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穴位贴敷联合艾灸干预对行髋关节置换术髋部骨折患者的影响 被引量:4

Effect of acupoint application combined with moxa-wool moxibustion on hip fracture patients undergoing hip arthroplasty
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摘要 目的探讨穴位贴敷联合艾灸干预对行髋关节置换术髋部骨折患者的影响。方法以2019年1月至2020年10月宁德市中医院收治的100例髋部骨折患者为研究对象,并将其按照随机数字表法分为对照组和观察组,每组50例。对照组患者术后予以常规干预,观察组患者在对照组干预方法的基础上予以穴位贴敷联合艾灸干预。比较2组患者的肿胀程度、凝血功能、疼痛程度及并发症发生率。结果干预14 d后,比较2组的肿胀程度改善情况发现,观察组的显效患者构成比高于对照组(P<0.05)。干预14 d后,2组的糖蛋白Ⅱb/Ⅲa(GPⅡb/Ⅲa)、血小板α-颗粒膜蛋白(GMP)-140、纤维蛋白原(FIB)及纤维蛋白降解产物(FDP)水平均低于干预前(P均<0.05);观察组的GPⅡb/Ⅲa、GMP-140、FIB及FDP水平均低于对照组(P均<0.05)。干预14 d后,观察组中度疼痛和重度疼痛患者的构成比低于对照组(P<0.05)。干预期间,对照组的并发症总发生率较观察组高,差异有统计学意义(P<0.05)。结论将穴位贴敷联合艾灸用于髋部骨折患者行髋关节置换术后的护理中可减轻其疼痛感,改善凝血功能和肢体肿胀程度,降低并发症总发生率。 Objective To investigate the effect of acupoint application combined with moxa-wool moxibustion on hip fracture patients undergoing hip arthroplasty.Methods One hundred hip fracture patients admitted to Traditional Chinese Medicine Hospital of Ningde from January 2019 to October 2020 were enrolled,and they were divided into a control group and an observation group by the use of random number table.Both groups contained 50 participants.The participants in the control group were given routine intervention after operation,and the participants in the observation group were given intervention of acupoint application combined with moxa-wool moxibustion based on the control group.The swelling degree,coagulation function,pain degree,and complication rate were compared between the two groups.Results By comparing the improvement of swelling between the two groups,it was found that after 14 days of intervention the proportion of patients with significant improvement in the observation group was higher than that in the control group(P<0.05).After 14 days of intervention,the levels of glycoproteinⅡb/Ⅲa(GPⅡb/Ⅲa),plateletα-granule membrane protein(GMP)-140,fibrinogen(FIB),and fibrin degradation product(FDP)in both groups were lower than those before intervention(all P<0.05),and the levels of GPⅡb/Ⅲa,GMP-140,FIB,and FDP in the observation group were lower than those in the control group(all P<0.05).After 14 days of intervention,the proportion of patients with moderate pain and severe pain in the observation group was lower than that in the control group(P<0.05).During the intervention period,the complication rate of the control group was higher than that of the observation group,with statistically significant difference(P<0.05).Conclusion Acupoint application combined with moxa-wool moxibustion can relieve the pain and limb swelling,improve the coagulation function,and reduce the complication rate in hip fracture patients after hip arthroplasty.
作者 叶丽英 YE Liying(Department of Orthopedics and Traumatology,Traditional Chinese Medicine Hospital of Ningde,Ningde,Fujian,352100,China)
出处 《中西医结合护理(中英文)》 2021年第11期65-68,共4页 Journal of Clinical Nursing in Practice
关键词 髋部骨折 髋关节置换术 穴位贴敷 艾灸 hip fracture hip arthroplasty acupoint application moxa-wool moxibustion
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