补气活血法对跟骨骨折骨针固定术后肿胀患者疗效的观察

来源:用户上传      作者:尹红波　丁志超　梅玉珍　王涛

　　 【摘要】 目的：^察补气活血法对跟骨骨折骨针固定术后肿胀患者疗效的影响。方法：选择2020年8月-2021年6月在江西中医药大学附属洪都中医院住院的60例跟骨骨折骨针固定术后患者为研究对象，按照就诊顺序将其分为治疗组和对照组，各30例。对照组行术后常规的基础治疗，治疗组在对照组基础上加以补气活血法治疗。比较两组患者VAS评分、足部肿胀程度、临床疗效、不良反应发生情况以及血清白介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）水平。结果：术后7 d，治疗组VAS评分和足部肿胀程度均低于对照组，差异均有统计学意义（P<0.05）。治疗后1个月，治疗组IL-6、TNF-α水平均低于对照组，差异均有统计学意义（P<0.05）。治疗组临床总有效率为93.33%，高于对照组的73.33%，差异有统计学意义（P<0.05）。治疗组不良反应发生率为3.33%，与对照组的6.67%比较，差异无统计学意义（P>0.05）。结论：补气活血法可有效缓解跟骨骨折骨针固定术后患者的疼痛，抑制炎症反应，降低血清IL-6、TNF-α水平，加快肿胀消退，有助于关节功能的恢复，值得临床借鉴。
　　 【关键词】 跟骨骨折 骨针固定术后 补气活血法 肿胀 疼痛 炎症因子
　　 Effect of Invigorating Qi and Promoting Blood Circulation On Swelling Patients with Calcaneal Fracture after Bone Pin Fixation/YIN Hongbo， DING Zhichao， MEI Yuzhen， WANG Tao. //Medical Innovation of China， 2021， 18（36）： 0-087
　　 [Abstract] Objective： To observe the effect of invigorating qi and promoting blood circulation on swelling patients with calcaneal fracture after bone pin fixation. Method： A total of 60 patients with calcaneal fracture after bone pin fixation in Hongdu Hospital of Traditional Chinese Medicine Affiliated to Jiangxi University of Traditional Chinese Medicine from August 2020 to June 2021 were selected as the research objects， they were divided into treatment group and control group according to the order of treatment， 30 cases in each group. The control group received routine basic treatment after surgery， and the treatment group was treated by invigorating qi and promoting blood circulation on the basic of the control group. VAS score， foot swelling， clinical efficacy， incidence of adverse reactions， and serum interleukin-6 （IL-6） and tumor necrosis factor -α （TNF-α） levels were compared between two groups. Result： 7 d after surgery， VAS score and foot swelling in the treatment group were lower than those in the control group， the differences were statistically significant （P<0.05）. 1 month after treatment， the levels of IL-6 and TNF-α in the treatment group were lower than those in the control group， the differences were statistically significant （P<0.05）. The total effective rate of the treatment group was 93.33%， which was higher than 73.33% of the control group， the difference was statistically significant （P<0.05）. The incidence of adverse reactions in the treatment group was 3.33%， which was not statistically significant compared with 6.67% in the control group （P>0.05）. Conclusion： The method of invigorating qi and promoting blood circulation can effectively relieve the pain of patients with calcaneal fracture after bone needle fixation， inhibit inflammatory reaction， reduce the levels of IL-6 and TNF-α in serum， accelerate the regression of swelling， and contribute to the recovery of joint function， which is worthy of clinical reference.

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