Effect of ultrasound transdermal delivery in children with swelling and pain after supracondylar fracture of the humerus
10.3760/cma.j.issn.1672-7088.2019.10.010
- VernacularTitle: 超声波经皮给药在儿童肱骨髁上骨折术后消肿镇痛中的临床干预效果研究
- Author:
Jihong FANG
1
;
Ying YIN
;
Fengqin WU
;
Tingting WANG
;
Shujuan ZUO
;
Yumei XIAO
Author Information
1. Department of Pediatric Orthopedics, Anhui Provincial Children′s Hospital, Hefei 230000, China
- Publication Type:Clinical Trail
- Keywords:
Ultrasound drug iontophoresis treatment;
Fracture;
Swelling;
Analgesia
- From:
Chinese Journal of Practical Nursing
2019;35(10):769-772
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of ultrasound transdermal delivery in children with swelling and pain after supracondylar fracture of the humerus.
Methods:Totally 103 cases of humeral supracondylar fractures from January to June 2017 were divided into control group (50 cases) and experimental group (53 cases) by random number table method. The control group was treated with conventional detumescence and intravenous drug therapy,while the experimental group was given the local target ultrasonic percutaneous delivery in accordance with the doctor′s advice on the basis of routine treatment. By comparing the two groups in terms of postoperative pain, swelling relief, starting time for getting out of bed, hospitalization time, and parental satisfaction of children, we investigated the effect of ultrasonic ultrasound transdermal delivery on children with swelling and analgesia after supracondylar fracture of the humerus.
Results:Postoperative pain relief and swelling relief were significantly reduced in the experimental group compared with the control group, and the difference between the two groups was statistically significant (P<0.05).The time of starting to get out of bed activity and hospitalization were respectively (8.20 ± 0.25) hours and (5.12 ± 0.27) days, and the control group was (23.80 ± 0.15) hours, (7.35 ± 0.38) days, respectively.The comparison was statistically significant (t=24.241, 7.654, all P<0.05). The parents' satisfaction in the experimental group was very satisfied, relatively satisfied, basically satisfied and unsatisfied, respectively 88.68% (47/53), 7.55% (4/53), 3.77% (2/53), 0, the control group was 64.00% (32/50), 26.00% (13/50), 10.00% (5/50), 0(0/50), the difference between the two groups was statistically significant (χ2=5.294 2, P<0.05).
Conclusions:The accuracy of ultrasonic percutaneous local target placement for the treatment of supracondylar fractures of the humerus in children is effective in the intervention of pain and swelling, and the comfort is better. It is a new choice for the treatment of limb fractures with pain in children.
