多元化康复护理联合推拿手法对胫腓骨骨折术后患者康复效果的影响

Effect of diverse rehabilitation nursing combined with Tuina manipulation on rehabilitation of patients with tibia and fibula fractures after operation

目的探讨多元化康复护理联合推拿手法对胫腓骨骨折术后患者康复效果的影响,以期为临床治疗提供参考。方法选取黑龙江佳木斯市中医医院2019年1月—2020年12月收治的60例胫腓骨骨折患者为研究对象。采用随机数字表法将患者分为对照组与研究组,每组30例。对照组患者接受常规康复干预,研究组患者接受多元化康复护理联合推拿手法干预。比较2组患者干预前后(干预后为出院时)Fugl-Meyer平衡量表、改良Barthel指数(MBI)、AOFAS踝-后足评分量表(AOFAS)评分。比较2组患者术后3个月并发症发生情况。结果干预前,2组患者Fugl-Meyer平衡量表及MBI评分比较,差异无统计学意义(P>0.05)。干预后,2组患者Fugl-Meyer平衡量表及MBI评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者AOFAS中疼痛感、稳定性与形状、活动与步行评分比较,差异无统计学意义(P>0.05)。干预后,2组患者AOFAS中疼痛感、稳定性与形状、活动与步行评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组患者术后总并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论多元化康复护理联合手法推拿在胫腓骨骨折术后患者护理中的应用效果确切,可有效改善患者肢体运动功能,促进患者足踝功能康复,降低患者术后并发症发生风险,值得临床推广应用。

Objective This paper aims to explore the effect of diverse rehabilitation nursing combined with Tuina manipulation on the rehabilitation of patients with tibia and fibula fractures after operation to provide evidence for clinical treatment.Methods This study enrolled 60 participants with tibia and fibula fractures from January 2019 to December 2020 at Jiamusi Hospital of Traditional Chinese Medicine.The patients were assigned to the control group and study group by random number table,with 30 cases in each group.Patients in the control group received routine rehabilitation intervention,while patients in the study group received diverse rehabilitation nursing combined with Tuina manipulation intervention.The Fugl-Meyer Assessment(FMA)scale,Modified Barthel Index(MBI),and Ankle Hindfood Scale of the American Orthopedic Foot and Ankle Society(AOFAS)scores were compared between the 2 groups before and after intervention(after intervention as discharge).Complications 3 months after the operation were also compared between the groups.Results Before the intervention,there was no significant difference in the FMA and MBI scores between the two groups(P>0.05).After the intervention,FMA and MBI scores in the two groups were significantly higher than those before intervention,with the study group higher than the control group(P<0.05).Before the intervention,there was no significant difference in pain,alignment,shape,activity,and walking scores in the Ankle Hindfood Scale of the AOFAS between the 2 groups(P>0.05).After the intervention,the pain,alignment,shape,activity,and walking scores in AOFAS in the two groups were higher than those before the intervention,and the study group was higher than the control group,with statistical significance(P<0.05).The incidence rate of postoperative complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion Diverse rehabilitation nursing in combination with Tuina massage is effective in the nursing of patients with tibia and fibula fractures after operation.It can effectively improve limb motor function,promote the rehabilitation of foot and ankle function,and reduce the risk of postoperative complications.These benefits hold promise for a wider application of this procedure clinically.