Clinical observation on shortening the time of limb swelling in conservative treatment of closed fracture of lower limb by lymphatic massage combined with Yongquan point sticking
淋巴推拿联合涌泉穴贴敷缩短下肢闭合性骨折保守治疗肢体肿胀时间的临床观察

摘要

目的 观察淋巴推拿联合涌泉穴贴敷缩短下肢闭合性骨折保守治疗肢体肿胀时间的效果。方法 选取本院2020年11月-2021年6月期间收治的30例下肢闭合性骨折肢体肿胀患者为研究对象，按照就诊先后顺序分组，对照组和观察组均15例，前者给予七叶皂苷钠静脉滴注治疗，后者使用淋巴推拿联合涌泉穴贴敷治疗方案，比较两组肢体肿胀改善情况及有效率，统计两组不良反应发生率。结果 观察组肢体肿胀有效改善、显著改善及完全消失所用的时间均比对照组短（P<0.05）。治疗2周后，观察组肿胀治疗总有效率达100%，对照组总有效率60.0%（9/15），两组总有效率差异有显著差异（P<0.05）。治疗期间观察组未出现不良反应病例，对照组共出现2例（13.3%），两组不良反应发生率之间的差异无显著性（P>0.05）。结论 淋巴推拿联合涌泉穴贴敷可显著缩短下肢闭合性骨折保守治疗肢体肿胀时间，提高疗效，且无不良反应，安全性高，效果好，便于操作，值得推广应用。

Abstract

Objective: To observe the effect of lymphatic massage combined with Yongquan point sticking on shortening the time of limb swelling in conservative treatment of closed fracture of lower limbs.
Methods: A total of 30 patients with closed fracture of lower extremity and limb swelling admitted to our hospital from November 2020 to June 2021 were selected as the research objects. They were divided into two groups according to the order of treatment, including 15 patients in both the control group and the observation group. The former was treated with sodium aescinate intravenous infusion, and the latter was treated with lymphatic massage combined with Yongquan point sticking. The improvement and effective rate of limb swelling were compared between the two groups, and the incidence of adverse reactions between the two groups was calculated.
Results: The time of effective improvement, significant improvement and complete disappearance of limb swelling in observation group was shorter than that in control group (P<0.05). After 2 weeks of treatment, the total effective rate of swelling treatment in the observation group was 100%, and that in the control group was 60.0% (9/15), and there was a significant difference between the two groups (P<0.05). There were no adverse reactions in the observation group and 2 cases (13.3%) in the control group during treatment, and there was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).
Conclusion  : Lymphatic massage combined with Yongquan point sticking can significantly shorten the time of conservative treatment of limb swelling in closed fracture of lower limbs, improve the curative effect, and no adverse reactions, high safety, good effect, easy to operate, worthy of popularization and application.