[1]王诗淇,张燕琴,徐瑞,等.冰硝散改良外敷装置干预胫腓骨骨折术前肿痛的临床疗效研究[J].西部中医药,2025,38(07):133-137.[doi:10.12174/j.issn.2096-9600.2025.07.26]
　WANG Shiqi,ZHANG Yanqin,XU Rui,et al.Intervention Effects of Modified External Application Device with Borneol-mirabilite Powder on Preoperative Swelling and Pain in Tibia and Fibula Fracture[J].Western Journal of Traditional Chinese Medicine,2025,38(07):133-137.[doi:10.12174/j.issn.2096-9600.2025.07.26]
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冰硝散改良外敷装置干预胫腓骨骨折术前肿痛的临床疗效研究()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年07期
页码:
133-137
栏目:
临床研究
出版日期:
2025-07-15

文章信息/Info

Title:
Intervention Effects of Modified External Application Device with Borneol-mirabilite Powder on Preoperative Swelling and Pain in Tibia and Fibula Fracture
作者:
王诗淇1,2, 张燕琴3, 徐瑞2, 张晓岚3, 杨敏2
1.汉中职业技术学院，陕西 汉中 723002
2.甘肃中医药大学，甘肃 兰州 730000
3.甘肃省中医院，甘肃 兰州 730050
Author(s):
WANG Shiqi1,2, ZHANG Yanqin3, XU Rui2, ZHANG Xiaolan3, YANG Min2
1.Hanzhong Vocational and Technical College, Hanzhong 723002, China
2.Gansu University of Chinese Medicine, Lanzhou 730000, China
3.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
胫腓骨骨折; 冰硝散; 改良外敷装置; 术前肿痛
Keywords:
tibia and fibula fracture; borneol-mirabilite powder; modified external application device; preoperative swelling and pain
分类号:
R274.1
DOI:
10.12174/j.issn.2096-9600.2025.07.26
文献标志码:
B
摘要:
目的观察冰硝散联合自行研制的改良外敷装置干预胫腓骨骨折患者术前肿痛的临床疗效，为骨折患者提供安全、有效的治疗方案。 方法选取114例胫腓骨骨折患者，采用随机数字表法分为常规组、对照组和观察组，每组38例。常规组接受院内基础治疗及常规护理；对照组在常规组基础上，使用50%硫酸镁湿敷，每日3次，每次20～30 min；?观察组在对照组基础上，采用冰硝散改良装置外敷，每日3次，每次2 h。3组均连续治疗5日，对比分析3组患者的肿胀值、肿胀分级及消肿率。 结果肿胀值干预前3组比较差异无统计学意义；干预后第1、3、5天，3组间比较差异有统计学意义（P＜0.05）；观察组与常规组比较差异有统计学意义（P＜0.05），而观察组与对照组、对照组与常规组之间差异无统计学意义（P＞0.05）。肿胀分级、消肿率干预前3组间比较，差异无统计学意义（P＞0.05），干预后组间比较差异有统计学意义（P＜0.05）。 结论冰硝散外敷可有效减轻胫腓骨骨折患者患肢肿胀、缓解局部疼痛，其疗效优于50%硫酸镁湿敷及常规治疗，有助于早期开展手术，缩短康复周期，提升患者生活质量。同时，改良外敷装置操作简便、患者舒适度高，能减少临床被服污染，降低护理工作量，具备良好的临床推广价值。
Abstract:
ObjectiveTo observe clinical effects of borneol-mirabilite powder and self-design modified external application device in the intervention of preoperative swelling and pain in tibia and fibula fracture, in order to provide the safe and effective therapeutic regimen for bone fracture patients. MethodsA total of 114 patients were chosen and allocated to the conventional group, the control group and the observation group using random number table method with 38 cases in each group. The conventional group accepted basic in-hospital treatment and routine care; and 50% magnesium sulfate wet dressing was given to the control group on the foundation of the conventional group, three times each day, 20 to 30 minutes once; and modified external application device with borneol-mirabilite powder was administered to the observation group, three times each day, twe hours once. Three groups were treated for five days consecutively, to compare and anayze swelling values, swelling grade and swelling reduction rate between three groups. ResultsThe difference had no statistical meaning in the swelling values before the intervention between three groups; the differences were statistically significant between the three groups after the intervention on the first, third and fifth day (P<0.05); the difference had statistical meaning when the observation group was compared with conventional group (P<0.05), while the difference had no statistical meaning when the observation group was compared with the control group, and the control group was compared with the conventional group (P>0.05). The difference had no statistical meaning in swelling grade and swelling reduction rates between three groups before the intervention (P>0.05), the difference showed statistical meaning between three groups after the intervention (P<0.05). ConclusionBorneol-mirabilite powder for external application could effectively relieve swelling of the affected limbs and local pain, and its clinical effects are better than these of 50% magnesium sulfate wet dressing and routine treatment, the therapy is conducive to launching the operation early, shortening rehabilitation cycle and lifting the patients’ quality of life. Meanwhile, modified external application device, easy to operate and high in patient comfort, could reduce the contamination of clinical bedding and clothing, and decrease the nursing workload, possessing good clinical promotion value.

相似文献/References:

[1]李爱萍.多功能外固定支架治疗胫腓骨开放性骨折的护理[J].西部中医药,2013,26(10):137.
　LI Aiping.Care for the Patients Suffering from Open Fracture of Tibiofibula Treated with Multifunctional Externally Fixation Bracket[J].Western Journal of Traditional Chinese Medicine,2013,26(07):137.

备注/Memo

备注/Memo:
王诗淇（1997—），女，硕士学位，助教。研究方向：外科护理，护理管理。甘肃省自然科学基金（22JR5RA636）；兰州市科技计划项目（2023-2-15）。
更新日期/Last Update: 2025-07-15