Application of traditional Chinese medicine triple nursing combined with standardized pain management in elderly patients with tibiofibular fracture after operation
10.3760/cma.j.cn115682-20210909-04081
- VernacularTitle:中医三联护理联合规范化疼痛管理在老年胫腓骨骨折患者术后康复中的应用
- Author:
Yanyan YANG
1
;
Cuihua SUN
;
Lihong YU
Author Information
1. 滨州医学院烟台附属医院康复疼痛中医科，烟台 264100
- Keywords:
Aged;
Pain;
Tibiofibular fractures;
Standardized pain management;
Auricular point pressing with bean;
Acupoint application
- From:
Chinese Journal of Modern Nursing
2022;28(20):2741-2745
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of standardized pain management combined with traditional Chinese medicine triple nursing on postoperative pain and swelling of affected limbs in elderly patients with tibiofibular fracture.Methods:A total of 76 elderly patients with tibiofibular fracture who were admitted to Yantai Affiliated Hospital of Yantai Affiliated Hospital of Binzhou Medical University from January to December 2020 were selected as the research objects. They were divided into the observation group and the control group by the random number table method, with 38 cases in each group. The same group of physicians underwent open reduction and internal fixation under epidural anesthesia for patients in the two groups. After surgery, all patients were given patient-controlled epidural analgesia technology for basic analgesia and standardized pain management. On this basis, the observation group was treated with traditional Chinese medicine triple nursing intervention. The pain degree, swelling index, postoperative recovery speed and knee function were compared between the two groups.Results:Visual Analogue Scale (VAS) score and swelling degree of patients in the two groups on 1, 3 and 7 days after operation were lower than those on the 1st day before operation, the VAS score of the observation group on 1 and 3 days after operation was lower than that of the control group, and the swelling degree at 1, 3, and 7 days was lower than that of the control group, and all the differences were statistically significant ( P<0.05) . The first exhaust time, first ambulation time, average length of hospital stay and fracture healing time in the observation group were shorter than those in the control group, and the differences were statistically significant ( P<0.05) . At 6 months after operation, there was no statistically significant difference in knee joint function between the observation group and the control group ( P>0.05) . Conclusions:Standardized pain management combined with traditional Chinese medicine triple nursing in elderly patients with tibiofibular fracture is beneficial to reduce postoperative pain and swelling of the affected limbs, and speed up the recovery of patients.
