Effect of different process model on the compartment syndrome prevention after serious fracture of tibial plateau

Abstract

Objective To compare the effect of three different process models on the compartment syndrome prevention after serious fracture of tibial plateau.Methods Totals of 90 cases with serious fracture of tibial plateau were randomly divided into three groups,with 30 cases every group,crus press group received the intervention of leg vein press,cold packs group received the cold packs intervention,and the control group received the traditional nursing care.All the patents received the rapid intravenous drip of dehydrant.Results The incidence of compartment syndrome,tension sex blisters,skin folds in one week of cold packs group was significantly different with that of control group( 1 vs 4,3 vs 9,22 vs 15;x2 =4.284,3.822,3.875,respectively;P ＜ 0.05 ),and between crus press group and control group,the difference was statistically significant (0 vs 4,2 vs 9,23 vs 15; x2 =4.784,5.986,4.593,respectively; P ＜ 0.05 ),while there was no significantly difference between cold packs group and crus press group( P ＞ 0.05 ).Conclusions The process model of leg vein press and cold packs early can alleviate the swell of soft tissue of patients with fracture of tibial plateau,so as to prevent the compartment syndrome occurring. Key words: Fracture of tibial plateau; Compartment syndrome; Cold packs; Crus press