Clinical Observation Of Lower Limb Huoxuezhitong Xunxifang On Functional Recovery After Double Ankle Fracture Surgery (qi Stagnation And Blood Stasis Syndrome)

Objectives: at the orthopaedic treatment of traditional Chinese medicine,under the guidance of "16-character principle" through the observation on the lower limb huoxue pain fumigation party double ankle fracture(qi and blood stasis)the treatment of patients with functional recovery effect,evaluate its safety and to explore a better clinical treatment schemes to promote postoperatively in patients with double ankle fracture(qi and blood stasis)function recovery.Methods: from January 2017 to June 2018,60 cases of patients admitted to the department of orthopaedics and traumatology of the first affiliated hospital of hunan university of traditional Chinese medicine after double ankle fracture surgery(qi stagnation and blood stasis syndrome)were numbered according to the time of operation,and then were divided into the control group and the treatment group with30 cases each by using the random number table method.The two groups were given routine postoperative infection prevention,rehabilitation exercise and other basic treatment.In the control group,the ankle was fumigated with hot water on the basis of basic treatment 2 weeks after the wound healing(subject to removal of stitches).The treatment group was also treated on the basis of the lower limbs huoxue analgesic fumigation side for ankle fumigation.Respectively in 2 weeks after wound healing after take out stitches(in)when take out stitches,take out stitches after 1 month,3months after take out stitches,and after 6 months of follow-up,in patients with observing the curative effect of two groups of patients indicators(modified Baird-Jackson scoring system,visual scale(VAS)pain,ankle swelling degree),and a comparative analysis and statistical processing.Results: 1.Baird-jackson score: after wound healing 2 weeks after surgery(subject to removal of stitches),there was no statistically significant difference in score between the two groups(P>0.05).One month after removal,the score of the treatment group was 66.21±6.85,while that of the control group was 58.60±4.33.Three months after removal,the score of the treatment group was 85.86±4.70,and that of the control group was 76.63±4.94.The score of the treatment group was94.75±4.43,and that of the control group was 90.80±5.43.Baird-jackson scores ofankle joints in the two groups were significantly different(P<0.01)1 month after stitching removal,3 months after stitching removal,and 6 months after stitching removal.2.VAS score: the score of the treatment group was 4.14±1.30 and the score of the control group was 4.27±1.31 after 2 weeks of wound healing(subject to removal of stitches).One month after removal,the score of the treatment group was 2.32±0.67,and that of the control group was 3.10±0.92.The score of the treatment group was1.57±0.63,and that of the control group was 2.07±0.45.The score of the treatment group was 0.75±0.44,and that of the control group was 0.87±0.43.There was no difference in VAS score between the two groups after 2 weeks of wound healing(subject to removal of stitches)and 6 months after removal of stitches(P>0.05).There were significant differences in VAS scores between the two groups at 1 month and 3months after removal of stitches(P<0.01).3.Degree of ankle swelling: there was no significant difference in degree of ankle swelling between the two groups after 2 weeks of postoperative wound healing(as determined by stitching removal),3 months after stitching removal and 6 months after stitching removal(P>0.05).There was a significant difference between the treatment group and the control group 1 month after removal of stitches(P<0.01).4.Safety assessment: during the study,only 2 patients in the treatment group presented mild skin itching,and the symptoms improved after 1 day of drug withdrawal,while no adverse reactions occurred in the rest of the patients.Conclusion: in the orthopaedic treatment of traditional Chinese medicine,under the guidance of "16-character principle" on the lower limb huoxue pain fumigation party double ankle fracture(qi and blood stasis)patients have good curative effect,patients can reduce swelling,pain symptoms,enhance the recovery of ankle function,and the treatment is convenient,simple,cheap,safe and reliable,has clinical value.