探讨中医护理对外固定器治疗三踝骨折术后患者的影响

To investigate the effect of external fixator of TCM nursing in patients after treatment of three ankle fractures

目的：探讨中医护理对外固定器治疗三踝骨折术后患者恢复情况的影响。方法：选取我院2012年9月-2013年9月收治的三踝骨折患者48例，均进行常规骨折后护理，随机分为两组，中医护理组和常规护理组，每组24例。常规护理组进行常规护理；中医护理组在常规护理及康复锻炼基础上进行中药熏洗以及中药饮食调理等。比较两组患者的术后恢复情况。结果中医护理组的平均骨折愈合时间为（33．6±11．2）d，而常规组平均骨折愈合时间为（49．7±15.3）d，两组相比较，具有统计学意义（P〈0．05）；术后随访12～15个月，两组患者的术后恢复情况，按照AOFAS评分，术后半年中医组恢复的优良率为91．7％，明显优于常规护理组的优良恢复率为75．0％，差异具有统计学意义（P〈0．05）。术后1年后，其差异无统计学意义（P〉0．05）。结论中医护理可以有效的加快骨愈合，缩短愈合时间，减少患者痛苦，而且可以提高患者愈合优良率，值得在临床中推广应用。

Objective： To explore the effects of rehabilitation of the patients received treatment of ankle fracture surgery in three after external fixation device of traditional Chinese medicine nursing. Methods in our hospital from 2012 September to 2013 September were three ankle fractures in 48 patients, were routine nursing after fracture, were randomly divided into two groups, Chinese medicine nursing group and conventional nursing group, 24 cases in each group. The routine nursing group were given routine nursing; nursing in traditional Chinese medicine group and traditional Chinese medicine fumigation of Chinese medicine diet conditioning based on routine nursing and rehabilitation exercise. Comparison of two groups of patients with postoperative recovery. Results the mean fracture healirig time for traditional Chinese medicine nursing group （33.6 ± 11.2） d, and the conventional group mean fracture healing time was （49.7± 15.3） d, two group compared with statistical significance （P〈0.05）; patients were followed up for 12 - 15 months, the recovery of the two groups of patients after surgery, ＇according to AOFAS score, the excellent and good rate was 6 months postoperative recovery in TCM group was 91.7%, significantly better than the routine nursing group and excellent recovery rate was 75%, with significant difference （P〈0.05）. A year later after operation, and the difference has no statistical significance （P 〉 0.05）. Conclusion Chinese medicine nursing can effectively accelerate the bone healing and shorten the healing time, reduce the pain of patients, but also can improve the healing of patients with the rate of excellent and good, it is worth in clinical application.