中药贴敷联合艾灸护理干预高龄胫腓骨骨折的效果  

Effectiveness of Traditional Chinese Medicine Application Combined with Moxibustion in Nursing Interventions for Elderly Tibia-fibular Fracture

作　　者：朱虹 潘依娟 ZHU Hong;PAN Yijuan(Min's Traumatology Department,Kunshan Traditional Chinese Medicine Hospital,Kunshan 215300,China;不详)

机构地区：[1]昆山市中医医院闵氏伤科,江苏昆山215300

出　　处：《中国医学创新》2025年第5期98-102,共5页Medical Innovation of China

摘　　要：目的:探讨采取中药贴敷联合艾灸护理对高龄胫腓骨骨折患者肢体肿胀、中医症候积分、髋关节功能的影响。方法:选择2021年1月-2023年12月昆山市中医医院收治的90例高龄胫腓骨骨折患者,按随机数字表法分成观察组、对照组,各45例。两组均采取手术治疗,术后对照组予以常规护理干预,观察组在对照组的基础上增加中药贴敷联合艾灸护理干预。比较两组肢体肿胀程度、疼痛程度[视觉模拟评分法(VAS)]、中医症候积分、康复指标、Harris髋关节功能评分及并发症发生情况。结果:术后7 d,两组肿胀程度、VAS评分均低于术后1 d,观察组均低于对照组,差异均有统计学意义(P<0.05)。术后14 d,两组各项中医症候积分均低于术前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。观察组下地负重时间早于对照组,住院时间、骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05)。术后1、3个月,两组Harris髋关节功能评分均高于术前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:针对高龄胫腓骨骨折行手术治疗患者,术后采取中药贴敷结合艾灸护理,可以显著缓解术后肢体肿胀度及疼痛程度,促进患者术后康复,降低中医症候积分及改善髋关节功能,降低术后并发症发生率。Objective:To investigate the effects of traditional Chinese medicine application combined with moxibustion nursing on limb swelling,traditional Chinese medicine syndrome score and hip joint function in elderly patients with tibia-fibular fracture.Method:A total of 90 elderly patients with tibia-fibular fracture admitted to Kunshan Traditional Chinese Medicine Hospital from January 2021 to December 2023 were selected and divided into observation group and control group according to random number table method,with 45 cases in each group.Both groups were treated with surgery,the control group was treated with routine nursing intervention,and the observation group was treated with traditional Chinese medicine application combined with moxibustion nursing intervention on the basis of the control group.Limb swelling degree,pain degree[visual analogue scale(VAS)],traditional Chinese medicine symptom score,rehabilitation index,Harris hip function score and complications were compared between the two groups.Result:At 7 d after surgery,the swelling degree and VAS scores of both groups were lower than those of 1 d after surgery,and those in the observation group were lower than the those in control group,the differences were statistically significant(P<0.05).At 14 d after surgery,the scores of traditional Chinese medicine symptoms in both groups were lower than those before surgery,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The weight-bearing time in observation group was earlier than that in control group,hospitalization time and fracture healing time were shorter than those in control group,the differences were statistically significant(P<0.05).At 1 month and 3 months after surgery,the Harris hip function scores of both groups were higher than those before surgery,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the

关 键 词：高龄胫腓骨骨折 中药贴敷 艾灸护理 肢体肿胀 中医症候积分 髋关节功能 

分 类 号：R248.2[医药卫生—中医临床基础]