踝关节骨折术后棉垫加压配合冰敷疗效观察  

Clinical observation on curative effect of pressurized bandaging with cotton pad and ice compress to cure ankle fracture post-operation

作　　者：梁伟[1] 宋贤武[1] 季卫平[1] 

机构地区：[1]浙江省丽水市人民医院,浙江丽水323000

出　　处：《中医正骨》2009年第6期12-14,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:评价压迫加冰敷法对踝关节骨折术后患者的疗效。方法:将60例踝关节骨折(均为闭合Lauge-Hansen分型Ⅲ-Ⅳ损伤)患者随机分为两组,观察组(A组)30例,手术后运用棉垫加压并给予冰敷(每天4次,每次45 min)。对照组(B组)30例行常规处理。将两组疗效进行对照观察。①记录两组术后6、12、24 h静止和运动时VAS评分;②记录术后1、2、3 d内踝尖水平、胫骨下平台水平、内踩尖上5 cm水平周径。结果:压迫加冰敷组与对照组相比,压迫加冰敷组术后6、12、24 h静止和运动VAS评分明显低于对照组,两组相比有统计学差异。冷敷压迫组术后1、2、3 d内踝尖水平、胫骨下平台水平、内踝尖上5 cm水平周径差值显著优于对照组,两组相比有统计学差异。压迫加冰敷组完全能够耐受冰敷,没有出现因冰敷引起的不适反应。结论:棉垫加压并冰袋冰敷治疗有效,可以在术后减轻肿胀和疼痛,改善关节活动度,减少并发症,促进损伤修复。OBJECTIVE： To appraise the curative effect of pressurized bandaging with cotton pad and ice compress to cure ankle frac- ture post - operation. Methods： 60 cases of patients with ankle fractures （ allof them were close, type Lauge - Hansen, in Ⅲ-Ⅳ periods of injury）, were choosed for the experiment and randomly divided into two groups, group A （observe group, 30 cases, curative effect of pressurized bandaging with cotton pad and ice compress used, four times everyday and 45 minutes every time） and group B （30 eases, treated with common practice）. Curative effects of them were observed and compared. Scores of VAS on static and active times of 6 hours, 12 hours and 24hours post - operation in two groups were recorded, and the items as the perimeters of levels about the tip of medial malleolus, hypo - tibial plateau, 5cm above the tip of medial malleolus on times of one day, two days and three days post -operation were also recorded. Results：In two groups, the scores of group A were obviously infra to those of group B, there had statistical significance on difference. Also, the recorded datas of gruoup A were super to those of group B, there had statistical significance on difference. The patients of group A could completely accept ice compress and had no adverse reactions caused by it. Conclusion ：The mothod was effective on curing ankle fracture post -operation, for it could release swell and pain, improve motion of joint, decrease complication and promote reeoverey of injury.

关 键 词：踝关节 骨折 棉垫加压包扎 冷敷疗法 临床研究 

分 类 号：R687.3[医药卫生—骨科学]