中西医结合护理 (Mar 2025)
Application of wax therapy combined with traditional Chinese medicine directional drug penetration in patients undergoing open reduction and internal fixation for intertrochanteric fractures of femur (蜡疗联合中医定向透药疗法在股骨粗隆间骨折切开复位内固定术后患者中的应用)
Abstract
Objective To investigate the effect of wax therapy combined with Traditional Chinese Medicine directional drug penetration in patients undergoing open reduction and internal fixation for intertrochanteric fractures of femur. Methods A randomized controlled trail with 60 patients undergoing open reduction and internal fixation for intertrochanteric fractures of femur were conducted. Patients were randomly divided into the control group and intervention group, with 30 cases in each group. All patients received comprehensive interventions including pneumatic compression, ankle pump motion, dietary guildance, psychological care, etc. Patients in the intervention group were given wax therapy combined with Traditional Chinese Medicine directional drug penetration. All patients were intervented for 2 weeks. The postoperative pian by Numerical Rating Scale, Harris hip score, development of deep venous thrombosis (DVT) and paitent satisfaction were compared between two groups. Results Patients in the intervention group had a better outcome of Harris hip score compared with those in the control group (P＜0. 05)。The NRS score of the intervention group was lower than that of the control group at 1 day and 3 days after surgery (P＜0. 05). The satisfaction rate of the intervention group was higher than that of the control group (P＜0. 05). There was nos significant difference in the incidence of DVT between two groups (P＞0. 05). Conclusion Wax therapy combined with Traditional Chinese Medicine directional drug penetration is effective to reduce the postoperative pain of open reduction and internal fixation and improve the recovery of hip joint function and patient satisfaction. (目的 探讨蜡疗联合中医定向透药疗法在股骨粗隆间骨折切开复位内固定术后患中的应用效果。方法 采用随机对照研究方法, 选择2023年3月—2024年7月医院收治的60例股骨粗隆间骨折行切开复位内固定手术患者为研究对象, 采用随机数字表法分为两组, 每组30例。术后对照组给予常规措施, 包括气压泵治疗、踝泵运动、饮食调护和心理等干预; 干预组在常规措施基础上, 加用蜡疗和中医定向透药治疗。两组均连续干预2周。评估两组术后的疼痛程度(数字疼痛评分量表)、髋关节功能(髋关节Harris评分)、深静脉血栓(DVT)的发生情况和护理满意度。结果 干预组患者术后 Harris 评分优于对照组, 差异有统计学意义(P＜0. 05); 干预组术后1 d和术后3 d疼痛 NRS 评分低于对照组, 差异有统计学意义(P＜0. 05); 干预组护理满意度高于对照组, 差异有统计学意义(P＜0. 05)。两组DVT发生率比较, 差异无统计学意义(P＞0. 05)。结论 蜡疗联合中药定向透药疗法可以减轻股骨粗隆间骨折切开复位内固定术后疼痛, 促进术后髋关节功能的恢复, 提升患者护理满意度。)
Keywords
