摘要
目的:观察止痛消肿散外敷联合功能锻炼对下肢骨折患者术后膝关节功能的影响。方法:将110例下肢骨折术后患者按照随机数字表法分为对照组和观察组,每组各55例。对照组给予抬高患肢,患肢局部按摩、热敷及术后对症治疗等干预方式,并指导患者进行功能锻炼,观察组在对照组治疗的基础上采用止痛消肿散外敷治疗。比较两组患者的临床疗效及治疗前后疼痛肿胀程度评分、膝关节功能变化情况。结果:观察组有效率为92.73%,高于对照组的78.18%,差异具有统计学意义(P<0.05)。两组患者治疗后肿胀程度评分、疼痛视觉模拟评分低于本组治疗前,且治疗后观察组低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后膝关节活动度、Lysholm膝关节评分高于本组治疗前,且治疗后观察组高于对照组,差异具有统计学意义(P<0.05)。结论:止痛消肿散外敷联合功能锻炼治疗下肢骨折患者,可缓解患者术后疼痛、肿胀程度,改善膝关节功能。
Objective:To observe the influence of external application of Pain-Relieving and Swelling-Removing Powder combined with functional exercise on postoperative knee function of patients with lower limb fracture.Methods:A total of 110 patients with lower limb fracture were randomly divided into the control group and the observation group,with 55 cases in each group.The control group was given intervention methods such as raising the affected limb,local massage,hot compress and postoperative symptomatic treatment,and guided the patients to carry out functional exercise.The observation group was treated with external application of Pain-Relieving and Swelling-Removing Powder on the basis of the treatment of the control group.The clinical efficacy,the changes of pain and swelling score and knee function of the two groups were compared before and after treatment.Results:The effective rate of the observation group was 92.73%,which was higher than 78.18% of the control group,and the difference was statistically significant(P<0.05).The swelling degree score and VAS score of the two groups after treatment were lower than those of the same group before treatment,and the above indexes of the observation group after treatment were lower than those of the control group,and all the differences were statistically significant(P<0.05).The knee range of motion and Lysholm knee score of the two groups after treatment were higher than those of the same group before treatment,and the above indexes of the observation group were higher than those of the control group after treatment.And all the differences were statistically significant(P<0.05).Conclusion:External application of Pain-Relieving and Swelling-Removing Powder combined with functional exercise in the treatment of patients with lower limb fracture can alleviate the degree of postoperative pain and swelling and improve the function of knee joint.
作者
田纪涛
周杰
韩崇涛
TIAN Ji-tao;ZHOU Jie;HAN Chong-tao(Zhengzhou TCM Hospital,Zhengzhou,Henan,China,450007;Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou,Henan,China,450008)
出处
《河南中医》
2022年第4期567-570,共4页
Henan Traditional Chinese Medicine
基金
河南省中医药科学研究专项课题项目(2019JDZX1426)。
关键词
下肢骨折
膝关节功能
止痛消肿散
功能锻炼
lower limb fracture
knee joint function
Pain-Relieving and Swelling-Removing Powder
functional exercise
