The Effect Of Oral Longxuejie Tablets Combined With Early Rehabilitation Training On Functional Recovery After Ankle Fracture

ObjectivesTo investigate the effects of oral longxuejiepian combined with early rehabilitation training on postoperative pain,joint swelling,functional rehabilitation,inflammation and blood coagulation of ankle fracture.Methods:From October 2016 to July 2018,40 patients aged 19-81 years who were admitted to our hospital for ankle fracture and underwent surgical treatment were selected.The patients were divided into observation group and control group by random number method,with 20 cases in each group.In the observation group,there were 8 males and 12 females.Age:24-76 years old,average(45.6 15.8 years old);The control group included 8 males and 12 females.Age:19-81 years old,average(46.5 17.5)years old;Both groups of patients were treated with anatomic fixation of ankle joint fracture under anaesthesia in the operating room.After the surgery,anatomical reduction of fracture ends was observed under naked eyes in both groups of patients.After internal fixation,there was no separation of tibiofibula and widening of the medial and lateral ankle Spaces.Both groups were routinely given antibiotics to fight infection,prevent stress ulcer,and changed dressing every other day.External plaster fixation was not routinely performed postoperatively,and functional exercise was started on the first day after surgery.Observation group based on this,from the first day after the oral dragon dragon’s blood piece(approval number Z10940041)approved by the state and 3/time,3 times/day,take to load.Visual analogue scale(VAS)and joint swelling score were observed on the first day,3 months and 6 months after surgery.The baird-jackson scoring system and the American orthopaedic foot and ankle association(AOFAS)ankle and hind foot scoring criteria were used to assess the functional recovery of the ankle joints of the two groups of patients at 1 day,3 months and 6 months after surgery.The changes of inflammatory index c-reactive protein and coagulation index d-dimer on the first day,the third day and the 14th day were observed.Results:(1)postoperative pain and joint swelling on the first day after surgery,patients in the two groups had obvious pain,swelling and severe pain,and there was no significant difference between the two groups(P>0.05).The pain and swelling of the two groups at 2 weeks and 6 months after surgery were significantly lower than those on the first day after surgery(P<0,01),and the improvement degree of the observation group was significantly better than that of the control group(P<0.01 or P<0.05).At 3 and 6 months,baird-jackson scores and AOFAS scores in the treatment group were significantly higher than those in the control group(P<0.01).(3)the CRP and d-d levels of the patients in the two groups on the third and 14th days after the operation were significantly lower than those on the first day after the operation,but there was no statistical difference between the two groups(P>0.05).Conclusion:Oral longxuejiepian combined with early functional rehabilitation training can effectively alleviate postoperative pain and swelling of the ankle joint,improve ankle function,and improve the quality of life of patients,and the effect is better than simple early functional rehabilitation exercise,worthy of clinical promotion.