优化预防方案在筋膜间室综合症患者中的应用.docxVIP

优化预防方案在筋膜间室综合症患者中的应用 匡巍，莫挺非 (深圳市横岗人民医院外三科，广东深圳503800) 摘要：目的观察和探讨筋膜间室综合症优化预防方案应用于夹板固定 后骨折骨折患者的效果与临床价值。方法 取150例各类骨折患者，均实施夹板 固定，随机均分为参照组与观察组各75例，参照组实施常规护理，观察组在常 规护理基础上进行优化预防，对两组发牛筋膜间室综合征的几率以及相应治疗情 况进行观察和对比，对优化预防方案在筋膜间室综合征治疗方面的临床价值进 行客观评价。结果参照组与观察组患者筋膜间室综合征发生几率分别为23.55%、 3.45%0结论通过优化预防方案的实施，筋膜间室综合征可得到有效预防以及 及早发现，使筋膜间室综合征所造成的致残率得以降低。 关键词：夹板固定；筋膜间室综合征；护理；优化预防 The splint fixed fascia compartment syndrome after optimizing preventive solution KUANG-Wei,MOTing-Fei (Shenzhen Henggang peoples hospital surgery,Shenzhen503800China) [Abstract]: Objective To observe and explore Compartment Syndrome optimize prevention programs used in splinting fractures in patients with post-fracture effect and clinical value. Methods 150 cases of various types of fracture patients in this study were implemented splint, which were randomly divided into observation group and the reference group of 75 cases, the ref ere nee group for patie nts with routi ne care of patie nts in the observati on group based on the optimization routine care prevention of the occurrenee of compartment syndrome groups the chanee to observe the situation and appropriate treatment and contrast for optimal prevention programs in the treatment of compartment syndrome objectively evaluate the clinical value. Results ref ere nee group and observation group were probability of occurrence of compartment syndrome were 23.55%, 3.45%. Conclusion By optimizing the implementation of prevention programs, compartment syndrome effective prevention and early detection can be obtained, so that compartment syndrome caused by the disability can be reduced. ［Keywords］: splint; compartment syndrome; care; optimize prevention 筋膜间室综合征在临床上又称之为骨筋膜综合症，是指患者骨间膜、 骨、肌间隔和骨筋膜之间出现的骨筋膜室内部神经以及肌肉在急性缺血状况下 造成的一系列早期体征与临床病症［1］。在临床治疗骨折患者的过程中，筋膜间 室综合征属于常见并发症的一种，若 未得到及吋救治则往往迅速进展，演变至 坏疽乃至坏死，对患者生 命健康造成严重威胁［2］。基于此，本文观察并探讨了 筋膜间室综合症优化预防方案应用于夹板固定后骨折骨折患者的效果与临床价 值，现报告如下。 1资料与方法 1.1病情资料 取2010年8月~2012年12月期间我院收治的各类骨折患者150例，所 有患者均采用夹板固定处理，其中男103例，女47例，年龄19-65岁，平均 年龄(39.45pl