首页|多元化疼痛干预结合康复训练对跟骨骨折术后患者疼痛及肿胀程度的影响

多元化疼痛干预结合康复训练对跟骨骨折术后患者疼痛及肿胀程度的影响

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目的 探讨多元化疼痛干预结合康复训练在跟骨骨折(CF)患者中的应用效果.方法 选择苏北人民医院2020 年 3月—2023年 2 月收治的 70 例CF患者为研究对象,按随机数字表法将其分为对照组及观察组.两组患者均接受手术治疗,术后,对照组(n=35)进行常规康复训练,观察组(n=35)在此基础上采用多元化疼痛干预,均随访至术后3 个月.对比两组患者的疼痛程度、肿胀程度及并发症发生情况.结果 观察组护理后的疼痛视觉模拟评分为(3.12±0.52)分,低于对照组的(4.60±0.78)分,差异有统计学意义(P<0.05).观察组护理后的踝周径差为(2.18±0.29)cm,大于对照组的(1.02±0.20)cm,差异有统计学意义(P<0.05).观察组的并发症发生率为 5.71%,低于对照组的 22.86%,差异有统计学意义(P<0.05).结论 多元化疼痛干预结合康复训练在CF术后患者中的应用效果较好,可减轻其疼痛与肿胀程度,还可减少术后并发症的发生,值得临床推广使用.
Effect of Diversified Pain Intervention Combined with Rehabilitation Training on Postoperative Pain and Swelling Degree in Patients with Calcaneal Fractures
Objective To investigate the effect of diversified pain intervention combined with rehabilitation training in patients with calcaneal fracture(CF).Methods 70 CF patients admitted to Subei People's Hospital from March 2020 to February 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method.After surgery,the control group(n=35)received routine rehabilitation training,and the observation group(n=35)received diversified pain intervention on this basis.Both groups were followed up until 3 months after surgery.The degree of pain,swelling and complications were compared between the two groups.Results After nursing,the pain Visual Analogue Scale score in the observation group was(3.12±0.52)points,lower than(4.60±0.78)points in the control group,the difference between the groups was statistically significant(P<0.05).After nursing,the periankle diameter difference in the observation group was(2.18±0.29)cm,greater than(1.02±0.20)cm in the control group,the difference between the groups was statistically significant(P<0.05).The incidence of complications in the observation group was 5.71%,lower than 22.86%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of diversified pain intervention combined with rehabilitation training in patients with CF after surgery has a good effect,which can reduce the degree of pain and swelling,and reduce the occurrence of postoperative complications,and is worthy of clinical promotion.

Calcaneal fractureDiversified pain interventionRehabilitation trainingPainSwelling

张巍琼、尤玮、徐燕

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江苏省苏北人民医院手足骨科 303病区,江苏扬州 225800

跟骨骨折 多元化疼痛干预 康复训练 疼痛 肿胀

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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