循经推拿结合康复锻炼对下肢骨折术后肿胀的影响（英文）

Effect of tuina along the pathways of meridians plus rehabilitation training on lower limb swelling after surgical repair of fracture

目的:探讨循经推拿对下肢骨折患者术后患肢肿胀的影响。方法:将72例下肢骨折患者按入院先后顺序随机分为观察组和对照组,每组36例。从术后第3天拔除引流管后,两组患者进行相同的康复训练,观察组在康复训练基础上加用循经推拿治疗。推拿每日2次,治疗7 d后比较两组患者患肢肿胀情况及肿胀消退时间。结果:治疗7 d后,两组患者患肢肿胀程度均较治疗前减轻(P<0.05),观察组患者的患肢肿胀程度明显轻于对照组(P<0.05),两组临床疗效差异有统计学意义(P<0.05)。治疗结束6个月后随访,观察组患者患肢肿胀完全消退时间明显短于对照组(P<0.05)。结论:循经推拿结合康复锻炼能有效预防或减轻下肢骨折患者的术后肿胀。

Objective： To investigate the effect of tuina along the pathways of meridians on lower limb swelling after surgical repair of fracture. Methods： A total of 72 cases with lower limb fractures were randomly allocated into an observation group（n=36） and a control group（n=36）. On the third day when the draining tube was removed after surgery, patients in both groups started same rehabilitation training. The patients in the observation group received additional tuina therapy along the pathways of meridians, twice a day for 7 d. Then the swelling and deswelling time of patients in both groups were observed. Results： After 7 d of treatment, the swelling degree of patients in both groups were significantly alleviated（P〈0.05）; and the alleviation was more significant in the observation group than that in the control group（P〈0.05）. There was between-group statistical difference in clinical effect（P〈0.05）. The follow-up visit 6 months after treatment showed a significantly shorter deswelling time in the observation group than that in the control group（P〈0.05）. Conclusion： Tuina along the pathways of meridians plus rehabilitation training can effectively prevent or alleviate（fracture） postoperative lower limb swelling.