| 可充气式气囊加压敷贴的研制及加压效果影响因素的病例对照研究 |
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投稿时间：2011-02-28
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| 期刊信息：《中国骨伤》2011年，第24卷，第7期，第582-584页 |
| DOI：10.3969/j.issn.1003-0034.2011.07.014 |
| 基金项目: |
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中文摘要:
目的：比较可充气式加压敷贴与传统加压包扎对外科手术伤口愈合的影响。
方法：将2009年5月至2010年2月入院接受手术治疗的50例闭合性股骨干骨折患者分为两组，每组25例。其中A组为试验组：年龄38～60岁，平均(55.1±9.5)岁；男13例，女12例；车祸伤18例，高处坠落伤6例，意外跌伤1例；术后伤口采用气囊加压敷贴包扎。B组为对照组：年龄40～65岁，平均(56.5±9.2)岁；男15例，女10例；车祸伤13例，高处坠落伤6例，意外跌伤6例；采用传统环扎加压包扎。观察术后12 h两组伤口引流量、患肢末梢血氧饱和度及患者满意率，以评价气囊式加压敷贴的加压及止血效果。
结果：A组患者术后12 h伤口引流量为(77.5±4.6) ml,低于同时间点B组术后伤口引流量(94.3±3.8) ml;术后12、24 h A组患者末梢血氧饱和度分别为(98.3±1.1)%、(98.9±0.8)%,均高于B组(96.5±0.4)%及(97.0±0.3)%;术后患者满意率A组高于B组。
结论：与环扎加压包扎比较，可充气式加压敷贴的加压止血效果无明显差异，但对患肢末梢血运的影响较小，且术后患者的不适感减轻。 |
| 【关键词】伤口愈合 气囊 压力 股骨 骨折 病例对照研究 |
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| Design and application of inflatable pressure applicator on the treatment of femoral shaft fractures:case control study |
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ABSTRACT
Objective: To compare the influence on the postoperative wound healing between inflatable pressure applicator and traditional pressure dressing.
Methods: From May 2009 to February 2010,50 patients with closed femoral shaft fractures were randomly divided into group A and group B,with 25 patients in each group. There were 13 males and 12 females in group A,ranging in age from 38 to 60 years,with an average of (55.1±9.5) years;of them,road accident was in 18 cases,fall from heigh was in 6 cases,accidental falling injury was in 1 case. There were 15 males and 10 females in group B,ranging in age from 40 to 65 years,with an average of (56.5±9.2) years;of them,road accident was in 13 cases,fall from heigh was in 6 cases,accidental falling injury was in 6 cases. There was no significant difference between two groups in clinical data. The postoperative wounds of group A were binded with dressing of inflatable pressure applicator;and of group B with traditional pressure dressing. Volume of drainage at 12 h after operation,saturation of blood oxygen at 12,24 h after operation,satisfactory rate of patients were compared between two groups.
Results: Postoperative volume of drainage in group A was lower than that of group B,respectively was(77.5±4.6),(94.3±3.8) ml. Saturation of blood oxygen at 12,24 h after operation in A group was respectively(98.3±1.1)%,(98.9±0.8)%,and in group B was respectively(96.5±0.4)%,( 97.0±0.3)%;there was significant difference between two groups at the same time. Satisfactory rate of patients in A group was better than that of group B.
Conclusion: Inflatable pressure applicator can obviously pressurize and stop bleeding for postoperative wounds,but no affect on peripheral blood supply and can improve discomfort of patients. |
| KEY WORDS Wound healing Air sacs Pressure Femur Fractures Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 罗冬冬,龚凯,程超.可充气式气囊加压敷贴的研制及加压效果影响因素的病例对照研究[J].中国骨伤,2011,24(7):582~584 |
| 英文格式: | LUO Dong-dong,GONG Kai,CHENG Chao.Design and application of inflatable pressure applicator on the treatment of femoral shaft fractures:case control study[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(7):582~584 |
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