摘要
目的 探讨闭合性胫腓骨骨折后肢体肿胀患者早期康复结合高压氧治疗的效果。方法 选择2011年2月~2014年12月重庆三峡中心医院骨科收治的闭合性胫腓骨骨折患者128例,按照随机数字表法将其分为对照组和试验组,每组64例。对照组给予常规药物治疗,并做跟骨牵引和石膏托固定;试验组在此基础上接受早期康复结合高压氧治疗。比较两组患者治疗前、治疗后第5天及治疗后第10天的伤肢周径;比较两组治疗至手术时间、伤肢消肿时间、疗效及术后并发症发生情况。结果 治疗后第5天试验组周径差[（1.69±0.39）cm]明显低于对照组的（3.47±0.41）cm,治疗后第10天分别为（0.64±0.29）cm和（1.54±0.37）cm,组间比较,差异均有统计学意义（P〈0.05）,表现为试验组肿胀改善更明显;与治疗前比较,治疗后第5天及第10天两组周径差均显著改善,差异均有统计学意义（P〈0.05）;与治疗后第5天比较,两组患者治疗后第10天的周径差均明显降低,差异有统计学意义（P〈0.05）;肿胀情况组间比较,试验组有效率为100.00%,显著高于对照组的79.69%,差异有统计学意义（P〈0.05）;试验组消肿时间为（6.03±1.23）d,明显短于对照组的（8.44±2.91）d,差异有统计学意义（P〈0.05）;试验组术后无并发症,从治疗到手术的平均时间为（7.2±1.4）d,而对照组术后并发症发生率为10.94%（骨不连1例,延迟愈合3例,伤口感染3例）,从治疗到手术的平均时间为（10.2±2.1）d。两组手术时间及术后并发症比较,差异均有统计学意义（P〈0.05）。结论 早期康复结合高压氧治疗闭合性胫腓骨骨折后肢体肿胀患者,疗效显著,能明显缩短消肿时间和手术时间,减少术后并发症的发生。
Objective To investigate the effect of early rehabilitation combined hyperbaric oxygen therapy on patients with limb swelling after closed fracture of tibia and fibula. Methods 128 patients with closed fracture of tibia and fibu- la hospitalized in the Department of Orthopedics of Central Hospital of Chongqing Three Gorges from February 2011 to December 2014 were selected. They were divided into control group and test group according to random number table, and 64 cases in each group. The control group were given routine drug therapy, and the calcaneal traction, plaster fixa- tion; the test group were received early rehabilitation combined with hyperbaric oxygen therapy in addition. The cir- cumference of injured limb of two groups before treatment and 5, 10 days after treatment were compared, and the swelling time of injured limb, curative effect, time of treatment to the operation and postoperative complications of two groups were compared. Results 5 days after treatment, the circumference difference in test group [（1.69±0.39） cm] was significantly lower than that of control group [（3.47±0.41） cm], 10 days after treatment were （0.64±0.29） cmand （1.54± 0.37） cm, comparison between two groups, the differences were statistically significant （P 〈 0.05）, for the performance, the swelling in test group showed more obviously. Circumferences of two groups for 5 days and 10 days after treatment were significantly improved compared with pre-treatment, the differences were statistically significant （P 〈 0.05）; the circumference in two groups after the treatment of 10 days was reduced obviously compared with 5 days after treatment, the difference was statistically significant （P 〈 0.05）. Comparison of swelling between groups, the efficiency of test group was 100%, significantly higher than the control group （79.69%）, the difference was statistically significant （P 〈 0.05）; the swelling time of test group was （6.03±1.23） d, significantly shorter than the control group [（8.44±2.91） d], the difference was statistically significant （P 〈 0.05）; no complication after operation in the test group, the average time from treatment to operation was （7.2±1.4） d, while the incidence of postoperative complications in the control group was 10.94% （1 cases of bone nonunion, delayed union in 3 cases, 3 cases of wound infection）, the average time from treatment to operation was （10.2±2.1） d, comparison of oper- ation time and postoperative complications of the two groups, the differences were statistically significant （P 〈 0.05）. Conclusion The early rehabilitation combined with hyperbaric oxygen with limb swelling after closed fracture of tibia and fibula shorten the swelling time and operation time, reduce the occurrence of postoperative complications, and the effect is significant.
出处
《中国医药导报》
CAS
2015年第21期51-54,共4页
China Medical Herald
关键词
胫腓骨骨折
肿胀
高压氧
早期康复
疗效
Fracture of tibia and fibula
Swelling
Hyperbaric oxygen
Early rehabilitation
Effect
