| Objective: This subject aims to observe Ze Lan mixture combined with the integration of ankle pump movement therapy and single therapy to treat the clinical curative effect of early postoperative swelling ankle fractures,and provide a reference for the treatment of early postoperative swelling ankle fractures.Methods: Adopting the method of completely random permutation,election the patients of orthopedics in Kunming Municipal Hospital of Traditional Chinese Medicine from December,2015 to November,2016.According to the diagnostic criteria of ankle fractures,case income criterion and cases of exclusion criteria,patients were collected to observe the standards of 66 cases of patients,which Ze Lan mixture combined with ankle pump movement group 22 cases,Ze Lan mixture group 22 cases,ankle pump group movement 22 cases.All included in the standard case observed 2 weeks and observe the swelling of the situation respectively in postoperative 1 day(before treatment),3 days,5 days,7 days,10 days,14 days(end of treatment).Curative effect index: the swelling of the value,the VAS pain index score and ankle motion.Adopting the SPSS22.0 statistical software to statistical analysis,and make objective evaluation of the treatment effect.Result:1.Three groups of patients in gender,age,health side weeks diameter,injury side body,swelling degree,fracture classification differences had no statistical significance(P>0.05),provide that baseline conditions between the set of consistent,comparable.2.Three groups of swelling value comparison before treatment,P>0.05,there was no statistically significant,comparable.Intra-group comparison: the swelling value of three groups compared with that of before treatment were no statistical significance(P>0.05)in 3days after treatment;the swelling value of three groups compared with that of before treatment was statistically significant(P<0.05)in 5 days after treatment;three groups cases are significant statistically significant difference compared with before treatment(P<0.01)in7 days,10 days and 14 days(end of treatment)after treatment.Comparison between groups:swelling values of the three groups by the analysis of variance,differences had no statistical significance(F=2.21,P>2.21)in 3 days after treatment;treatment for 5 days and 7 days later,swelling values of three groups by the analysis of variance,differences were statistically significant(P<0.05);Integration between two groups: Ze Lan mixture combined with ankle pump movement group compared with Ze Lan mixture group,the difference was statistically significant(P<0.05);Ze Lan mixture combined with ankle pump movement group compared with ankle pump exercise group,the difference was statistically significant(P<0.05),Ze Lan mixture group compared with ankle pump group,there was no statistically significant difference(P>0.05).The swelling values of treatment for 10 days,14 days later by the analysis of variance,difference between group with significant statistical significance(P<0.01),comparison between two groups,Ze Lan mixture combined with ankle pump movement group compared with Ze Lan mixture group,with significant difference statistically significant(P<0.01),Ze Lan mixture combined with ankle pump movement group compared with ankle pump exercise group,with significant difference statistically significant(P<0.01),Ze Lan mixture group compared with ankle pump group,there was no statistically significant difference(P>0.05).3.Compared the VAS pain index score(the average of static and activity)of three groups before treatment,P>0.05,there was no statistically significant difference.Intra-group comparison: compared the VAS pain index of 3 days,5 days,7 days,10 days,14 days after treatment,the difference between three groups are statistically significant compared with before treatment(P<0.01).Comparison between groups: 3 days after treatment,the pain index of three groups by analysis of variance,there was no statistically significant difference(F=1.95,P>0.05);5 days,7days after treatment,the differences between groups were statistically significant(P<0.05).Comparison between two groups: Ze Lan mixture combined with ankle pump movement group compared with Ze Lan mixture group,the difference was statistically significant(P<0.05),Ze Lan mixture combined with ankle pump movement group compared with ankle pump exercise group,the difference was statistically significant(P<0.05),Ze Lan mixture group compared with ankle pump group,there was no statisticallysignificant difference(P>0.05);10 days,14 days(end of treatment)after treatment,there are significant difference between groups statistically significant(P<0.01),comparison between two groups,Ze Lan mixture combined with ankle pump movement group compared with Ze Lan mixture group,the difference was statistically significant(P<0.05),Ze Lan mixture combined with ankle pump movement group compared with ankle pump exercise group,with significant difference statistically significant(P<0.01),Ze Lan mixture group compared with ankle pump group,there was no statistically significant difference(P>0.05).4.The comparison between three groups' ankle mobility before treatment,P>0.05,there was no statistically significant difference.Intra-group comparison: the ankle mobility of three groups after treatment compared with before treatment differences were statistically significant(P<0.01).Comparison between groups:the ankle motion of three groups by analysis of variance,there are significant difference between groups statistical significance(P<0.01);comparison between two groups,Ze Lan mixture combined with ankle pump movement group compared with Ze Lan mixture group,with significant difference statistically significant(P<0.01),Ze Lan mixture combined with ankle pump movement group compared with ankle pump exercise group,there was no statistically significant differ-ence(P>0.05),ankle pump group compared with Ze Lan mixture group,the difference was statistically significant(P<0.01).5.The clinical curative effect of three groups comparison by rank sum test,the curative effect difference of three groups was statistically significant(P<0.05),which Ze Lan mixture combined with ankle pump movement group's total effective rate was 95%,excellent efficiency of 45%;Ze Lan mixture group total effective rate was 84%,the excellent efficiency of 26%,ankle pump movement group total effective rate was 90%,the excellent efficiency is10%.Conclusion: According to the clinical observe of three groups and statistics processing,provide that clinical curative effect of the early postoperative swelling ankle fractures treatment by Ze Lan mixture combined with ankle pump movement on the whole is better than that by single use Ze Lan mixture group and single use ankle pump movement,especially in curative effect of the swelling,pain,ankle joint activities is distinct,worthy ofclinical promotion. |
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