Aceclofenac Combined Rehabilitation Therapy in Patients with Tibial Fracture Postoperative Observation and Effects on Limb Function and VAS Score
CHEN Ren-hui,NIU Ning-kui,JI-yuan
Traumatology and Orthopaedics, Tianjin Fourth Central Hospital, Tianjin (300140), China
Abstract:
Objective To investigate the effect of aceclofenac combined with rehabilitation therapy in patients with tibial fractures and its effect on limb function and visual analog scale (VAS) score. Methods 78 patients with tibial fractures from May 2018 to September 2019 were selected as subjects and were randomly divided into control group (n =39 cases) and observation group (n =39 cases). The control group was given rehabilitation treatment after operation. The observation group was combined with aceclofenac intervention on the basis of the control group. After 8 weeks, the limb function, VAS score, bone metabolism index level, complication rate and prognosis of the patients were evaluated. Results The knee group Harris (78.94±6.73)score, hip HSS score (90.52±8.71) score, BI score (81.74±8.43) score and ROM (95.33±7.59) were higher than those of the control group, which 8 weeks after treatment in the observation group Knee Harris (64.34±5.97)points, hip HSS score (79.67±7.92) points, BI score (73.23±8.09) points and ROM (75.45±6.51) (P <0.05).The VAS scores after treatment in the observation group that 1 week (5.41±0.34), 4 weeks (4.12±0.28), 6 weeks (3.55±0.24) and 8 weeks (2.69±0.21) are all lower than those of the control group, which 1 week (6.89±0.41), 4 weeks (5.75±0.34), 6 weeks(5.12±0.33) and 8 weeks (4.12±0.26) (P <0.05).Bone metabolism level (5.84±0.61)%, PICP level of bone metabolism in the observation group 8 weeks after treatment (154.31±12.49) μg/L and BGP level (4.38 ± 0.61) μg/L were higher than those of the control group, which bone metabolic BALP level (4.62±0.46)%, PICP level (121.59±9.61) μg/L and BGP level (3.23±0.56) μg/L (P <0.05). β-CTX level (0.32±0.09) μg/L was lower than that of the control group (0.48±0.10) μg/ L (P<0.05) 8 weeks after treatment. During the observation group, treatment infection, the rate of knee stiffness, fracture healing, thrombosis and incidence (5.13%) were lower than those of the control group (17.95%) (P<0.05). Conclusion Aceclofenac combined with rehabilitation therapy in patients with tibial fractures can improve the patient’s limb function, reduce the patient’s pain, improve the level of bone metabolism index and reduce the incidence of postoperative complications, which is worthy of popularization and application.
