加速康复外科理念结合中药外敷在踝关节骨折术前消肿护理中的应用

摘要/Abstract

摘要： 目的探讨基于加速康复外科理念结合中药外敷在踝关节骨折术前消肿护理中的效果。方法回顾性选取石河子大学第一附属医院2021年5月—2021年8月收治的78例踝关节骨折患者,根据护理方法不同将其分成对照组（39例,2021年5月—2021年6月接受常规消肿护理）、试验组（39例,2021年7月—2021年8月在对照组基础上行加速康复理念结合中药外敷护理）。两组均持续护理至手术。比较两组各项指标。结果入院时,两组的患肢肿胀比、肿胀度比较,差异无统计学意义（P>0.05）;手术时,两组的患肢肿胀比低于入院时,且试验组低于对照组,差异有统计学意义（P<0.05）;手术时,试验组的肿胀度优于对照组,差异有统计学意义（P<0.05）。入院时,两组的数字疼痛分级量表（NRS）评分比较,差异无统计学意义（P>0.05）;入院后36 h,两组的数字疼痛分级量表（NRS）评分低于入院时、入院后12 h、入院后24 h,入院后24 h,两组的NRS评分低于入院时、入院后12 h,入院后12 h,两组的评分低于入院时,差异有统计学意义（P<0.05）;入院后12 h、入院后24 h、入院后36 h,试验组的NRS评分低于对照组,差异有统计学意义（P<0.05）。试验组的疼痛消失时间短于对照组,差异有统计学意义（P<0.05）。住院期间,试验组的不良反应总发生率低于对照组,差异有统计学意义（P<0.05）。结论踝关节骨折患者应用加速康复理念结合中药外敷护理可减轻机体疼痛,提高消肿效果,安全性好。

关键词: 踝关节骨折, 中药外敷, 加速康复外科理念, 疼痛, 肿胀

Abstract: Objective To explore the effect of combined external application of traditional Chinese medicine on the detumescence nursing of ankle joint fracture before operation based on the concept of accelerated rehabilitation surgery. Methods 78 patients with ankle fracture admitted to our hospital from May 2021 to August 2021 were retrospectively selected and divided into control group (39 cases, received routine detumescence care from May 2021 to June 2021) and experimental group (39 cases, received routine detumescence care from May 2021 to June 2021) according to nursing methods. July 2021 to August 2021 in the control group based on accelerated rehabilitation concept combined with external application of traditional Chinese medicine nursing). Both groups continued nursing until surgery. The two groups of indicators were compared. Results At admission, there was no difference in swelling ratio and swelling degree between two groups (P>0.05). At the time of operation, the swelling ratio of affected limb in the two groups was lower than that at admission, and the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05). During operation, the swelling degree of experimental group was better than that of control group, the difference was statistically significant (P<0.05). At admission, there was no significant difference in numeric rating scales (NRS) scores between the two groups (P>0.05). 36 h after admission, the NRS score of the two groups was lower than that at admission, 12 h after admission, 24 h after admission, 24 h after admission, the NRS score of the two groups was lower than that at admission, 12 h after admission, 12 h after admission, and the NRS score of the two groups was lower than that at admission, the difference was statistically significant (P<0.05). 12 h, 24 h and 36 h after admission, the NRS score of test group was lower than that of control group, and the difference was statistically significant (P<0.05). The pain disappearance time of experimental group was shorter than that of control group, and the difference was statistically significant (P<0.05). During hospitalization, the total incidence of adverse reactions in experimental group was lower than that in control group, and the difference was statistically significant (P<0.05). Conclusion The application of accelerated rehabilitation concept combined with external application of traditional Chinese medicine can reduce the body pain, improve the effect of detumescence, and have good safety.

Key words: ankle joint fracture, external application of traditional Chinese medicine, accelerated rehabilitation surgery concept, pain, swell

中图分类号:

R473.6

何薇, 王妍, 邹娟, 陈灵, 毛晓晴. 加速康复外科理念结合中药外敷在踝关节骨折术前消肿护理中的应用[J]. 中华养生保健, 2025, 43(9): 83-86.

HE Wei, WANG Yan, ZOU Juan, CHEN Ling, MAO Xiao-qing. The Concept of Accelerated Recovery Surgery combined with the Application of TCM External Application in the Preoperative Swelling Care of Ankle Fracture[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(9): 83-86.

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加速康复外科理念结合中药外敷在踝关节骨折术前消肿护理中的应用

The Concept of Accelerated Recovery Surgery combined with the Application of TCM External Application in the Preoperative Swelling Care of Ankle Fracture

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