中药敷贴对胫腓骨闭合性骨折早期疗效的观察  

Dwessing in early stage of Closed tibiofibula fractume Study of the Curative effeet of Chinese medicine

作　　者：廉军孝 马丽[2] 宋国敏[1] 孙桂洁[1] Lian Junxiao;Ma Li;Song Guomin;Sun Guijie(Tianjin Hospital,Tianjin,300211;Guizhou Medcial University,Guiyang,550025)

机构地区：[1]天津市天津医院,天津300211 [2]贵州医科大学,贵州贵阳550025

出　　处：《辽宁医学杂志》2020年第1期6-9,共4页Medical Journal of Liaoning

摘　　要：目的观察中药敷贴改善胫腓骨闭合性骨折早期肿胀、疼痛及其他指标的护理干预效果,确定胫腓骨闭合性骨折早期护理干预方案,从而为临床骨折早期患者消肿止痛提供科学依据。方法按照便利抽样的方法,选取60例胫腓骨闭合性骨折住院治疗患者,按研究时间分为干预组和对照组。对照组接受常规术前消肿治疗护理,干预组在对照组的基础上,加用“冲和膏”中药敷贴。结果与对照组相比,干预后干预组患肢肿胀程度减轻、疼痛评分降低,瘀斑直径减小,差异有统计学意义(P<0.05);皮温变化不明显,差异无统计学意义(P>0.05);干预后干预组患者水泡发生个数、发生率低于对照组,差异有统计学意义(P<0.05);干预组生化指标低于对照组,差异有统计学意义(P<0.05)。结论中药敷贴能够有效改善胫腓骨闭合性骨折早期患者术前肿胀、疼痛;能够有效预防张力性水泡的发生;能够有助于减轻患者炎性反应,有效降低患者炎性反应生化指标CRP、D-DIMER,但对瘀斑消散效果缓慢,对患者皮温效果不明显,需进一步研究。Objective To observe the effect of nursing intervention on improving the early swelling,pain and other indexes of tibiofibular closed fracture with traditional Chinese medicine dressing,and to determine the early nursing intervention scheme of tibiofibular closed fracture,so as to provide scientific basis for relieving pain and swelling in early clinical fracture patients.Methods According to the convenient sampling method,60 patients with tibiofibular closed fracture were selected and divided into intervention group and control group according to the study time.The control group accepted traditional preoperative nursing in eliminating swelling and pain,the experimental group was given traditional health education and“Chonghegao”.Results Compared with the control group,the degree of the limb swelling,pain,Freckle diameter,the number and incidence of blisters,the degree of C-CRP,D-DIMER in experimental group was decreased,the difference was statistically significant(P<0.05);The degree of skin temperature in experimental group had no obvious change,the difference was no statistical significance(P>0.05).Conclusion Traditional Chinese medicine can significantly eliminate swelling and pain on patients with fracture of tibiofibula;can effectively prevent blisters occurred;can help reduce inflammatory reaction,reduce effectively the biochemical indicators CRP,D-DIMER,but for ecchymosis the effect is slow,for skin temperature it is invalid,the further experiment is needed.

关 键 词：中药敷贴 胫腓骨闭合性骨折 肿痛 

分 类 号：R274.1[医药卫生—中医骨伤科学]