踝关节骨折术后张力性水疱的防治及效果观察OA

Objective To explore the effect of peroxide fatty acid ester wet compress combined with foam pad in the prevention and treatment of tension blisters in patients after ankle fracture surgery.Methods One hundred and sixty-eight postoperative patients with ankle fractures admitted to Zhengzhou Orthopedic Hospital from January 2022 to April 2023 were selected for the randomized controlled trial,and were divided into 4 groups by the random number table method,with 42 cases in each group.There were 26 males and 16 females in the control group,they were(45.15±7.82)years old;there were 23 cases of type A,14 cases of type B,and 5 cases of type C of Danis-weber.There were 24 males and 18 females in group A;they were(44.85± 7.96)years old;there were 22 cases of type A,13 cases of type B,and 7 cases of type C of Danis-weber.There were 27 males and 15 females in group B;they were(44.50±7.66)years old;there were 24 cases of type A,14 cases of type B,and 4 cases of type C of Danis-weber.There were 25 males and 17 females in group C;they were(45.20±7.93)years old;there were 24 case of type A,15 cases of type B,and 3 case of type C of Danis-weber.The control group were given routine methods to prevent and treat tension blisters;group A were treated with conventional methods and peroxide fatty acid ester wet compress;group B used conventional method+foam pad;group C were treated with the conventional method+fatty acid peroxide wet compress+foam pad.One-way ANOVA,non-parametric methods,and x2 test were used.Results The incidence of tension blisters in group C was lower than that in the control group[2.38％(1/42)vs.25.64％(10/39);x2=9.322,P=0.002].The affected area in group C was less than that in the control group[1 vs.4(2,5);U=6.154,P=0.008];the diameter of the largest blisters in the group C was shorter than that of the control group[2.0 cm vs.4.2(2.5,5.6)cm;U=12.415,P＜0.001].There was a statistical difference in the regression time of blisters between the 4 groups(F=3.529,P=0.021).The scores of physiological,psychological,spiritual,socio-cultural,and environmental comforts of the four groups were higher after than before the nursing;the scores of group A,group B,and group C were all higher than those of the control group;the scores of group C were higher than those of group A and group B;there were statistical differences(all P＜0.05).The total satisfaction rates of group A and group C were higher than that of the control group[85.37％(35/41)and 100.00％(42/42)vs.66.67％(26/39);x2=3.859 and 16.676,both P＜0.05];the rate of group C was higher than those of group A and group B[100.00％(42/42)vs.85.37％(35/41)and 83.33％(35/42);x2=6.625 and 7.636,both P＜0.05].Conclusion Peroxide fatty acid ester wet compress combined with foam pad in the prevention and treatment of tension blisters in patients after ankle fracture surgery is effective and ideal.