首页|骨折张力性血性水泡去顶处理术与抽吸术临床效果的随机对照研究

骨折张力性血性水泡去顶处理术与抽吸术临床效果的随机对照研究

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目的 探讨去顶处理技术在骨折后并发张力性血性水泡的临床效果,为临床处理骨折后血性水泡提供新方法.方法 选取 2023 年 6 月 29 日-2024 年 4 月 30 日,在某院创伤骨科住院的踝关节骨折且合并张力性血性水泡的术前患者 86 例.采用单盲随机对照研究,分为实验组 43 例和对照组 43 例,实验组采用去顶处理技术,对照组采用抽吸技术,符合正态分布计量资料以均数±标准差表示((x-)±s),比较采用t检验,计数资料以例数和百分率表示,比较采用χ2检验,P<0.05 为差异有统计学意义.患者创面愈合时间、手术等待时间、换药次数.结果 最终完成研究实验组 42 例,对照组 41 例.实验组患者在创面愈合时间(5.12±1.84)天优于对照组(7.66±3.38)天,差异有统计学意义,P<0.05;实验组换药次数(3.26±1.15)次少于对照组(5.59±2.50)次,差异有统计学意义,P<0.05.手术等待时间实验组(7.43±1.98)天,虽然在时间上优于对照组(8.44±2.60)天,但差异无统计学意义,P>0.05.结论 去顶处理技术可促进创面愈合,缩短术前等待时间、减少换药次数、提高患者满意度,利于患者术后康复.
A Randomized Controlled Study of the Clinical Effect of Defecating Technique and Aspiration for Tension Blood Vesicles in Fractures
Objectives To investigate the clinical effect of defecating technique in the treatment of tension blood blisters after fracture,and provide a new method for the clinical treatment of blood blisters after fracture.Methods From June 29th,2023 to April 30th,2024,a total of 86 preoperative patients with ankle fracture combined with tension blood blisters were selected from the traumatic orthopedics department of a hospital.A single-blind randomized controlled study was conducted,which was divided into experimental group(43 cases)and control group(43 cases).The experimental group was treated with defecating technique,and the control group was treated with suction technique.Measurement data conforming to normal distribution were expressed as mean±standard deviation((x-)±s).P<0.05 was considered statistically significant.Wound healing time,operation waiting time,dressing changes.Results The experimental group was 42 cases and the control group 41 cases.The wound healing time of experimental group(5.12±1.84)days was better than that of control group(7.66±3.38)days,the difference was statistically significant,P<0.05;The number of dressing changes in the experimental group(3.26±1.15)was less than that in the control group(5.59±2.50),the difference was statistically significant(P<0.05).The operation waiting time of the experimental group was(7.43±1.98)days,which was better than that of the control group(8.44±2.60)days,but the difference was not statistically significant(P>0.05).Conclusions Defecating technique could promote wound healing,shorten the waiting time before surgery,reduce the number of dressing changes,improve patient satisfaction,and facilitate postoperative rehabilitation of patients.

Fracture tension blisterBloody blisterWound healingAccelerate recoveryDefecating technique

霍妍、臧青青、贾云洋、高昕超、米萌、谭杰

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首都医科大学附属北京积水潭医院,北京市,102208

骨折张力性水泡 血性水泡 创面愈合 加速康复 去顶技术

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(12)