中药外敷治疗单纯肋骨骨折的疗效观察与护理研究
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摘要
目的探讨中药外敷治疗单纯肋骨骨折的疗效观察与护理效果。方法该研究的研究对象是选自2018年1—11月在该院治疗的100例,对照组的护理法采用常规方法进行护理,观察组选用中药外敷在患者床边对患者进行干预,早晚各一次,观察两组患者在该院进行中药外敷治疗后疼痛程度的评分(分别是治疗后第1、2、3、7、14 d)。结果观察组伤者在进行中药外敷治疗后第1、2、3、7天的疼痛程度评分分别为(4.21±0.60)分、(3.98±0.62)分、(3.55±0.59)分、(3.38±0.59)分,明显比对照组的(7.74±0.86)分、(7.23±0.94)分、(6.84±0.74)分、(5.94±0.65)分要低。且根据统计学分析,差异有统计学意义(t=13.803 6、14.408 4、14.581 0、10.621 0, P<0.05)。观察组伤者在治疗后第14的疼痛程度评分(1.56±0.22)分与对照组组的(1.63±0.24)分相当。且根据统计学分析,差异无统计学意义(t=1.520 3,P>0.05)。通过比较两组伤者进行中药外敷治疗后的治疗效果,观察组单纯肋骨骨折者在进行中药外敷治疗后第1、2、3、7天的疼痛程度均显著低于对照组,且观察组伤者在治疗后的总有效率(96%)明显比对照组伤者的有效率(82%)高。且根据统计学分析,差异有统计学意义(χ~2=5.005,P<0.05)。结论对于治疗单纯肋骨骨折,相对传统的护理法,"中药外敷-三色敷药"拥有更佳的治疗效果,能够降低患者的疼痛感,在临床上的效果较好。
Objective To investigate the effect of external application of traditional Chinese medicine on the treatment of simple rib fractures and the effect of nursing. Methods The study subjects were selected from 100 patients who were treated in our hospital from January to November 2018. The nursing method of the control group was treated with routine methods. The observation group used external application of traditional Chinese medicine to intervene patients at the bedside. Once a day, the scores of pain in the two groups of patients treated with Chinese herbal medicine were observed(1, 2, 3, 7 and 14 days after treatment). Results The pain scores of the injured group on the 1st, 2nd, 3rd, and 7th day after treatment with external application of Chinese herbal medicine were(4.21±0.60)points,(3.98±0.62)points,(3.55±0.59)points, and(3.38±0.59)points, respectively, which was significantly higher than that of the control group of(7.74 ±0.86)points,(7.23 ±0.94)points,(6.84 ±0.74)points,(5.94 ±0.65)points. According to statistical analysis, the difference was significant and statistically significant(t =13.803 6, 14.408 4, 14.581 0, 10.621 0, P <0.05). In the observation group, the pain degree score of the 14 th after treatment was(1.56 ±0.22)points, which was equivalent to(1.63±0.24)points of the control group. According to statistical analysis, the difference was not significant and was not statistically significant(t=1.520 3, P>0.05). By comparing the therapeutic effects of external application of traditional Chinese medicine on the two groups of injured patients, the pain degree of the first, second, third and seventh days after the external application of traditional Chinese medicine in the observation group was significantly lower than that of the control group, and the observation group was injured. The total effective rate after treatment(96%) was significantly higher than that of the control group(82%). According to statistical analysis, the difference was statistically significant(χ~2=5.005,P <0.05). Conclusion For the treatment of simple rib fractures, compared with the traditional nursing method, "Chinese medicine external application-tricolor application" has better therapeutic effect, can reduce the pain of patients, and has a good clinical effect.
Objective To investigate the effect of external application of traditional Chinese medicine on the treatment of simple rib fractures and the effect of nursing. Methods The study subjects were selected from 100 patients who were treated in our hospital from January to November 2018. The nursing method of the control group was treated with routine methods. The observation group used external application of traditional Chinese medicine to intervene patients at the bedside. Once a day, the scores of pain in the two groups of patients treated with Chinese herbal medicine were observed(1, 2, 3, 7 and 14 days after treatment). Results The pain scores of the injured group on the 1st, 2nd, 3rd, and 7th day after treatment with external application of Chinese herbal medicine were(4.21±0.60)points,(3.98±0.62)points,(3.55±0.59)points, and(3.38±0.59)points, respectively, which was significantly higher than that of the control group of(7.74 ±0.86)points,(7.23 ±0.94)points,(6.84 ±0.74)points,(5.94 ±0.65)points. According to statistical analysis, the difference was significant and statistically significant(t =13.803 6, 14.408 4, 14.581 0, 10.621 0, P <0.05). In the observation group, the pain degree score of the 14 th after treatment was(1.56 ±0.22)points, which was equivalent to(1.63±0.24)points of the control group. According to statistical analysis, the difference was not significant and was not statistically significant(t=1.520 3, P>0.05). By comparing the therapeutic effects of external application of traditional Chinese medicine on the two groups of injured patients, the pain degree of the first, second, third and seventh days after the external application of traditional Chinese medicine in the observation group was significantly lower than that of the control group, and the observation group was injured. The total effective rate after treatment(96%) was significantly higher than that of the control group(82%). According to statistical analysis, the difference was statistically significant(χ~2=5.005,P <0.05). Conclusion For the treatment of simple rib fractures, compared with the traditional nursing method, "Chinese medicine external application-tricolor application" has better therapeutic effect, can reduce the pain of patients, and has a good clinical effect.
引文
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[10]张伟兰,詹锋,关次宜,蔡玉珍,邓惠容,陈丽芳.伤科黄水缓解肋骨骨折疼痛的护理观察[J].内蒙古中医药,2016,35(12):69-70.
[11]陆金莲,陈慧珍.MSCT与DR诊断肋骨骨折的对比研究[J].深圳中西医结合杂志,2016,26(8):73-75.
[12]赵英.虎力散联合接骨七厘片治疗肋骨骨折导致严重肝损害一例[J].上海医药,2016,37(6):39,56.
[13]刘冬梅,张楚芳,陈利玲.接骨膏外敷治疗单纯性肋骨骨折护理疗效观察[J].中国实用医药,2018,13(13):122-124.
[2]邹荣瑞.肋骨带外固定加外敷万伤接骨膏治疗单纯性肋骨骨折的临床分析[J].中国当代医药,2015,22(36):87-89.
[3]黄祖波,王灵姣,周浩,等.单纯性肋骨骨折(气滞血瘀型)保守治疗后疼痛程度与失眠的相关性研究[J].四川中医,2018,36(1):137-138.
[4]李东方,张留巧,曹玉净,等.骨愈常散外敷治疗肋骨骨折临床观察[J].中医药临床杂志,2017,29(9):1525-1528.
[5]吴鑫彬.手术配合中药治疗肋骨骨折临床观察[J].实用中医药杂志,2017,33(9):1021-1022.
[6]陈曦,薛青青,胡颜江,等.肋骨骨折骨膜外与骨膜内固定回顾性分析[J].实用临床医药杂志,2017,21(17):149-150.
[7]艾萍.中药五通散熏蒸治疗肋骨骨折的临床观察[J].中医临床研究,2017,9(8):98-100.
[8]沈旭,伏婕.中药外敷肋骨骨折止痛效果研究[J].亚太传统医药,2017,13(5):132-133.
[9]齐拥军,付景伟.肋骨内固定术治疗多发性肋骨骨折及连枷胸的临床研究[J].西北国防医学杂志,2017,38(1):23-25.
[10]张伟兰,詹锋,关次宜,蔡玉珍,邓惠容,陈丽芳.伤科黄水缓解肋骨骨折疼痛的护理观察[J].内蒙古中医药,2016,35(12):69-70.
[11]陆金莲,陈慧珍.MSCT与DR诊断肋骨骨折的对比研究[J].深圳中西医结合杂志,2016,26(8):73-75.
[12]赵英.虎力散联合接骨七厘片治疗肋骨骨折导致严重肝损害一例[J].上海医药,2016,37(6):39,56.
[13]刘冬梅,张楚芳,陈利玲.接骨膏外敷治疗单纯性肋骨骨折护理疗效观察[J].中国实用医药,2018,13(13):122-124.