首页|主动疼痛管理与康复锻炼管理联用对踝关节骨折患者的影响

主动疼痛管理与康复锻炼管理联用对踝关节骨折患者的影响

Analysis of the impact of active pain management combined with rehabilitation exercise on the management of ankle fractures

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目的 观察主动疼痛管理与康复锻炼管理联用对踝关节骨折患者的影响效果.方法 选择2021年2月至2023年9月踝关节骨折病例70例为观察样本,采用随机数字表法分组为观察组和对照组,每组35例.对照组以踝关节骨折常规式护理法开展护理活动,观察组于此基础上加用主动疼痛管理与康复锻炼管理联合干预机制,对2组干预后的疼痛状况、炎性因子水平、踝关节功能恢复效果及自理能力等观察指标进行比较.结果 干预后,观察组视觉模拟评分法(VAS)疼痛评分为(2.20±0.47)分,低于对照组的(3.43±0.65)分,差异有统计学意义(P<0.05);观察组血清白细胞介素-6(IL-6)水平为(19.03±4.17)pg/ml,C-反应蛋白(CRP)水平为(5.39±1.17)pg/ml,分别低于对照组的(23.31±5.03)pg/ml及(7.20±2.19)pg/ml,差异有统计学意义(P<0.05);观察组Baird踝关节评分为([94.09±1.54)分、美国足踝外科协会(AOFAS)踝与后足评分为(89.86±1.54)分,分别高于对照组的([90.17±1.52)分与(84.00±1.33)分,差异有统计学意义(P<0.05);观察组日常生活自理能力(ADL)评分为(75.63±2.43)分,高于对照组的(71.40±2.24)分,差异有统计学意义(P<0.05).结论 将主动疼痛管理与康复锻炼管理联用于踝关节骨折病例中,可发挥减痛、降低炎性因子水平、提升踝关节功能恢复效果与自理能力等诸多积极作用.
Objective To observe the effect of active pain management combined with rehabilitation exercise on the management of ankle fractures.Methods Seventy cases of ankle fractures treated from February 2021 to September 2023 were selected.Using a random number table,they were randomly divided into the experimental group(active pain management combined with rehabilitation exercise plus routine nursing care)and control group(routine nursing care),with 35 cases per group.The level of pain,inflammatory factors,recovery of ankle function and self-care ability were compared between the two groups after intervention.Results After intervention,the Visual Analogue Scale(VAS)score was significantly lower in the experimental group than the control group([2.20±0.47]points vs[3.43±0.65]points,P<0.05).Serum IL-6([19.03±4.17]pg/ml vs[23.31±5.03]pg/ml)and C-reactive protein(CRP,[5.39±1.17]pg/ml vs[7.20±2.19]pg/ml)were significantly lower in the experimental group than the control group(both P<0.05).The Baird-Jackson score([94.09±1.54]points vs[90.17±1.52]points)and the American Orthopaedic Foot and Ankle Society(AOFAS,[89.86±1.54]points vs[84.00±1.33]points)score were significantly higher in the experimental group than the control group(both P<0.05).The Activities of Daily Live(ADL)score was significantly higher in the experimental group than the control group([75.63±2.43]points vs[71.40±2.24]points,P<0.05).Conclusion The combination of active pain management and rehabilitation exercise can play a positive role in reducing pain,reducing the level of inflammatory factors,improving the functional recovery effect of ankle joint and self-care ability in patients with ankle fractures.

active pain managementrehabilitation exercise managementankle joint fractureinflammatory factorsankle joint function

朱静文、吴科荣、李国远

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236300 安徽省阜阳市,阜阳师范大学附属医院阜南县人民医院骨二科

中国科技大学附属第一医院安徽省立医院

主动疼痛管理 康复锻炼管理 踝关节骨折 炎性因子 踝关节功能

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(23)