高压氧联合药物治疗跟骨骨折疼痛的临床疗效观察  

Observation on the clinical efficacy of hyperbaric oxygen combined with drugs in the treatment of calcaneal fracture pain

作　　者：李芸香 高巧平[1] 霍雪臣[2] Li Yunxiang, Gao Qiaoping, Huo Xuechen(Yantai Municipal Yantaishan Hospital, Yantai 264000, Chin)

机构地区：[1]烟台市烟台山医院,山东省烟台264000 [2]烟台毓璜顶医院

出　　处：《中华航海医学与高气压医学杂志》2018年第1期19-21,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的探讨高压氧联合药物治疗对跟骨骨折疼痛控制的疗效。方法选取2016年1月至2017年5月入院的跟骨骨折患者64例，按所在病区分为试验组和对照组各32例。对照组进行常规的镇痛治疗及护理（如抬高患肢、冷敷、药物镇痛、消肿等），试验组在常规镇痛的基础上增加高压氧治疗。观察并比较2组患者围手术期疼痛数字等级评定量表（numerical rating scale, NRS）评分情况。结果试验组入院时、术后2 h疼痛评分与对照组比较差异无统计学意义（P〉0.05）。试验组术后3 d内静息痛最高疼痛评分[（5.0±1.5）分]、最低疼痛评分[（1.7±0.6）分]、平均疼痛评分[（2.5±1.0）分]，均明显低于对照组[（7.5±1.2）分、（3.2±0.7）分、（4.0±0.8）分]，差异均有统计学意义（P〈0.05）；试验组术后7 d运动病评分[（3.2±0.6）分]明显低于对照组[（4.6±0.8）分]，差异有统计学意义（P〈0.01）。结论高压氧联合药物治疗跟骨骨折，能够更好地缓解疼痛，提高患者生活质量，促进患者术后康复。ObjectiveTo investigate the effect of hyperbaric oxygen （HBO） combined with drugs in the treatment of calcaneal fracture pain.MethodsA total of 64 calcaneal fracture patients hospitalized from January, 2016 to May 2017 were evenly divided into the experimental group and the control group, each consisting of 32 patients. The control group received conventional analgesic therapy and routine nursing （e.g. elevation of injured limbs, cold compress, drug analgesia, repercussion or relieving of swelling etc.）, while the experimental group received HBO in addition to conventional analgesic therapy. NRS scores during the perioperative stage were observed and compared between the patients of the 2 groups.ResultsAt admission into hospital and 2 hours after surgery, there was no statistical significance in the NRS scores for the experimental group, as compared with those of the control group （P〉0.05）. The highest, lowest and average pain scores at rest for the experimental group 3 days after surgery were respectively 5.0±1.5, 1.7±0.6 and 2.5±1.0, while those of the control group were respectively 7.5±1.2, 3.2±0.7 and 4.0±0.8. The pain scores at motion for the experimental group 7 days after surgery were 3.2±0.6, while those of the control group were 4.6±0.8, with the former being obviously lower than the latter, and statistical significance could be seen when comparisons were made between them（P〈0.01）.ConclusionsHBO combined with drugs in the treatment of calcaneal fracture could obviously alleviate pain, improve patient life quality and promote recovery after surgery.

关 键 词：高压氧 跟骨骨折 疼痛 数字等级评定量表评分 

分 类 号：R459.6[医药卫生—治疗学] R683[医药卫生—临床医学]