中药冷热喷联合足背点穴按摩在Pilon骨折早期肿胀中的应用观察  

Application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage

作　　者：黄冬红[1] 蒋云甫[1] 陈城[1] 

机构地区：[1]浙江省中医院骨科,浙江杭州310002

出　　处：《中国现代医生》2015年第15期44-47,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(201328038)

摘　　要：目的探讨中药冷热喷联合足背点穴按摩在Pilon骨折早期肿胀中的应用效果。方法分析我院骨外科2012年2月~2014年6月收治的Pilon骨折患者120例临床资料,依据方法不同进行临床分组,对照组60例和观察组60例。观察两组骨折患者肿胀消除时间和肌力评级情况,观察两组骨折患者护理后24 h、120 h肿胀疗效情况。结果观察组Pilon骨折早期肿胀患者肿胀消除时间和肌力评级均优于对照组（t=7.75,χ2=5.13,3.62,3.13,4.95,24.56）,观察组Pilon骨折早期肿胀患者护理后24 h、120 h肿胀疗效高于对照组,差异有统计学意义（χ2=14.25、30.81,P〈0.05）。结论中药冷热喷联合足背点穴按摩Pilon骨折早期肿胀中的应用可以明显的消除肿胀和改善肌力,具有很好的疗效,值得临床推广应用。Objective To discuss application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage. Methods The 120 clinical datas of patients with Pilon fracture bone surgery in our hospital were analyzed,and divided into the control group and the observation group with 60 coses in each group. The elimination of time in patients with swelling and muscle strength rating of two groups patients with pilon fracture were detected,nursing after 24 h,120 h, the swelling curative effect of two groups patients with pilon frac- ture patients were detected. Results The elimination of time in patients with swelling and muscle strength rating of the observation group patients with pilon fracture were better than control group （t=7.75, X2=5.13, 3.62, 3.13, 4.95, 24.56）, nursing after 24 h, 120 h, the swelling curative effect of the observation patients with Pilon fracture were better than control group, the difference were statistical significance （X2=14.25,30.81 ,P〈0.05）. Conclusion The application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot aeupoint massage, which can obviously eliminate swelling and improve muscle strength,the curative effect is very good,and worth to be used.

关 键 词：中药冷热喷 足背点穴按摩 PILON骨折 早期肿胀 

分 类 号：R248[医药卫生—中医临床基础]