摘要
目的观察揿针联合冰硝散在踝关节骨折患者围手术期中的应用效果。方法选取2021年12月至2023年3月连云港市中医院骨伤科踝关节骨折住院手术患者60例进行随机对照试验。采用随机数字表法将患者分为治疗组和对照组,各30例。治疗组男15例,女15例,年龄(50.70±17.57)岁;患侧左16例,右14例;内踝骨折2例,外踝骨折6例,双踝骨折14例,三踝骨折8例。对照组男14例,女16例,年龄(51.87±19.43)岁;患侧左14例,右16例;内踝骨折2例,外踝骨折5例,双踝骨折16例,三踝骨折7例。所有患者均予踝关节骨折切开复位内固定术,术后常规治疗。治疗组除上述治疗外,另予揿针针刺内关、合谷穴结合冰硝散外敷,疗程1周。记录待手术天数,术后第1、7天测定患者视觉模拟量表(Visual Analogue Scale,VAS)评分、踝围、中医证候积分、局部皮肤温度、踝关节活动度及恶心呕吐发生次数。采用χ^(2)检验、t检验和Wilcoxon秩和检验。结果治疗组待手术天数少于对照组[(3.57±2.14)d比(5.00±2.08)d],差异有统计学意义(P<0.05)。术后第1天,治疗组VAS评分、踝围、肤温、跖屈角度、背屈角度、中医证候评分分别为(6.70±0.84)分、(59.23±2.06)cm、(36.34±0.14)℃、(11.30±1.12)°、(9.03±1.13)°、(16.03±2.61)分,对照组分别为(6.67±0.96)分、(59.17±1.93)cm、(36.30±0.10)℃、(11.53±1.33)°、(9.40±1.07)°、(15.77±2.27)分,差异均无统计学意义(均P>0.05)。术后第7天,治疗组VAS评分、踝围、肤温、中医证候评分均低于对照组[(2.30±0.75)分比(3.03±0.89)分、(56.23±1.74)cm比(57.33±1.97)cm、(36.07±0.08)℃比(36.13±0.09)℃、(7.30±2.37)分比(9.07±2.15)分],跖屈角度、背屈角度均高于对照组[(28.77±1.07)°比(25.40±1.40)°、(18.30±1.95)°比(15.67±1.40)°],差异均有统计学意义(均P<0.05)。治疗组有效率高于对照组[93.3%(28/30)比80.0%(24/30)],差异有统计学意义(P<0.05)。治疗组患者恶心呕吐次数2次,�
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.χ^(2),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 circumf
作者
徐海霞
罗海霞
卓冬砚
李亚伟
周迎光
Xu Haixia;Luo Haixia;Zhuo Dongyan;Li Yawei;Zhou Yingguang(Department of Orthopedics and Traumatology,Lianyungang Hospital Affiliated to Nanjing University of Chinese Medicine,Lianyungang Hospital of Traditional Chinese Medicine,Lianyungang 222004,China)
出处
《国际医药卫生导报》
2024年第3期443-448,共6页
International Medicine and Health Guidance News
基金
连云港市卫生科技项目(202017)
连云港市中医院“赵化南”青年科技基金项目(lygq2103)。
关键词
踝关节骨折
揿针
冰硝散
围手术期
中医护理
Ankle fractures
Thumbtack needles
Bingxiao San
Perioperative period
Traditional Chinese medicine nursing
