穴位敷贴联合雷火灸对股骨骨折术后患肢肿胀患者的影响  

Effect of Acupoint Application Combined with Thunder-Fire Moxibustion on Patients with Swelling of Affected Limbs after Femoral Fracture Surgery

作　　者：吴秋华 张明珠 牟小燕 朱一玲 WU Qiuhua;ZHUANG Mingzhou;MOU Xiaoyan;ZHU Yiling(Department of Orthopedics and Traumatology,Rugao Hospital of Traditional Chinese Medicine,Rugao 226500,China)

机构地区：[1]如皋市中医院骨伤科,江苏如皋226500

出　　处：《反射疗法与康复医学》2024年第22期37-40,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨穴位敷贴联合雷火灸对股骨骨折术后患肢肿胀患者的影响。方法选取2023年6月—2024年6月如皋市中医院收治的110例股骨骨折术后患肢肿胀患者为研究对象,按随机数字表法将其分为对照组和观察组,每组55例。对照组采用常规干预,观察组在对照组的基础上采用穴位敷贴联合雷火灸干预。比较两组的肢体肿胀程度、凝血功能、下肢血流速度。结果干预前,两组肢体肿胀程度、凝血功能、下肢血流速度比较,组间差异无统计学意义(P>0.05);干预后,观察组膝关节、髌骨上15 cm、髌骨下10 cm周径均小于对照组,凝血酶原时间、活化的部分凝血活酶时间均长于对照组,纤维蛋白原水平低于对照组,组间差异有统计学意义(P<0.05);观察组右股静脉、左股静脉血流速度分别为(18.30±1.65)cm/s、(19.67±1.82)cm/s,均快于对照组的(16.48±1.54)cm/s、(17.02±1.76)cm/s,组间差异有统计学意义(P<0.05)。结论对股骨骨折术后患肢肿胀患者给予穴位敷贴联合雷火灸治疗能有效减轻肿胀,可改善凝血功能与下肢血流速度。Objective To explore the effect of acupoint application combined with thunder-fire moxibustion on patients with swelling of the affected limb after femoral fracture surgery.Methods A total of 110 patients with swelling of the affected limb after femoral fracture surgery admitted to Rugao Hospital of Traditional Chinese Medicine from June 2023 to June 2024 were selected as the research objects,according to the random number table method,they were divided into a control group and an observation group,with 55 cases in each group.The control group received conventional treatment,the observation group received acupoint application combined with thunder-fire moxibustion treatment on the basis of the control group.Compare the degree of limb swelling,coagulation function and lower limb blood flow velocity between the two groups.Results Before intervention,when comparing the degree of limb swelling,coagulation function and lower limb blood flow velocity between the two groups,and the differences between the groups were no statistically significant(P>0.05);after treatment,the circumferences of the knee joint,15 cm above the patella and 10 cm below the patella in the observation group were all smaller than those in the control group,the prothrombin time and activated partial thromboplastin time in the observation group were longer than those in the control group,and the fibrinogen level was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05);the blood flow velocities of the right femoral vein and left femoral vein in the observation group were(18.30±1.65)cm/s and(19.67±1.82)cm/s respectively,which were both faster than (16.48±1.54)cm/s and (17.02±1.76)cm/s in the control group, and the differences between the groups were statistically significant (P<0.05). Conclusion For patients with swelling of the affected limb after femoral fracture surgery, acupoint application combined with thunder-fire moxibustion treatment can effectively reduce swelling and improve

关 键 词：股骨骨折 穴位敷贴 雷火灸 肿胀 凝血功能 

分 类 号：R274.12[医药卫生—中医骨伤科学]