远红外线与紫外线联合康复训练对跟骨骨折患者的效果  

Effect of Far Infrared and Ultraviolet Combined Rehabilitation Training on Patients With Calcaneal Fracture

作　　者：李梓铭 管翠苹 念红佳 LI Ziming;GUAN Cuiping;NIAN Hongjia(Department of Hand and Foot Surgery,Liaocheng Traditional Chinese Medicine Hospital,Liaocheng Shandong 252000,China;Operating Room,Liaocheng Traditional Chinese Medicine Hospital,Liaocheng Shandong 252000,China;Department of Traditional Chinese Medicine Rehabilitation,Dongchang Respiratory Disease Hospital in Liaocheng,Liaocheng Shandong 252000,China)

机构地区：[1]聊城市中医医院手足外科,山东聊城252000 [2]聊城市中医医院手术室,山东聊城252000 [3]聊城东昌呼吸病医院中医康复科,山东聊城252000

出　　处：《中国卫生标准管理》2025年第4期114-118,共5页China Health Standard Management

摘　　要：目的 探讨远红外线与紫外线联合康复训练对跟骨骨折患者的效果。方法 选取2020年10月—2024年7月于聊城市中医医院开展跟骨骨折切开复位内固定术的78例患者。根据不同康复方法分为对照组(常规康复训练)与观察组(远红外线与紫外线联合康复训练),各39例。比较2组干预效果。结果 干预后,观察组Maryland足部评分为(88.24±4.66)分,高于对照组的(83.01±5.05)分,差异有统计学意义(P <0.001)。观察组跟骨交叉角与跟骨结节关节角分别为(103.45±1.36)°、(19.95±3.12)°,大于对照组的(92.45±2.15)°(、16.89±3.24)°,差异有统计学意义(P <0.001)。观察组疼痛评分与肿胀程度分别为(3.10±0.81)分、(1.08±0.25)cm,低于对照组的(4.52±0.83)分、(2.22±0.36)cm,差异有统计学意义(P <0.001)。观察组骨折愈合及切口愈合时间分别为(9.57±1.10)周、(12.35±2.51)d,短于对照组的(11.51±1.15)周、(18.81±3.64)d,差异有统计学意义(P <0.001)。观察组并发症总发生率为5.1%,低于对照组的23.1%,差异有统计学意义(P <0.05)。观察组患者总满意度高于对照组,差异有统计学意义(P <0.05)。结论 跟骨骨折经切开内固定治疗后,患者需接受一段时间的康复训练,期间增加远红外线与紫外线治疗有助于其功能康复,更好地改善患者患处疼痛感,缩短其切口愈合与功能恢复的时间,对减少并发症的发生具有积极作用。Objective To explore the effect of far infrared and ultraviolet combined rehabilitation training on patients with calcaneal fracture. Methods A total of 78 patients with calcaneal fracture underwent open reduction and internal fixation in Liaocheng Traditional Chinese Medicine Hospital from October 2020 to July 2024 were selected. According to different rehabilitation methods, they were divided into control group (routine rehabilitation training) and observation group (far infrared and ultraviolet combined rehabilitation training), with 39 patients in each group. The intervention effect of the two groups was compared. Results After intervention, the Maryland foot score in the observation group was (88.24±4.66) points, which was higher than (83.01±5.05) points in the control group, and the difference was statistically significant (P < 0.001). The cross-angle of calcaneal bone and joint angle of calcaneal tuberculum in the observation group were (103.45±1.36) ° and (19.95±3.12) °, respectively, which were higher than (92.45±2.15) ° and (16.89±3.24) ° in the control group, and the differences were statistically significant (P < 0.001). The pain score and swelling degree of the observation group were (3.10±0.81) points and (1.08±0.25) cm, respectively, which were lower than (4.52±0.83) points and (2.22±0.36) cm of the control group, and the differences were statistically significant (P < 0.001). The healing time of fracture and incision in the observation group was (9.57±1.10) weeks and (12.35±2.51) days, respectively, which were shorter than (11.51±1.15) weeks and (18.81±3.64) days of the control group, and the differences were statistically significant (P < 0.001). The total incidence of complications in the observation group was 5.1%, which was lower than 23.1% in the control group, and the difference was statistically significant (P < 0.05). The total satisfaction of patients in observation group was higher than that in control group, the difference was statistically significant (P < 0.05). Conc

关 键 词：跟骨骨折 切开复位内固定术 远红外线 紫外线 康复训练 足功能 并发症 

分 类 号：R683[医药卫生—骨科学]