中医治疗与护理对胫骨平台骨折术后康复效果的观察

Rehabilitative Effect of Chinese Medicine Treatment Combined with Nursing in Intervening Postoperative Tibial Plateau Fractures

目的:观察中医治疗与护理对胫骨平台骨折术后患者的康复效果。方法:选取在本院行切开复位内固定术的84例胫骨平台骨折患者,随机分为对照组和观察组各42例。对照组实施骨科术后常规处理,观察组在对照组基础上采用中医治疗与护理。比较2组患者术后的康复情况。结果:干预前,2组膝关节功能评分标准(HSS)评分比较,差异无统计学意义(P>0.05)。干预后,2组HSS评分均较干预前提高,差异均有统计学意义(P<0.05);观察组HSS评分高于对照组,差异有统计学意义(P<0.05)。观察组住院时间、负重时间及骨折愈合时间均短于对照组(P<0.05)。随访期间,对照组出现关节僵硬1例。结论:中医治疗与护理能促进胫骨平台骨折患者术后康复。

Objective：To observe the rehabilitative effect of Chinese medicine treatment combined with nursing in intervening postoperative tibial plateau fractures.Methods：Selected 84 cases of patients with tibial plateau fractures who received open reduction and internal fixation in our hospital,and divided them into the control group and the observation group randomly,42 cases in each group.The control group received the routine processing after orthopaedic surgery,while the observation group additionally received Chinese medicine treatment combined with nursing.Compared the postoperative rehabilitation of patients in both groups.Results：Before intervention,compared hospital for special surgery（HSS）knee score in both groups,there was no significant difference being found（P 0.05）.After intervention,HSS knee scores in both groups were higher than those before intervention,differences being significant（P 0.05）;HSS knee scores in the observation group were higher than those in the control group,difference being significant（P 0.05）.The hospitalization time,weight-bearing time and fracture concrescence time in the observation group were all shorter than those in the control group（P 0.05）.During follow-ups,1 case of anchylosis occurred in the control group.Conclusion：Chinese medicine treatment combined with nursing can promote the postoperative rehabilitation of patients with tibial plateau fractures.