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目的：观察中医辨证施护对尺骨骨折钢板内固定术后患者的影响。方法将45例钢板内固定治疗尺骨骨折术后患者随机分为观察组24例和对照组21例，对照组实施常规护理，观察组在实施常规护理基础上，给予中医辨证施护及指导功能锻炼，比较两组患者术后患肢疼痛减轻程度、肿胀消退时间及前臂旋转功能。结果观察组疼痛减轻程度较对照组好，肿胀消退时间短于对照组，随访结束时，前臂旋转功能优于对照组。结论中医辨证施护缩短尺骨骨折钢板内固定术后疼痛及肿胀的消退时间，同时，通过指导功能锻炼能够促进前臂旋转功能的恢复。“,”Objective To explore the ef ect of the dialectical nursing of Chinese medicine on the patients with ulna fracture in the post-operation treatment by internal fixation. Methods A total of 45 patients with ulna fracture treated by internal fixation were randomly divided into the observation group (n=24) and the control group(n=21).The patients in the control group received routine nursing, while the patients in the control group received the dialectical nursing of Chinese medicine and guiding physical training helped by special person,in addition to routine nursing. The two groups were compared with the relief of pain, the regression time of swel ing , and the spinfunction of forearm. Results The relief of pain was faster in the observation group than that in the control group .The regression time of swel ing was shorter in the observation group than that of the other group .At the end of fol ow-up ,the spinfunction of forearm of the observation group was bet er than that of the control group (al P<0.05). Conclusion The dialectical nursing of Chinese medicine can shorten regression time of the pain and the swel ing in the post-operation treatment by internal fixation .Besides,the spinfunction of the forearm could be promoted by guiding physical training .