可控性细微运动对股骨骨折患者术后疼痛控制及功能恢复的影响  

Effects of controllable micromotion on postoperative pain control and functional recovery in patients with femoral fracture

作　　者：蒋阳[1] 王雁[1] 郭美凤[1] 陶宏明[2] JIANG Yang;WANG Yan;GUO Meifeng;TAO Hongming(The First Department of Orthopedics,Changzhou Traditional Chinese Medicine Hospital,Jiangsu Province,Changzhou213000,China;the Second Department of Orthopedics,Changzhou Traditional Chinese Medicine Hospital,Jiangsu Province,Changzhou213000,China)

机构地区：[1]江苏省常州市中医医院骨一科,江苏常州213000 [2]江苏省常州市中医医院骨二科,江苏常州213000

出　　处：《中国医药导报》2021年第9期104-107,共4页China Medical Herald

基　　金：江苏省中医药局科技项目(YB2017058)。

摘　　要：目的探究与分析可控性细微运动对股骨骨折患者术后疼痛控制及功能恢复的影响。方法选取2017年6月—2020年6月江苏省常州市中医医院收治的180例股骨骨折手术患者,按照随机数字表法将其分为对照组和观察组,每组各90例。对照组给予常规术后干预,观察组在对照组基础上加用可控性细微运动干预。两组均持续干预3周。比较两组术后疼痛程度、Lysholm评分及满意度。结果视觉模拟评分(VAS)整体分析发现:组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。组内比较:两组干预后3周、1个月、3个月VAS均低于干预前,差异均有统计学意义(均P<0.05);组间比较:观察组干预后3周、1个月、3个月VAS明显低于对照组,差异均有统计学意义(均P<0.05)。干预后,两组Lysholm各项评分均高于干预前,且观察组高于对照组,差异均有统计学意义(均P<0.05)。观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论在常规术后干预的基础上加用可控性细微运动能够明显降低疼痛程度,促进股骨骨折后日常功能恢复,提高患者的满意度。Objective To explore and analyze the influence of controllable micromotion on postoperative pain control and functional recovery in patients with femoral fracture.Methods A total of 180 patients with femoral fracture treated in Changzhou Traditional Chinese Medicine Hospital,Jiangsu Province from June 2017 to June 2020 were selected and they were divided into control group and observation group according to random number table method,with 90 patients in each group.The control group was given routine postoperative intervention,and the observation group was additionally treated with controlled fine motion intervention on the basis of control group.The intervention lasted for three weeks in both groups.The degree of postoperative pain,Lysholm score and satisfaction were compared between the two groups.Results Overall visual analogue scale(VAS)analysis showed that there were statistically significant differences in comparison between groups,time point comparison and interaction(P<0.05).Comparison within groups:VAS at three weeks,one month and three months after intervention in both groups were lower than before intervention,and the differences were statistically significant(all P<0.05).Comparison between groups:VAS in the observation group was significantly lower than that in the control group at three weeks,one month and three months after intervention,and the differences were statistically significant(all P<0.05).After intervention,Lysholm scores in both groups were higher than before intervention,and the observation group was higher than the control group,the differences were statistically significant(all P<0.05).The satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion On the basis of routine postoperative intervention,the use of controllable micromotion can significantly reduce the degree of pain,promote the recovery of daily function after femoral fracture,and improve the satisfaction of patients.

关 键 词：可控细微运动 股骨骨折 手术 疼痛控制 功能恢复 满意度 

分 类 号：R68[医药卫生—骨科学] R473.6[医药卫生—外科学]