中药冷热喷联合足背点穴按摩在Pilon骨折早期肿胀中应用观察.docVIP

中药冷热喷联合足背点穴按摩在Pilon骨折早期肿胀中的应用观察 　　[摘要] 目的 探讨中药冷热喷联合足背点穴按摩在Pilon骨折早期肿胀中的应用效果。 方法 分析我院骨外科2012年2月～2014年6月收治的Pilon骨折患者120例临床资料，依据方法不同进行临床分组，对照组60例和观察组60例。观察两组骨折患者肿胀消除时间和肌力评级情况，观察两组骨折患者护理后24 h、120 h肿胀疗效情况。 结果 观察组Pilon骨折早期肿胀患者肿胀消除时间和肌力评级均优于对照组（t=7.75，χ2=5.13，3.62，3.13， 4.95，24.56），观察组Pilon骨折早期肿胀患者护理后24 h、120 h肿胀疗效高于对照组，差异有统计学意义（χ2=14.25、30.81，P0.05）。 结论 中药冷热喷联合足背点穴按摩Pilon骨折早期肿胀中的应用可以明显的消除肿胀和改善肌力，具有很好的疗效，值得临床推广应用。 　　[关键词] 中药冷热喷；足背点穴按摩；Pilon骨折；早期肿胀 　　[中图分类号] R248 [文献标识码] B [文章编号] 1673-9701（2015）15-0044-04 　　[Abstract] Objective To discuss application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage. Methods The 120 clinical datas of patients with Pilon fracture bone surgery in our hospital were analyzed，and divided into the control group and the observation group with 60 coses in each group. The elimination of time in patients with swelling and muscle strength rating of two groups patients with pilon fracture were detected，nursing after 24 h，120 h， the swelling curative effect of two groups patients with pilon fracture patients were detected. Results The elimination of time in patients with swelling and muscle strength rating of the observation group patients with pilon fracture were better than control group （t=7.75， χ2=5.13， 3.62， 3.13， 4.95， 24.56）， nursing after 24 h， 120 h， the swelling curative effect of the observation patients with Pilon fracture were better than control group， the difference were statistical significance（χ2=14.25，30.81，P0.05）. Conclusion The application results in early swelling in Pilon fracture by traditional Chinese medicine hot and cold spray with dorsal foot acupoint massage，which can obviously eliminate swelling and improve muscle strength，the curative effect is very good，and worth to be used. 　　[Key words] Traditional Chinese medicine hot and cold spray； Dorsal foot acupoint massage； Pilon fracture； Early swelling 　　Pilon骨折不是十分常见，属于负重的关节面和干骺端胫骨远端骨折类型，是高能量损