足踝药浴加按摩治疗踝关节骨折中后期患者的疗效

目的观察足踝药浴加按摩治疗踝关节骨折中后期的疗效，探讨影响其疗效的相关因素及护理方法。方法将2009年6月至2011年12月收治的踝关节骨折中后期患者共76例，按随机数字表法随机分为对照组和观察组。对照组行活血化瘀药物内服、足踝温水浴及功能锻炼，观察组给予足踝中药浴、按摩后行功能锻炼。结果两组治疗第10天疼痛、功能、活动度的改善程度即开始出现差异[（14．86±7．21）比（8．68±8．98），（7．18±1．91）比（4．34±1．66），（2．84±1．46）比（1．97±1．17）；t分别为3．31，6．90，2．85；P〈0．05]，第20天疗效统计观察组的优良率为92．10％，对照组为71．06％，两组比较差异有统计学意义（u=2．07，P〈0．05）。结论足踝药浴加按摩使气血通畅，从而达到舒筋通络、祛风散寒、活血化瘀、消肿止痛的作用，能促进踝关节功能的康复。

Therapeutic effect of ankle bath associated with chiropractic technique on the patients with ankle fractures in later period

Objective To observe the therapeutic effect of ankle bath by traditional Chinese medicine associated with chiropractic technique on the patients with ankle fractures in later period so as to explore the nursing and its influencing factors. Methods From June 2009 to December 2011, a total of 76 cases with ankle fractures were selected and radomly divided into control group and observation group. Control group took medicine that could activate blood circulation to dissipated blood stasis, bathed ankle in warm water and took functional exercise, while the observation group received Chinese medicine bath and massage followed by functional exercise. Results After 10 days, the difference between observation group and control group in the degree of pain and activity of ankle and joint function appeared （ 14.86 ± 7.21 vs 8.68 ± 8.98,7.18 ± 1.91 vs 4.34 ± 1.66,2.84 ± 1.46 vs 1.97 ± 1.17 ） and the difference was statistically significant （ t = 3.31,6.90,2.85 ; P〈0. 05）. And 20 days later, the improvement rate of observation group was 92. 1% and 71.06% of control group, and the difference was statistically significant （ u = 2.07,P 〈 0.05 ）. Conclusions Bath foot by traditional Chinese medicine associated with chiropractic technique can make qi and blood be unobstructed, activate blood circulation to dissipate blood stasis, promote ankle joint swelling and analgetic, and finally enhance joint function to recover.