摘要
目的浅析在骨折手术的安全评估中引入中医体质辨识理念,对手术安全性的预测价值及对围术期理疗工作开展的指导意义。方法回顾性分析2018年1月—2018年12月收纳的160例老年骨折患者作研究对象,均予基于中医体质辨识下的手术安全评估。根据围术期理疗方案差异进行分组。其中80例行常规理疗支持,作对照组;另80例基于体质辨识基础开展针对性理疗干预,作试验组。比较对照组术后30 d并发症与死亡率预测值及实际值差异,评估中医体质辨识干预对患者手术安全评估的准确性。再比较2组实际并发症与死亡率差异,评估中医体质辨识理念对患者手术预后干预的指导意义。结果对照组术后并发症及死亡率实际值与预测值对比差异无统计学意义(P>0.05);试验组实际并发症发生率低于对照组,P<0.05,实际死亡率对比2组间差异无统计学意义(P>0.05)。结论中医体质辨识在老年骨折患者的手术安全评估中效果确切,可有效评估术后并发症及死亡率风险,并为术后理疗工作的开展提供决策与指导性意见。
Objective To analyze the predictive value of TCM constitutions on the surgical safety assessment and study its guiding significance for physiotherapy.Methods 160 elderly bone fracture treated from January 2018 to February 2018 were reviewed.Based on TCM constitutions,the surgical safety was assessed.According to physiotherapy schemes,patients were assigned to control group(n=80)and experimental group(n=80).The conventional physiotherapy was performed in the control group;TCM constitution-based physiotherapy was performed in the experimental group.After 30d of surgery,predictive value and actual value of complication and death rate were compared for assessment accuracy of TCM constitutions on the surgical safety;the actual complication and death rate was compared for studying its guiding significance on postoperative interventions.Results In the control group,the actual value and predictive value of postoperative complication and death rate showed no statistically significant difference(P>0.05),the actual complication rate in the test group was lower than control group(P<0.05),the actual death rate between groups showed no statistically significant difference(P>0.05).Conclusion TCM constitutions are applicable for risk assessment of postoperative complication and death,which provides guidance on the implementation of physiotherapy.
作者
李骥征
廖建青
黄信源
LI Jizheng;LIAO Jianqing;HUANG Xinyuan(School of Clinical Medicine,Yunnan University of Traditional Chinese Medicine,Yunnan Province,Kunming 650000,China;Department of Orthopedics and Traumatology,Yunnan Provincial Hospital of Traditional Chinese Medicine,Yunnan Province,Kunming 650000,China)
出处
《中国中医药现代远程教育》
2020年第20期73-75,共3页
Chinese Medicine Modern Distance Education of China
基金
云南省卫生科技计划项目【No.2017NS162】。
关键词
中医
体质辨识
老年
骨折
手术安全评估
traditional Chinese medicine
constitutions
elderly
bone fracture
surgical safety assessment
