CAJ | 학술논문

目的：观察经皮穴位电刺激治疗对胫腓骨骨折术后早期患者肿胀、疼痛以及血清CRP、IL-6、TNF-α表达水平的影响。方法：将116例胫腓骨骨折术后患者随机分为对照组和治疗组，各58例，对照组予以常规术后处理，治疗组在对照组基础上给予经皮穴位电刺激治疗。于术前1d及术后第1d、7d观察两组患者肿胀情况，疼痛评分和血清CRP、IL-6和TNF-α的变化。结果：两组患者术前1d与术后1d之间肿胀程度，疼痛评分及血清CRP、IL-6、TNF-α水平比较，差异无统计学意义（P>0.05）；两组患者术后第7d肿胀程度，疼痛评分及血清CRP、IL-6、TNF-α比较，差异有统计学意义（P<0.05）。结论：经皮神经电刺激治疗对胫腓骨骨折术后肿胀消退及疼痛止痛效果显著，对术后患者血清CRP、IL-6和TNF-α的影响明显。
목적：관찰경피혈위전자격치료대경비골골절술후조기환자종창、동통이급혈청CRP、IL-6、TNF-α표체수평적영향。방법：장116례경비골골절술후환자수궤분위대조조화치료조，각58례，대조조여이상규술후처리，치료조재대조조기출상급여경피혈위전자격치료。우술전1d급술후제1d、7d관찰량조환자종창정황，동통평분화혈청CRP、IL-6화TNF-α적변화。결과：량조환자술전1d여술후1d지간종창정도，동통평분급혈청CRP、IL-6、TNF-α수평비교，차이무통계학의의（P>0.05）；량조환자술후제7d종창정도，동통평분급혈청CRP、IL-6、TNF-α비교，차이유통계학의의（P<0.05）。결론：경피신경전자격치료대경비골골절술후종창소퇴급동통지통효과현저，대술후환자혈청CRP、IL-6화TNF-α적영향명현。
Objective:To observe electrical acupoint on fracture swelling, pain, and serum CRP, IL-6, TNF-αexpression. Methods:116 cases of tibia and fibula fracture patients were randomly divided into the control group and the treatment group, the 58 patients in the control group received routine treatment, the treatment group received electrical acupoint treatment more than control group. One day before surgery and on postoperative day 1, 7-day observation, the pain score and serum CRP IL-6 in patients with swelling change groups, and TNF-α’s. Results:For the degree of swelling, pain score and serum CRP between the two groups before and after surgery 1 d, IL-6, TNF-αlevel comparison, the difference was not statistically significant (P>0.05), two groups of patients surgery after 7 days the degree of swelling, pain score and serum CRP, IL-6, TNF-α, the difference was statistically significant (P<0.05). Conclusion: Electrical nerve stimulation therapy on the tibia and fibula fracture surgery is significant, postoperative serum CRP, IL-6 and affects TNF-αsignificantly.