摘要
目的探讨中药热奄包联合疼痛控制模式对髋部骨折患者术后康复效果的影响。方法选取2022年5月至2024年5月乐平市中医医院收治的88例髋部骨折患者作为研究对象,按照随机数字表法分为对照组(44例)和研究组(44例)。对照组术后疼痛控制模式,研究组采用中药热奄包联合疼痛控制模式干预。比较两组的术后疼痛程度、心理状况、康复指标及生活质量。结果研究组术后3 d,1、2周的疼痛数字分级法(NRS)评分均低于对照组,差异有统计学意义(P<0.05);研究组出院当天医院焦虑抑郁量表(HADS)各项评分均低于对照组,差异有统计学意义(P<0.05);研究组术后首次下床、肿胀消退、骨痂形成、骨折预后、总住院时间均短于对照组,差异有统计学意义(P<0.05);研究组随访3个月生活质量综合评定问卷-74(GQOL-74)各项评分均高于对照组,差异有统计学意义(P<0.05)。结论髋部骨折患者采用中药热奄包联合疼痛控制模式干预可减轻术后疼痛,改善心理状况,缩短康复时间,提升生活质量。
Objective To explore the effect of heated Chinese herbal compress combined with pain control mode on postoperative rehabilitation of patients with hip fracture.Methods A total of 88 patients with hip fracture admitted to Leping Hospital of Traditional Chinese Medicine from May 2022 to May 2024 were selected as the study objects,and they were divided into control group(44 cases)and study group(44 cases)according to random number table method.The control group received pain control mode after operation,and the study group received heated Chinese herbal compress combined with pain control mode.The degree of postoperative pain,psychological status,rehabilitation index and quality of life of the two groups were compared.Results The numeric rating scale(NRS)scores of the study group were lower than those of the control group at 3 d,1 and 2 weeks after surgery,with statistical significances(P<0.05).The scores of hospital anxiety and depression scale(HADS)in the study group were lower than those in the control group on the day of discharge,and the differences were statistically significant(P<0.05).The first time out of bed,swelling regression,callus formation,fracture prognosis and total hospital stay in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).The scores of generic quality of life inventory-74(GQOL-74)in the study group were higher than those in the control group at 3 months follow-up,and the differences were statistically significant(P<0.05).Conclusion Heated Chinese herbal compress combined with pain control can relieve postoperative pain,improve psychological condition,shorten recovery time and improve quality of life in patients with hip fracture.
作者
汤遍遍
戴慧
邹秋红
TANG Bianbian;DAI Hui;ZOU Qiuhong(Department of Orthopedics and Traumatology,Leping Hospital of Traditional Chinese Medicine,Jiangxi Province,Leping 333300,China)
出处
《中国当代医药》
2025年第24期60-64,共5页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2023B1123)。
关键词
髋部骨折
中药热奄包
疼痛控制
康复效果
Hip fracture
Heated Chinese herbal compress
Pain control
Rehabilitation effect
