系统化康复训练结合疼痛干预在胫腓骨骨折患者术后护理中的应用

Application Effect of Systematic Rehabilitation Training Combined with Pain Intervention in Postoperative Nursing of Patients with Tibiofibular Fracture

目的探讨疼痛干预结合系统化康复训练在胫腓骨骨折术后康复护理中的应用价值。方法选取2021年1月至2022年1月收入锦州医科大学附属第一医院的60例胫腓骨骨折患者,依随机数表法均分两组,对照组予以常规护理,观察组予以疼痛干预结合系统化康复训练,比较两组住院、骨折愈合时间、可视模拟评分(VAS)、肢体运动功能及并发症。结果观察组干预后VAS疼痛评分显著低于对照组(P<0.05)。在肢体运动功能评分方面,两组干预前比较无统计学意义(P>0.05),干预后较干预前均有明显提高(P<0.05),与对照组相比,观察组评分更高,差异有统计学意义(P<0.05)。观察组在住院(13.24±3.09)d、骨折愈合(14.31±2.85)w两方面的平均时间均短于对照组,两组比较差异有统计学意义(P<0.05)。观察组并发症总发生率为6.67%低于对照组20%(P<0.05)。结论对胫腓骨骨折患者实施疼痛干预结合系统化康复训练,能够明显减轻术后疼痛,改善患者运动功能,减少并发症发生,并加快患者康复出院及骨折愈合,值得推广。

Objective To explore the application value of pain intervention combined with systematic rehabilitation training in postoperative rehabilitation nursing of tibiofibular fractures.Methods A total of 60 patients with tibiofibular fracture admitted to our hospital from January 2021 to January 2022 were selected and divided into two groups according to the random number table method.The control group was given routine nursing,and the observation group was given pain intervention combined with systematic rehabilitation training.The hospitalization,fracture healing time,visual analogue scale(VAS),limb motor function and complications were compared between the two groups.Results The VAS pain score of the observation group was significantly lower than that of the control group after intervention(P<0.05).There was no statistically significant difference in limb motor function score between the two groups before intervention(P>0.05),but after intervention,the score was significantly higher than that before intervention(P<0.05).Compared with the control group,the score of the observation group was higher,and the difference was statistically significant(P<0.05).The average time of hospitalization(13.24±3.09)d and fracture healing(14.31±2.85)weeks in the observation group were shorter than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The total incidence of complications in the observation group was 6.67%,which was lower than 20%in the control group(P<0.05).Conclusion The implementation of pain intervention combined with systematic rehabilitation training for patients with tibiofibular fractures can significantly reduce postoperative pain,improve patients′motor function,reduce complications,and accelerate patients′rehabilitation,discharge and fracture healing,which is worthy of promotion.