中药外敷联合穴位按摩预防下肢骨折患者内固定术后膝关节僵硬.pdfVIP

of Science V01．28No．12 ·40· JournalNursing Jun．2013 ·中医护理· ·论 著· 中药外敷联合穴位按摩预防下肢骨折患者内固定术后膝关节僵硬 楼绣华，高雯，吴凯琳 摘要：目的预防下肢骨折手术患者内固定术后膝关节僵硬。方法将100例下肢骨折行内固定术患者随机分为干预组和对照组各50 例。对照组采用传统骨科护理；干预组住院后至术前应用中药九号膏外敷惠侧膝关节，术后对膝关节进行穴位按摩。结果干预组 患者膝关节HSS评分等级显著优于对照组，膝关节僵硬发生率显著低于对照组，患者对护理工作的满意率显著高于对照组(均P 0．01)。结论中药外敷联合穴位按摩可有效预防下肢骨折患者内固定术后膝关节僵硬，提升患者对护理工作的满意度。 关键词：骨折；膝关节； 关节僵硬； 中药外敷； 穴位按摩； 中医护理 中图分类号：R473．6jR683．42文献标识码；A文章编号；1001—4152(2013)12—0040—02 Preventionofkneestiffness lower fixationtheuseofTCMherbsand fracture Xiuhua， followingextremity by acupointmassage{}Lou GaoWen，WuKailin TraditionalChineseMedicine， f}(DepartmentofOrthopedics，Putuo of Hospital，ShanghaiUniversity 200062，China) Shanghai To kneestiffness lower fracturefixation．MethodsOnehundred Abstract：0bjectiveprevent followingextremity patientsreceiving lower fracturefixationwererandomizedintoaninterventionandacontrol of50．Thecontrol were extremity group group group conventional care，whiletheir intheinterventionreceivedhome—madeTCM—oriented given orthopedicnursing counterparts group 9th forexternal ontheknee fromtheadmissiontothe received on plaster joint day surgery acupointmassage application day，and the withthe for Scoreinthein— kneeafterthe control surgery．ResultsCompared group，theHospitalSpecialSurgery(HSS)Knee terventionwasrankedbetterandtheoccurrencerateofkneestiffnesswas satisfactioninthein—