低温冲击镇痛疗法联合石膏止痛软膏 对跟骨骨折术前肿痛的疗效研究

Study on the efficacy of low temperature shock-induced analgesia treatment combined with plaster analgesic ointment on preoperative swelling and pain caused by calcaneal fracture

目的观察低温冲击镇痛疗法联合石膏止痛软膏对跟骨骨折术前肿痛的疗效研究分析。方法选取2019年6月1日至11月30日于中山市中医院显微创伤科门急诊收治的跟骨闭合性骨折患者50例。按随机数字表法分组,平均分成治疗组与对照组,每组各25例,对照组入院后即开始接受患处低温冲击镇痛仪治疗,治疗组接受与对照组同样的低温冲击镇痛治疗,在两次治疗间隔期外敷冷冻至6℃的本院自制石膏止痛软膏。客观评价低温冲击镇痛疗法联合石膏止痛软膏对跟骨骨折术前肿痛的临床疗效,包括治疗前、后的疼痛评分、肿胀度与肿胀分度比较。结果治疗前两组的疼痛评分、肿胀度、肿胀分度比较,差异无统计学意义(P>0.05);治疗后两组的疼痛评分、肿胀度均下降,差异有统计学意义(P<0.05),治疗后治疗组疼痛评分(1.18±0.26)分,低于对照组(2.37±0.41)分,治疗组肿胀度(9.86±2.34)%,低于对照组(15.27±3.61)%,差异有统计学意义(P<0.05),治疗后治疗组0度肿胀率(68.00%)高于对照组(8.00%),而其他分度则明显的低于对照组,差异有统计学意义(P<0.05)。结论在跟骨骨折术前肿痛患者中,运用低温冲击镇痛疗法联合石膏止痛软膏的治疗方法,可明显地减轻患者疼痛症状,减轻患者肿胀症状,降低肿胀分度,为手术做好充分的准备。

Objective To observe and analyze the efficacy of low temperature shock-induced analgesia treatment combined with plaster analgesic ointment on preoperative swelling and pain caused by calcaneal fracture.Methods From June 1,2019 to November 30,2019,50 patients with closed calcaneal fractures were admitted to the outpatient and emergency department of the Department of Microtrauma,Zhongshan Hospital of Traditional Chinese Medicine.According to random numbers,they were divided into the treatment group and the control group,each with 25 cases.The control group began to receive the treatment at the affected area with low temperature shock-induced analgesia apparatus after admission.The treatment group received the same low temperature shock-induced analgesia as the control group,and the self-made plaster analgesic ointment by our hospital frozen to 6℃was applied externally during the interval between two treatments.The clinical efficacy of low temperature shock-induced analgesia treatment combined with plaster analgesic ointment on preoperative swelling and pain caused by calcaneal fracture was objectively evaluated,including the comparison of pain score,swelling degree and the swelling scale before and after treatment.Results There were no statistically significant differences in the scores of pain and swelling before treatment(P>0.05).After treatment,the degree of pain and swelling decreased compared with that before treatment,with statistically significant differences(P<0.05).After treatment,the pain score of the treatment group(1.18±0.26)was lower than those of the control group(2.37±0.41)and the swelling degree of the treatment group[(9.86±2.34)%]was lower than those of the control group[(15.27±3.61)%],with statistically significant differences(P<0.05).After treatment,the rate of 0 degree swelling in the treatment group(68.00%)was higher than that in the control group(8.00%),while other degrees'swelling were significantly lower than those in the control group,with statistically significant differences(P<0.05).Conclusion For patients with preoperative swelling and pain caused by calcaneal fracture,the use of low temperature shock-induced analgesia combined with plaster analgesic ointment can significantly reduce the pain symptoms of patients after intervention,reduce the swelling symptoms of patients,reduce the swelling degree,and make full preparation for the o peration.