艾灸联合TDP辅助治疗创伤性胫腓骨骨折的疗效观察  

Curative effect observation of moxibustion combined with TDP in the treatment of traumatic tibiofibular fracture

作　　者：孙晓东[1] Sun Xiaodong

机构地区：[1]郑州人民医院康复科

出　　处：《中国疗养医学》2019年第8期792-795,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨艾灸联合特定电磁波谱(TDP)辅助治疗创伤性胫腓骨骨折的疗效及对患者骨折愈合时间和VAS评分的影响。方法选取某院骨外科2016年5月至2018年2月收治的创伤性胫腓骨骨折患者160例,按照随机数表法均分为观察组和对照组,每组80例。对照组患者给予常规西医治疗,观察组患者在此基础上给予艾灸和TDP治疗。观察两组患者的临床疗效、X线骨痂评分,疼痛肿胀消失时间、骨折愈合时间、VAS评分变化并进行比较分析。结果观察组总有效率为90.00%,对照组总有效率为73.75%,两组之间差异有统计学意义(P<0.05)。治疗前两组患者骨痂量、骨痂密度、骨痂边缘和断端边缘X线评分比较,差异无统计学意义(P>0.05);治疗后观察组骨痂量、骨痂密度、骨痂边缘和断端边缘X线评分明显高于治疗前,且明显高于对照组,差异有统计学意义(P<0.05)。与对照组疼痛消失时间、肿胀消失时间、骨折愈合时间比较,观察组明显缩短,差异有统计学意义(P<0.05)。治疗前两组患者VAS评分比较,差异无统计学意义(P>0.05);治疗后两组患者的VAS评分均低于治疗前,与对照组相比,观察组降低更明显,差异有统计学意义(P<0.05)。结论艾灸联合TDP治疗创伤性胫腓骨骨折能够提高临床疗效,缩短疼痛、肿胀消失时间,促进骨痂生成,加快骨折的愈合。Objective To investigate the curative effect of moxibustion combined with TDP on traumatic tibiofibular fracture and its influence on fracture healing time and VAS score.Methods 160 cases of patients with traumatic tibiofibula fractures admitted to a bone surgery department from May 2016 to February 2018 were selected and divided into the observation group and the control group according to the random number table method,with 80 cases in each group.The patients in the control group were given conventional western medicine treatment while the patients in the observation group were given moxibustion,TDP treatment and conventional western medicine.The clinical efficacy,X-ray callus score,pain and swelling disappearance time,fracture healing time and VAS scores of the two groups were observed and compared.Results The effective rate of the observation group was 90.00% while the rate of the control group was 73.75%.There was a significant statistical difference between the two groups(P<0.05).There was no significant difference in the amount of callus,the density of callus,the edge of the callus and the edge of the broken end of the two groups before the treatment(P>0.05).The X-ray scores of the callus,callus density,the edge of the callus and the edge of the broken end of the observation group were significantly higher than those before the treatment and of the control group.The difference was statistically significant(P<0.05).Compared with the pain disappearance time,the swelling disappearance time and the fracture healing time of the observation group were significantly shortened compared with those of the control group and the difference was statistically significant(P<0.05).There was no significant difference in VAS scores between the two groups before the treatment(P>0.05) and the VAS scores of the two groups after the treatment were lower than those before the treatment.Compared with the control group,the decrease of the observation group was more obvious and the difference was of statistical significance(P<0.05)

关 键 词：艾灸 特定电磁波谱 创伤性胫腓骨骨折 X线 骨折愈合 

分 类 号：R683[医药卫生—骨科学]