fractures combined with major vascular injuries admitted in our hospital were selected as the study objects, and divided into control group and observation group according to envelope random method, with 50 cases in each group. The control group was given the traditional nursing, the temperature was 22 to 25 ℃ before and after operation. The observation group was given warm-keeping nursing on the basis of the traditional nursing, and the temperature was improved to 30 to 35 ℃ by baked lamp for 14 d. The time for detumescence of the swelling tissue, VAS score, fracture healing and functional prognosis were compared between the two groups. Results The time for detumescence of the swelling tissue and VAS score in the observation group were significantly better than those in the control group, and the differences were statistically significant (P<0.05). The total effective rate of healing in the observation group was 100.00%, which was significantly higher than 70.00% in the control group, and the difference was statistically significant (P<0.05). The functional prognosis in the observation group were significantly better than that in the control group, and the difference was statistically significant (P<0.05). Conclusion The warm-keeping nursing for the patients with limb fractures combined with major vascular injury has remarkable effect, which can improve the therapeutic efficacy, promote detumescence of the swelling tissue, relieve pain, improve the prognosis, and it is worthy of promotion in clinic.
KEYWORDS: warm-keeping nursing; limb fractures; vascular injury; swelling subsided

参考文献：
[1] 彭晓惠,张志云.保温护理在四肢骨折伴主要血管损伤患者护理中 的应用[J].中国现代药物应用,2012,6(5):97-98.
[2] 胡春燕.33 例四肢长骨骨折伴主要血管损伤患者的围术期护理 [J].健康导报:医学版,2015,2(6):149.
[3] 吴再琴.四肢骨折合并血管损伤的临床观察及相应护理对策[J].中 国医药指南,2013,11(7):323-324.
[4] VALLIER HA,DOLENC AJ,MOORE TA.Early appropriate care: a protocol to standardize resuscitation assessment and to expedite fracture care reduces hospital stay and enhances revenue[J].J Orthop Trauma,2016, 30(6):306-311.
[5] 廖春妍.损伤控制骨科在骨盆骨折并血管损伤者中的护理分析[J]. 中国伤残医学,2014,22(10):216-217.
[6] 马惠敏,潘进社.损伤控制骨科理念在骨盆骨折合并血管损伤患者急救护理中的应用[J].中华现代护理杂志,2012,18(12):1431-1433.
[7] 王海英,蓝悦辉,樊安未,等.四肢骨折合并血管损伤的护理体会[J]. 中国药业,2012,21(a2):349-350.
[8] METSEMAKERS WJ,MORIARTY TF,NIJS S,et al.Influence of implant properties and local delivery systems on the outcome in operative fracture care[J].Injury,2016,47(3):595-604.
[9] 耿汝雪.颅底骨折患者的护理[J].健康导报:医学版,2015,2(11):86.
[10] 邓道维,雷光芬,田时亚,等.小儿肱骨外科颈骨折围手术期护理 [J].贵州医药,2013,37(10):951-952.
[11] 吴洪霞.小议儿童肱骨髁上骨折32 例护理体会[J].工企医刊,2014,27(1):610-611.