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