首页|甘露醇联合心理干预对四肢骨折术后肿胀的影响观察

甘露醇联合心理干预对四肢骨折术后肿胀的影响观察

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目的 观察研究甘露醇联合心理干预对四肢骨折术后肿胀的影响.方法 选取德清县人民医院骨科2013年1月~2015年3月收治疗的骨折手术的患者共96例,按随机数字表法分为观察组和对照组,各48例.对照组患者给予甘露醇治疗,观察组患者给予甘露醇联合心理干预,记录2组患者骨折术后肿胀消肿、焦虑、抑郁情况.结果 ①观察组患者治疗后消肿时间为(7.02±1.02)d,优于对照组(9.87±1.23)d,且差异有统计学意义(P<0.05).②观察组患者治疗后第6天和第9天前臂患肢周径分别为(25.76±1.06)cm和(23.15±0.76)cm,均低于对照组(27.12±1.10)cm和(24.20±0.79)cm,且差异有统计学意义(P<0.05).观察组患者治疗后第6天和第9天小腿患肢周径分别为(35.18±0.74)cm、(32.04±0.31)cm,均低于对照组(36.76±0.78)cm、(33.17±0.37)cm,且差异有统计学意义(P<0.05).③观察组患者治疗后焦虑及抑郁平均均低于对照组,且差异有统计学意义(P<0.05).结论 甘露醇联合心理干预治疗四肢骨折术后肿胀的效果显著,能明显减轻患者术后疼痛,值得临床进一步研究和应用.
Effect of mannitol combined with psychological intervention on post-operative swelling of extremities fractures
Objective To observe the influence mannitol combined with psychological intervention on post-operative swelling of extremities fractures.Methods96 patients from January 2013 to March 2015, were randomly divided into observation group and control group of 48 cases.In the control group were treated with mannitol treatment, observation group were treated with mannitol combined with psychological intervention, the two groups were recorded cases of fracture after swelling sweling.Results①After treatment, patients swelling time was (7.02+1.02) d, than the control group (9.87±1.23) d, and the difference was statistically significant (P<0.05).②The observation group were 6 days and 9 days after treatment forearm limb circumference, respectively (25.76±1.06) cm, (23.15±0.76) cm, were lower than in the control group (27.12±1.10) cm, (24.20±0.79) cm, and the difference was significant sex (P<0.05).The observation group were 6 days and 9 days after treatment were leg limb circumference (35.18±0.74) cm, (32.04±0.31) cm, were lower than in the control group (36.76±0.78) cm, (33.17±0.37) cm, and the difference was significant sex (P<0.05).③ Observation group patients after the treatment of anxiety and depression were on average lower than the control group, and the difference was statistically significant (P<0.05).ConclusionMannitol combined with psychological intervention effect fracture surgery swelling of extremities significant, can significantly reduce the postoperative pain is worthy of further research and application.

glycerol and fructosepsychological interventionlimb swellingfracture

沈如平、胡佳佳

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浙江省德清县人民医院 外科,浙江 湖州 313216

台州市中心医院骨科,浙江 台州 318000

甘露醇 心理干预 骨折 肢体肿胀

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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