超声理疗对胫骨平台骨折术后患者疼痛及血管内皮功能的影响  

Effects of ultrasonic physiotherapy on pain and vascular endothelial function after tibial plateau fracture

作　　者：刘明伟 刘方 许晓晓 冯雪 LIU Ming-wei;LIU Fang;XU Xiao-xiao;FENG Xue(Department of Rehabilitation Medicine,Nanyang Nanshi Hospital,Nanyang,Henan 473000,China)

机构地区：[1]南阳南石医院康复医学科,河南南阳473000

出　　处：《医药论坛杂志》2023年第12期94-97,共4页Journal of Medical Forum

摘　　要：目的探讨胫骨平台骨折(tibial plateau fracture,TPF)患者应用超声理疗对其术后疼痛及血管内皮功能的影响。方法选取2018年3月—2020年3月于南阳南石医院接受治疗的97例TPF患者,所有患者均行手术治疗,依据随机数表法分为对照组(n=48)与观察组(n=49)。对照组采用常规康复治疗,在此基础上,观察组加用超声理疗,两组均连续治疗14 d,比较患者恢复效果,比较两组治疗前、治疗14 d后疼痛程度、血管内皮功能,同时比较两组治疗期间并发症发生情况。结果观察组首次下床活动时间、总住院时间及骨折愈合时间均短于对照组,差异有统计学意义(P<0.05);治疗14 d后,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗14 d后,APC、NO水平高于治疗前,sICAM-1水平低于治疗前,且观察组优于对照组,两组差异有统计学意义(P<0.05);观察组并发生症发生率4.08%(2/49)略低于对照组12.50%(6/48),但差异无统计学意义(P>0.05)。结论TPF患者术后采用超声理疗治疗效果显著,可有效促进患者早期下床活动,缩短住院时间,减轻疼痛程度,且可改善血管内皮活化功能,在一定程度上可降低并发症发生率,值得临床推广应用。Objective To investigate the effects of ultrasonic physiotherapy on postoperative pain and vascular endothelial function in patients with tibial plateau fracture(TPF).Methods A total of 97 TPF patients who received treatment in Nanyang Nanshi Hospital from March 2018 to March 2020 were selected.All patients underwent surgical treatment and were divided into control group(n=48) and observation group(n=49) according to random number table method.The patients in control group were treated with conventional rehabilitation therapy,and the patients in observation group were treated with ultrasonic physiotherapy on the basis of control group.The two groups were treated continuously for 14 days.The recovery effect of patients in the two groups was compared,and the pain degree and vascular endothelial function of the two groups were compared before and after treatment for 14 days,and the incidence of complications during treatment was compared between the two groups.Results The first time of getting out of bed,total hospital stay,and fracture healing time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).After 14 days of treatment,VAS scores in both groups were decreased,and VAS score in observation group was lower than control group,and the difference was statistically significant(P<0.05).After 14 days of treatment,APC and NO levels were increased,and sICAM-1 level was decreased,and these indexes in observation group were better than control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of complication was 4.08%(2/49) in observation group,which was slightly lower than 12.50%(6/48) in control group,but the difference was not statistically significant(P>0.05).Conclusion Postoperative ultrasonic physiotherapy for TPF patients had a significant effect,which could effectively promote early ambulation of patients,shorten the length of hospital stay,reduce the degree of pain,improve vascular endothelial

关 键 词：胫骨平台骨折 超声理疗 常规康复治疗 疼痛程度 血管内皮功能 并发症 

分 类 号：R493[医药卫生—康复医学]