Effect of thumbtack needles combined with Bingxiao San for patients with ankle fractures during perioperative period
Objective To observe the effect of thumbtack needles combined with Bingxiao San for patients with ankle fractures during perioperative period.Methods From December 2021 to March 2023,60 patients with ankle fractures treated at Department of Orthopedics and Traumatology,Lianyungang Hospital of Traditional Chinese Medicine were selected for the randomized controlled trial.The patients were divided into a treatment group and a control group by the random number table method,with 30 cases in each group.In the treatment group,there were 15 males and 15 females who were(50.70±17.57)years old;there were 16 cases of left ankle fractures and 14 cases of right ankle fractures;there were 2 cases of medial malleolus fractures,6 cases of lateral malleolar fractures,14 cases of bimalleolar fractures,and 8 cases of trimalleolus fractures.In the control group,there were 14 males and 16 females who were(51.87± 19.43)years old;there were 14 cases of left ankle fractures and 16 cases of right ankle fractures;there were 2 cases of medial malleolus fractures,5 cases of lateral malleolar fractures,16 cases of bimalleolar fractures,and 7 cases of trimalleolus fractures.Open reduction and internal fixation of ankle fractures was given to all the patients,and they were treated routinely after the surgery.In addition to the above-mentioned treatments,the treatment group were acupunctured Neiguan and Hegu by thumbtack needles and took Bingxiao San for a course of 1 week.The number of days to be operated on was recorded.The patients'score of Visual Analogue Scale(VAS),ankle circumference,score of traditional Chinese medicine syndromes,local skin temperature,ankle mobility,and the number of episodes of nausea and vomiting were measured 1 and 7 days after the surgery.x2,t,and Wilcoxon rank-sum tests were used.Results The number of days to undergo surgery in the treatment group was less than that in the control group[(3.57±2.14)d vs.(5.00±2.08)d],with a statistical difference(P＜0.05).One day after the surgery,the VAS score,ankle circumference,skin temperature,plantar flexion angle,dorsiflexion angle,and score of traditional Chinese medicine symptoms in the treatment group were(6.70±0.84),(59.23±2.06)cm,(36.34±0.14)℃,(11.30± 1.12)°,(9.03±1.13)°,and(16.03±2.61),and those in the control group were(6.67±0.96),(59.17± 1.93)cm,(36.30±0.10)℃,(11.53±1.33)°,(9.40±1.07)°,and(15.77±2.27),respectively,with no statistical differences(all P＞0.05).Seven days after the surgery,the VAS score,ankle circumference,skin temperature,and score of traditional Chinese medicine symptoms in the treatment group were lower than those in the control group[(2.30±0.75)vs.(3.03±0.89),(56.23±1.74)cm vs.(57.33± 1.97)cm,(36.07±0.08)℃ vs.(36.13±0.09)℃,and(7.30±2.37)vs.(9.07±2.15)],and the plantar flexion angle and dorsiflexion angle in the treatment group were higher than those in the control group[(28.77±1.07)° vs.(25.40±1.40)° and(18.30±1.95)° vs.(15.67±1.40)°],with statistical differences(all P＜0.05).The effective rate of the treatment group was higher than that of the control group[93.3％(28/30)vs.80.0％(24/30)],with a statistical difference(P＜0.05).Nausea and vomiting occurred twice in the treatment group,and 4 times in the control group,with no statistical difference(P＞0.05).Conclusion Thumbtack needles combined with Bingxiao San for patients with ankle fractures after surgery can effectively reduce the occurrence of ankle pain and local heating,and improve their activity function,clinical symptoms,postoperative recovery,and quality of life.
Ankle fracturesThumbtack needlesBingxiao SanPerioperative periodTraditional Chinese medicine nursing
万方数据
维普
