首页|活血止痛汤联合耳穴埋豆治疗对胫腓骨骨折患者内固定术后疼痛、肿胀程度的影响

活血止痛汤联合耳穴埋豆治疗对胫腓骨骨折患者内固定术后疼痛、肿胀程度的影响

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目的 探讨活血止痛汤联合耳穴埋豆治疗在胫腓骨骨折患者中的应用效果.方法 选取 2021 年 12 月—2023 年 8 月我院收治的 88 例胫腓骨骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各 44 例.对照组采用常规治疗,观察组在对照组基础上加用活血止痛汤联合耳穴埋豆治疗.对比两组疼痛及肿胀程度、骨折康复情况及膝关节功能.结果 术后 1周,观察组疼痛视觉模拟评分为(1.35±0.26)分,肢体肿胀值为(0.55±0.12)cm,均低于对照组的(1.35±0.26)分、(0.80±0.15)cm,术后肢体消肿时间为(7.63±1.28)d,止痛时间为(5.69±0.78)d,骨折愈合时间为(82.59±6.17)d,均短于对照组的(8.99±1.30)d、(7.02±1.10)d、(90.33±5.48)d,美国纽约特种外科医院量表中的疼痛评分为(24.26±2.15)分,功能评分为(19.49±1.65)分,活动度评分为(16.92±1.80)分,肌力评分为(8.44±0.97)分,屈曲畸形评分为(7.13±0.55)分,稳定性评分为(8.07±0.61)分,均高于对照组的(21.33±2.64)分,(18.05±1.23)分,(15.55±0.49)分、(7.12±0.44)分、(7.84±0.40)分、(7.18±0.56)分,组间差异有统计学意义(P<0.05).结论 活血止痛汤联合耳穴埋豆治疗可以减轻胫腓骨骨折患者内固定术后疼痛、肿胀程度,促进骨折愈合,加快膝关节功能康复.
The Effect of Huoxue Zhitong Decoction Combined with Ear Point Embedding Bean Therapy on the Degree of Pain and Swelling in Patients with Tibiofibular Fractures after Internal Fixation Surgery
Objective To explore the effect of Huoxue Zhitong decoction combined with ear point buried beans in the treatment of patients with tibiofibular fracture.Methods 88 patients with tibiofibular fractures admitted to our hospital from December 2021 to August 2023 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 44 cases in each group.The control group was treated with routine treatment,and the observation group was treated with Huoxue Zhitong decoction combined with ear point buried beans on the basis of the control group.The degree of pain and swelling,fracture rehabilitation and knee joint function were compared between the two groups.Results One week after operation,the pain Visual Analogue Scale score and limb swelling value of the observation group were(1.35±0.26)points and(0.55±0.12)cm,which were lower than(1.35±0.26)points and(0.80±0.15)cm of the control group,the postoperative limb swelling time was(7.63±1.28)d,pain relief time was(5.69±0.78)d,fracture healing time was(82.59±6.17)d,which were shorter than(8.99±1.30)d,(7.02±1.10)d,(90.33±5.48)d of the control group,the pain score,function score,range of motion score,muscle strength score,flexion deformity score,and stability score of Hospital for Special Surgery Scale were(24.26±2.15)points,(19.49±1.65)points,(16.92±1.80)points,(8.44±0.97)points,(7.13±0.55)points,and(8.07±0.61)points,respectively,which were higher than(21.33±2.64)points,(18.05±1.23)points,(15.55±0.49)points,(7.12±0.44)points,(7.84±0.40)points,(7.18±0.56)points in the control group,the differences were statistically significant(P<0.05).Conclusion Huoxue Zhitong decoction combined with ear point buried beans can reduce the degree of pain and swelling in patients with tibiofibular fracture after internal fixation,promote fracture healing and accelerate the recovery of knee joint function.

Tibia and fibula fracturesHuoxue Zhitong DecoctionEar point burying beansPainSwellingFracture healingKnee joint function

刘振华

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菏泽市牡丹人民医院中医骨伤科,山东菏泽 274000

胫腓骨骨折 活血止痛汤 耳穴埋豆 疼痛 肿胀 骨折愈合 膝关节功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(2)
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