中药冷热喷联合足背点穴按摩在Pilon骨折早期肿胀中的应用观察(1)
[摘要] 目的 探讨中药冷热喷联合足背点穴按摩在Pilon骨折早期肿胀中的应用效果。 方法 分析我院骨外科2012年2月~2014年6月收治的Pilon骨折患者120例临床资料,依据方法不同进行临床分组,对照组60例和观察组60例。观察两组骨折患者肿胀消除时间和肌力评级情况,观察两组骨折患者护理后24 h、120 h肿胀疗效情况。 结果 观察组Pilon骨折早期肿胀患者肿胀消除时间和肌力评级均优于对照组(t=7.75,χ2=5.13,3.62,3.13, 4.95,24.56),观察组Pilon骨折早期肿胀患者护理后24 h、120 h肿胀疗效高于对照组,差异有统计学意义(χ2=14.25、30.81,P<0.05)。 结论 中药冷热喷联合足背点穴按摩Pilon骨折早期肿胀中的应用可以明显的消除肿胀和改善肌力,具有很好的疗效,值得临床推广应用。
[关键词] 中药冷热喷;足背点穴按摩;Pilon骨折;早期肿胀
[中图分类号] R248 [文献标识码] B [文章编号] 1673-9701(2015)15-0044-04
, 百拇医药
[Abstract] Objective To discuss application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage. Methods The 120 clinical datas of patients with Pilon fracture bone surgery in our hospital were analyzed,and divided into the control group and the observation group with 60 coses in each group. The elimination of time in patients with swelling and muscle strength rating of two groups patients with pilon fracture were detected,nursing after 24 h,120 h, the swelling curative effect of two groups patients with pilon fracture patients were detected. Results The elimination of time in patients with swelling and muscle strength rating of the observation group patients with pilon fracture were better than control group (t=7.75, χ2=5.13, 3.62, 3.13, 4.95, 24.56), nursing after 24 h, 120 h, the swelling curative effect of the observation patients with Pilon fracture were better than control group, the difference were statistical significance(χ2=14.25,30.81,P<0.05). Conclusion The application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage,which can obviously eliminate swelling and improve muscle strength,the curative effect is very good,and worth to be used.
, 百拇医药
[Key words] Traditional Chinese medicine hot and cold spray; Dorsal foot acupoint massage; Pilon fracture; Early swelling
Pilon骨折不是十分常见,属于负重的关节面和干骺端胫骨远端骨折类型,是高能量损伤的一种骨折,一般伴有不同程度的软组织损伤,很容易促使骨折部位的肿胀,对临床治疗和预后恢复均造成不良影响[1,2]。肿胀可能持续1~2周,血液和水肿液共同作用从而可能形成纤维瘢痕,肌肉、肌腱和关节囊等软组织发生纤维化,从而造成肢体功能受限,长时间的肿胀可能造成骨折患者残疾,进而影响患者的生活质量[3,4]。目前国内关于冷热喷的报道多集中在美容方面,关于Pilon骨折早期肿胀采用中药冷热喷治疗的报道相对较少[5]。本研究通过对我院收治的Pilon骨折患者临床资料进行分析,拟探讨中药冷热喷联合足背点穴按摩Pilon骨折中的应用效果情况,现将研究结果报道如下。
, http://www.100md.com
1 资料与方法
1.1 一般资料
选取我院骨外科2012年2月~2014年6月收治的Pilon骨折患者120例临床资料进行分析,60例Pilon骨折参照诊断标准和Ruedi-Allgower分型标准进行分型[5]:Ⅰ型为胫骨远端关节面劈裂性骨折,关节面没有移位;Ⅱ型为骨折关节面有明显的移位,骨折的粉碎不严重;Ⅲ型为关节面遭到严重破坏和胫骨远端严重的粉碎性骨折。依据方法不同进行临床分组,对照组60例,男33例,女27例,年龄19~66岁,平均(39.4±10.6)岁,骨折部位:左侧36例,右侧24例,Ruedi-Allgower分型:Ⅰ型26例,Ⅱ型19例,Ⅲ型15例。观察组60例,男34例,女26例,年龄20~67岁,平均(38.5±10.3)岁,骨折部位:左侧38例,右侧22例,Ruedi-Allgower分型:Ⅰ型28例,Ⅱ型16例,Ⅲ型16例。纳入标准:闭合性Pilon骨折;意识清晰,可以配合治疗;通过周径测量足踝部有不同程度的肿胀;排除标准:排除长期服用抗凝药物患者;排除多发性骨折患者;排除合并下肢血管神经损伤患者;排除患有严重的心、肾功能不全患者;排除中药过敏患者。两组患者性别、Ruedi-Allgower分型及骨折部位等一般资料无统计学差异(P>0.05)。见表1。, 百拇医药(黄冬红 蒋云甫 陈城)
[关键词] 中药冷热喷;足背点穴按摩;Pilon骨折;早期肿胀
[中图分类号] R248 [文献标识码] B [文章编号] 1673-9701(2015)15-0044-04
, 百拇医药
[Abstract] Objective To discuss application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage. Methods The 120 clinical datas of patients with Pilon fracture bone surgery in our hospital were analyzed,and divided into the control group and the observation group with 60 coses in each group. The elimination of time in patients with swelling and muscle strength rating of two groups patients with pilon fracture were detected,nursing after 24 h,120 h, the swelling curative effect of two groups patients with pilon fracture patients were detected. Results The elimination of time in patients with swelling and muscle strength rating of the observation group patients with pilon fracture were better than control group (t=7.75, χ2=5.13, 3.62, 3.13, 4.95, 24.56), nursing after 24 h, 120 h, the swelling curative effect of the observation patients with Pilon fracture were better than control group, the difference were statistical significance(χ2=14.25,30.81,P<0.05). Conclusion The application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage,which can obviously eliminate swelling and improve muscle strength,the curative effect is very good,and worth to be used.
, 百拇医药
[Key words] Traditional Chinese medicine hot and cold spray; Dorsal foot acupoint massage; Pilon fracture; Early swelling
Pilon骨折不是十分常见,属于负重的关节面和干骺端胫骨远端骨折类型,是高能量损伤的一种骨折,一般伴有不同程度的软组织损伤,很容易促使骨折部位的肿胀,对临床治疗和预后恢复均造成不良影响[1,2]。肿胀可能持续1~2周,血液和水肿液共同作用从而可能形成纤维瘢痕,肌肉、肌腱和关节囊等软组织发生纤维化,从而造成肢体功能受限,长时间的肿胀可能造成骨折患者残疾,进而影响患者的生活质量[3,4]。目前国内关于冷热喷的报道多集中在美容方面,关于Pilon骨折早期肿胀采用中药冷热喷治疗的报道相对较少[5]。本研究通过对我院收治的Pilon骨折患者临床资料进行分析,拟探讨中药冷热喷联合足背点穴按摩Pilon骨折中的应用效果情况,现将研究结果报道如下。
, http://www.100md.com
1 资料与方法
1.1 一般资料
选取我院骨外科2012年2月~2014年6月收治的Pilon骨折患者120例临床资料进行分析,60例Pilon骨折参照诊断标准和Ruedi-Allgower分型标准进行分型[5]:Ⅰ型为胫骨远端关节面劈裂性骨折,关节面没有移位;Ⅱ型为骨折关节面有明显的移位,骨折的粉碎不严重;Ⅲ型为关节面遭到严重破坏和胫骨远端严重的粉碎性骨折。依据方法不同进行临床分组,对照组60例,男33例,女27例,年龄19~66岁,平均(39.4±10.6)岁,骨折部位:左侧36例,右侧24例,Ruedi-Allgower分型:Ⅰ型26例,Ⅱ型19例,Ⅲ型15例。观察组60例,男34例,女26例,年龄20~67岁,平均(38.5±10.3)岁,骨折部位:左侧38例,右侧22例,Ruedi-Allgower分型:Ⅰ型28例,Ⅱ型16例,Ⅲ型16例。纳入标准:闭合性Pilon骨折;意识清晰,可以配合治疗;通过周径测量足踝部有不同程度的肿胀;排除标准:排除长期服用抗凝药物患者;排除多发性骨折患者;排除合并下肢血管神经损伤患者;排除患有严重的心、肾功能不全患者;排除中药过敏患者。两组患者性别、Ruedi-Allgower分型及骨折部位等一般资料无统计学差异(P>0.05)。见表1。, 百拇医药(黄冬红 蒋云甫 陈城)