中药涂搽法联合冷疗技术对骨折术后早期软组织肿胀疼痛患者的治疗效果  

Therapeutic Effect of Chinese Medicine Method Coating Combined with Cold Therapy on Patients with Early Soft Tissue Swelling and Pain after Fracture Operation

作　　者：曹紫秀 兰倩倩 CAO Zixiu;LAN Qianqian(Department of Orthopedics and Traumatology No.3,Xinfeng Hospital of Traditional Chinese Medicine,Ganzhou 341600,China)

机构地区：[1]江西省赣州市信丰县中医院骨伤三科,江西赣州341600

出　　处：《中国伤残医学》2024年第17期147-150,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨中药涂搽法联合冷疗技术对骨折早期软组织肿胀患者的治疗效果。方法:选取2023年1—12月江西省赣州市信丰县中医院收治的60例踝部骨折术后早期软组织肿胀疼痛患者作为研究对象,采用随机数字表法将其分为对照组和观察组,各30例。对照组采用常规护理,观察组在对照组基础上采用中药涂搽法联合冷疗技术护理,对比两组踝关节肿胀程度、疼痛程度、关节活动度、生活质量评分、护理满意度、并发症发生情况。结果:护理1、3 d后,观察组踝关节肿胀程度均低于对照组,差异有统计学意义(P<0.05)。护理24、48 h后,观察组疼痛视觉模拟评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组伸、屈、旋前、旋后等关节活动度、生活质量综合评定问卷-74各维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度为93.33%,高于对照组的70.00%,差异有统计学意义(P<0.05)。观察组并发症发生率为6.67%,低于对照组的26.67%,差异均有统计学意义(P<0.05)。结论:中药涂搽法联合冷疗技术用于踝关节骨折早期软组织消肿止痛,不仅可以减轻患者踝关节肿胀程度、疼痛程度,提高其生活质量和护理满意度,且能够降低并发症发生率。Objective:To investigate the therapeutic effect of Chinese medicine coating method combined with cold therapy on early soft tissue swelling and pain after fracture operation.Methods:A total of 60 patients with early soft tissue swelling pain of ankle fracture ankle fracture admitted to Xinfeng Hospital of Traditional Chinese Medicine in Ganzhou City,Jiangxi Province from January to December 2023 were selected as the research objects and divided into a control group and an observation group by random number table method,with 30 cases in each group.The control group was treated with routine nursing,and the observation group was treated with traditional Chinese medicine coating combined with cold therapy technology on the basis of the control group.The degree of ankle swelling,the degree of path,joint motion score,quality of life score,nursing satisfaction and complications of the two groups were compared.Results:After 1 and 3 d of nursing,the swelling degree of ankle joint in observation group were lower than those in the control group,with statistical significances(P<0.05).After 24 and 48 h of nursing,pain Visual Analogue Scalee scores of the observation group were lower than those in the control group,with statistical significances(P<0.05).After nursing,the joint motion of extension,flexion,pronation and supination,the scores of each dimension in the quality of life comprehensive evaluation questionnaire-74 were also higher than that in the control group,with statistically significant differences(P<0.05).The satisfaction rate of nursing care in the observation group was 93.33%,higher than 70.00%in the control group,with statistically significant differences(P<0.05).The incidence of complications in the observation group was 6.67%,lower than 26.67%in the control group,with statistical significances(P<0.05).Conclusion:The application of Chinese medicine coating combined with cold therapy for relieving swelling and pain of soft tissue in the early stage of ankle fracture can not only reduce the degree of ankle swell

关 键 词：踝部骨折 软组织肿胀中药涂搽法 冷疗技术 

分 类 号：R683[医药卫生—骨科学] R563.1[医药卫生—外科学]