超声波联合磁疗在踝关节骨折的早期应用

Early application of ultrasound combined with magnetic therapy in ankle fracture

目的:探讨超声波联合磁疗对踝关节骨折早期治疗效果。方法:选择伤后24h以内入院的闭合性踝关节骨折患者74例,随机分为观察组与对照组各37例。对照组采用中药膏贴敷治疗,观察组采用低强度脉冲超声波联合MC-B脉冲磁场治疗。对疼痛视觉模拟评分(VAS)、肿胀、皮肤表面温度、瘀斑水平最长径测量进行记录。对两组的血肿加重、皮肤坏死、骨筋膜间隙高压表现、深静脉血栓等并发症以及皮肤褶皱征出现时间进行统计分析。结果:治疗1、2、3d时,观察组VAS评分、肿胀、皮温、瘀斑均呈持续下降趋势(均P<0.05),且观察组各时间点较对照组明显降低(均P<0.05)。观察组皮肤褶皱征出现时间较对照组明显缩短(P<0.01)。观察组并发症发生率显著低于对照组(P<0.01)。结论:超声波联合磁疗是踝关节骨折早期治疗中非常有效的治疗方法,可以明显改善局部微循环、减轻疼痛、消肿,缩短疗程,减少并发症。

Objective: To investigate the effects of ultrasound combined with magnetic therapy in early stage of ankle fracture. Methods: All 74 patients within 24 h after closed ankle fractures were enrolled and randomized to the observation group and the control group,37 cases in each group. The control group was treated with Traditional Chinese Medicine ointment and the observation group received low intensity pulsed ultrasound combined with MC-B pulse magnetic therapy. The pain visual analogue scale( VAS),swelling,skin temperature and the longest diameter of ecchymosis were evaluated.Complications such as hematoma,skin necrosis,high pressure sign of bone fascial space,deep venous thrombosis,and the appearance time of skin wrinkles were recorded. Results: At 1 d,2 d,3 d after treatment,the VAS score,swelling,skin temperature and ecchymosis in observation group were continuously declined( P < 0. 05),more significantly in observation group than in control group( P < 0. 05). Moreover,the appearance time of skin wrinkles was significantly shorter,and the incidence of complications in the observation group was significantly lower than in control group( P < 0. 01 for all). Conclusion: Ultrasound combined with magnetic therapy can relieve pain and swelling,shorten the recovery time and reduce complications,which is a very effective method in the early treatment of ankle fracture.