摘要
目的对大血管断裂吻合术后并发骨筋膜室综合征的早期护理干预效果进行探讨分析。方法对2014年6月至2016年10月西双版纳州人民医院收治的62例大血管断裂吻合术的患者进行回顾性分析,分为观察组30例和对照组32例,其中观察组患者在血管断裂吻合术后采取早期护理干预,对照组患者采取常规护理。结果 2组患者的末梢血运、疼痛例数和肿胀程度比较,差异无统计学意义(P>0.05);而2组患者的间隙压力和血氧饱和度比较,差异有统计学意义(P<0.05)。与对照组比较,观察组患者的骨筋膜室综合征的发生率明显较低,而患者的满意度和创面的愈合率明显较高,住院时间明显减少,差异有统计学意义(P<0.05)。结论早期护理干预可以早期发现患者的末梢血运和辨别觉异常,可以有效地减少患者在大血管断裂吻合术后并发骨筋膜室综合征的发生率。
Objective To explore the effect of early nursing intervention on osseous fascia compartment syndrome after large vascular anastomosis. Methods A total of 62 patients underwent large vascular anastomosis in Xishuangbanna People＇s Hospital from June 2014 to October 2016 were retrospectively analyzed. The patients were divided into observation group（30 cases） and control group（32cases）. The patients in the observation group were treated with early care intervention after vascular anastomosis, the control group of patients to take routine. Results There was no significant difference between the two groups in terms of peripheral blood supply, number of pain cases and swelling（P〈0.05）. There was significant difference between the two groups in the gap pressure and oxygen saturation（P〈0.05）. Compared with the control group, the incidence of osseous fascia compartment syndrome was significantly lower in the observation group, and the satisfaction rate and wound healing rate were significantly higher, and the number of hospital days was significantly lower（P〈0.05）. Conclusion Early nursing intervention can detect the peripheral blood supply and discrimination in early stage, and make the incidence of osseous fascia compartment syndrome by posterior vascular anastomosis.
作者
何庆华
He Qinghua(Department of Orthopedics, Xishuangbanna People＇s Hospital, Xishuangbanna 666100, Yunnan, Chin)
出处
《血管与腔内血管外科杂志》
2017年第3期822-824,共3页
Journal of Vascular and Endovascular Surgery
关键词
护理干预
大血管断裂吻合术
骨筋膜室综合征
nursing intervention
large vascular anastomosis
osseous fascia compartment syndrome
