尺骨茎突骨折对腕关节功能影响的研究

发布时间：2018-01-11 07:34

本文关键词：尺骨茎突骨折对腕关节功能影响的研究　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本文通过回顾性随访调查,探究单纯尺骨茎突骨折运用中医小夹板治疗后,尺骨茎突骨折两类骨折分型在腕关节Gartland-Werley功能评分表,下尺桡关节稳定情况,腕尺侧疼痛情况的对比状况,并根据结果进行分析讨论,以此探讨尺骨茎突骨折对腕关节功能影响的研究情况方法:收集并随访2015年1月份至2016年5月份31例(成功回访26例)来我院就诊的经我院X光检查可诊断为单纯尺骨茎突骨折的患者,均行中医正骨手法复位并采取小夹板固定治疗。按照单纯尺骨茎突骨折分型之不同分为I型组(体部骨折组)和II型组(基底部骨折组),之后随访并记录其Gartland-Werley腕关节功能评分、下尺桡关节稳定情况和腕尺侧疼痛情况,运用恰当的统计学理论方法对两组间的有关数据进行处理,并对结果进行分析讨论,比较两组间的疗效情况,以此获得中医小夹板治疗尺骨茎突骨折后对腕关节功能影响的研究情况。结果:经过分析整理后,统计数据表明,尺骨茎突I型与II型骨折在腕关节Gartland-Werley评分表上无明显统计学差异(P0.05),两者下尺桡关节基本稳定,且彼此之间无统计学差异(P0.05),然而在腕尺侧疼痛上两者有统计学差异(P0.05)结论:综上结果,经过分析和讨论,得出以下结论:(1)经中医小夹板治疗后,尺骨茎突骨折中I型和II型在对腕关节功能整体上影响有限,两者之间无统计学差异,而两者下尺桡关节稳定性对比也无差异,但尺骨茎突骨折II型对腕关节受伤后预后治疗中较I型骨折有疼痛较多方面的影响。(2)中医小夹板经济实惠,治疗尺骨茎突骨折疗效确切,可有效防止尺骨茎突II型骨折后下尺桡关节不稳状况的发生。
[Abstract]:Objective: to investigate the treatment of simple styloid process fracture of ulna by Chinese medicine splint through retrospective follow-up investigation. Two types of ulnar styloid process fractures were classified in the wrist Gartland-Werley score table, the stability of the lower ulnar and radial joints, and the comparative status of pain in the ulnar wrist. And according to the results of analysis and discussion. To explore the effect of ulnar styloid process fracture on wrist function methods: 31 cases were collected and followed up from January 2015 to May 2016 (26 successful cases). X-ray examination in our hospital can be diagnosed as simple fracture of ulna styloid process. According to the classification of simple ulnar styloid process fracture, I group (body fracture group) and type II group (basal base fracture group) were divided into two groups: type I (body fracture group) and type II group (basal fracture group). The Gartland-Werley wrist function score, the stability of the lower ulnar and radial joint and the pain of the ulnar wrist were recorded. The relevant data between the two groups were processed with the appropriate statistical theory method, and the results were analyzed and discussed, and the curative effect between the two groups was compared. In order to obtain the traditional Chinese medicine small splint treatment of ulna styloid process fracture of the wrist function after the study. Results: after analysis, statistical data show. There was no significant difference in Gartland-Werley score between type I and II fractures of ulnar styloid process (P 0.05), and the lower ulnar and radial joints were basically stable. And there is no statistical difference between them (P 0.05), but there is a statistical difference in wrist ulnar pain (P 0.05). Conclusion: the above results are analyzed and discussed. The following conclusion is drawn: after treatment with small splint of traditional Chinese medicine, type I and type II of styloid process fracture of ulna have limited effect on wrist function as a whole, there is no statistical difference between them. There is no difference in the stability of the ulnar and radial joints between the two groups, but type II of styloid process fracture of ulna has a more painful effect on the prognosis of wrist injury than type I fracture. The treatment of ulnar styloid process fracture is effective in preventing the instability of the lower ulnar radial joint after the styloid process type II fracture.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.1

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