伤科止痛膏外敷对下肢闭合性骨折围手术期血液流变学的影响的研究.docVIP

伤科止痛膏外敷对下肢闭合性骨折围手术期血液流变学的影响的研究 　　【摘要】 目的：研究伤科止痛膏外敷对下肢闭合性骨折围手术期血液流变学影响，对肿胀、疼痛的??效。方法：将50例有手术指征的新鲜下肢闭合性骨折患者随机分成两组，治疗组25例予以外敷伤科止痛膏，对照组25例予以冰敷，观察两组的血液流变学指标，肿胀程度、疼痛指数等。结果：治疗组在改善血液流变学指标、疼痛、肿胀等方面均优于对照组（P0.05）。结论：伤科止痛膏在下肢骨折围手术期改善血液流变学作用显著，在缓解肿胀、疼痛等方面疗效确切。 　　【关键词】 伤科止痛膏； 血液流变学； 下肢骨折； 外敷； 围手术期 　　doi：10.14033/j.cnki.cfmr.2017.15.006 文献标识码 B 文章编号 1674-6805（2017）15-0011-03 　　Influence Research of Department of Traumatology Analgesic Cream on Blood Rheological in Peri Operation Period of Closed Fracture of Lower Limb/YAO Ping，WANG Qiang，GU Yun-feng.//Chinese and Foreign Medical Research，2017，15（15）：11-13 　　【Abstract】 Objective：To observe the influence of Department of Traumatology Analgesic Cream on blood rheological in peri operation period of closed fracture of lower limb and its effect on swelling and pain.Method：50 cases of fresh lower limb closed fracture patients with operation indications were randomly divided into two groups，the treatment group of 25 cases were treated with Department of Traumatology Analgesic Cream，the control group of 25 cases were given ice deposited.The blood rheology index，swelling degree，pain index of the two groups were observed.Result：The treatment group was superior to the control group in improving blood rheology，pain and swelling（P0.05）.Conclusion：Department of Traumatology Analgesic Cream improves hemorheology in perioperative period of lower limb fracture，and can relieve swelling and pain. 　　【Key words】 Department of Traumatology Analgesic Cream； Hemorheology； Fracture of lower limb； External application； Perioperative period 　　First-author’s address：Changshu City Hospital of Traditional Chinese Medicine，Changshu 215500，China 　　创伤性下肢骨折在骨科中的发生率较高。在围手术期，尤其是多发骨折，粉碎性骨折，由于创伤本身导致软组织、血管等损伤；骨折后下肢活动量减少；卧床等因素，使下肢静脉回流处于滞缓状态[1]，会造成血液黏度升高，表现为血液流变学指标的升高，可以影响骨折部位微循环，造成骨折部位血供不足、血运差，影响骨折的愈合[2]。局部的肿胀将增加切口皮肤坏死、感染、不愈合的发生率，延长术前准备时间，给患者造成更大的痛苦。伤科止痛膏是笔者所在医院根据经验方结合现代工艺制成的中药制剂，具有活血化瘀、行气止痛的功效，广泛用于骨折的早期治疗。本研究旨在探讨伤科止痛膏外敷对下肢骨折围手术期血液流变学的影响，及对肿胀、疼痛的疗效，现报道如下。 　　1