雷火灸疗法对下肢骨折术后患者的作用效果

Effect of Thunder Fire Moxibustion Therapy in Patients with Lower Limb Fractures After Surgery

目的回顾性探讨雷火灸治疗下肢骨折术后患者的作用效果。方法选取医院2022年4月至2023年6月收治的66例下肢骨折手术患者的病历资料,根据治疗方案分为两组,各33例。两组均接受切开复位术,对照组术后接受常规治疗,研究组在常规治疗基础上接受雷火灸疗法。对比两组术后疼痛评分[视觉模拟评分法(VAS)评估]、膝关节功能[美国特种外科医院膝关节评分(HSS)评估]、生活能力[日常生活活动能力量表(ADL)评估]、肿胀程度、疼痛介质[前列腺素E_(2)(PGE_(2))、白三烯C4(LTC4)、5-羟色胺(5-HT)]、氧化应激指标[谷胱甘肽过氧化酶(GSH-PX)、晚期氧化蛋白产物(AOPP)、丙二醛(MDA)]水平。结果术后7、14 d,研究组VAS、ADL评分低于对照组,HSS评分高于对照组(P<0.05);术后7、14 d,研究组PGE_(2)、LTC4、5-HT、AOPP、MDA低于对照组,GSH-PX高于对照组(P<0.05);术后7、14 d,研究组肿胀程度改善优于对照组(P<0.05)。结论雷火灸治疗下肢骨折术后可抑制疼痛介质释放,减轻机体氧化应激反应,缓解痛感及肿胀,改善膝关节功能,提高生活质量。

Objective To explore the effects of thunder fire moxibustion in patients with lower limb fractures.Methods Medical records of lower limb fracture surgery patients admitted to the hospital from April 2022 to June 2023 were selected.According to treatment plans,66 patients were divided into two groups,with 33 cases in each group.Both groups underwent open reduction surgery.The control group received routine treatment after surgery,while the study group received lightning fire moxibustion therapy on the basis of routine treatment.The postoperative pain scores[visual analogue scale(VAS)evaluation],knee joint function[hospital for special surgery knee score(HSS)evaluation],daily living ability[activities of daily living(ADL)evaluation],swelling level,pain mediators[prostaglandin E_(2)(PGE_(2)),leukotriene C4(LTC4),5-hydroxytryptamine(5-HT)]and oxidative stress indicators[glutathione peroxidase(GSH-PX),advanced oxidation protein products(AOPP),malondialdehyde(MDA)]levels of two groups were compared.Results At 7 and 14 days after surgery,the VAS and ADL scores in the study group were lower than those in the control group,while the HSS scores were higher than those in the control group(P<0.05),and the levels of PGE_(2),LTC4,5-HT,AOPP and MDA in the study group were lower than those in the control group,while GSH-PX was higher than that in the control group(P<0.05).At 7 and 14 days after surgery,the improvement in swelling degree in the study group was better than that in the control group(P<0.05).Conclusion Thunder fire moxibustion can inhibit the release of pain mediators,alleviate oxidative stress reactions,alleviate pain and swelling,improve knee joint function,and enhance quality of life in the treatment of lower limb fractures after surgery.