下肢骨筋膜室综合征的早期观察及护理效果探讨

目的探讨下肢骨筋膜室综合征的早期观察方法及护理效果。方法选择56例患者,随机分为两组,其中观察组28例使用针对疼痛、肿胀、感觉功能和下肢颜色进行观察的护理方法;对照组28例实施常规护理,统计两组的预后,并进行组间比较。结果观察组患者出现疼痛至引起医师注意的时间和总住院时间均显著少于对照组（P〈0．05）,观察组痊愈率高于对照组（P〈0．05）,出现截肢和死亡等严重预后的比例低于对照组（P〈0．05）。结论认真观察、仔细排除以及积极认真的护理对骨筋膜室综合征的防治具有重要意义。

Early observation and the nursing effect discuss on lower limbs with osteofascial compartment syndrome

Objective To investigate the methods of early observation and the nursing effect of lower limbs with osteofascial compartment syndrome. Methods Fifty-six cases of patients were randomly divided into two groups, 28 cases of observation group were given intensive nursing on pain, swelling, sensory function and lower extremity color, and the 28 cases of control group were given routine nursing only. Prognosis of the two groups were analyzed and compared. Results The time from appear pain to arouse the physician attention and the length of stay in observation group were remarkable less than that of control group （P 〈 0.05）, the cure rate of observation group was higher than that of control group （P 〈 0.05）, the rate of appeared serious prognosis of amputation and death were lower than that of control group （P 〈 0.05）. Conclusion It has important clinical significance for preventing and treating osteofaseial compart- ment syndrome with careful, active and serious nursing observation.