闭合性Colles骨折手法复位麻醉方式的选择

发布时间：2018-01-08 15:14

本文关键词：闭合性Colles骨折手法复位麻醉方式的选择　出处：《深圳中西医结合杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的:探讨闭合性Colles骨折手法复位时麻醉方式的选择。方法:回顾性分析本院门诊自2012年1月至2015年1月收治的156例Colles骨折采用闭合复位小夹板外固定治疗方法治疗的患者病历。按照桡骨远端骨折Lidstromd分型,选择Ⅱ度、Ⅲ度和Ⅳ度的患者。每1分度患者分为1组,之后按照数字表法,随机分为麻醉组、非麻醉组。麻醉组采用2%利多卡因注射液10~15 m L进行骨折端麻醉,非麻醉组不采用任何麻醉措施。所有患者均经同一骨科专业医师进行手法复位,复位成功后采用小夹板外固定。并指导患者积极进行功能锻炼。骨折复位后6月随访患者骨折愈合情况、腕关节功能、后遗疼痛及其他情况。结果:所有患者均获得随访,随访时间12~30个月,平均24个月。麻醉组优良率为98%,非麻醉组优良率为80%,两组比较,差异具有统计学意义(P0.05)。对于Ⅱ度患者,采用非麻醉方式较佳,对于Ⅲ度患者,两组比较,差异无统计学意义(P0.05),Ⅳ度患者采用麻醉方式较好。结论:Colles骨折患者麻醉方式的选择应综合患者年龄,受伤情况,骨折情况综合考虑,推荐患者年龄大,骨折严重者应在复位时候进行麻醉,对于青壮年,骨折移位程度较轻者可考虑非麻醉的方式进行骨折复位。
[Abstract]:Objective: To investigate the manipulation of closed Colles fracture when the choice of anesthesia. Methods: a retrospective analysis of 156 cases of Colles in our hospital from January 2012 to January 2015 were treated with closed reduction and fracture splint treatment in patients. According to the distal radius fracture of Lidstromd type, select the third and fourth degree 2. The degree of the patients. Each of the 1 index patients were divided into 1 groups, according to the number table, randomly divided into anesthesia group, non anesthesia group. Anesthesia group using 2% lidocaine injection 10~15 m L fracture anesthesia, the non anesthesia group with no anesthesia measures. All patients were treated by manipulative reduction with a professional department of orthopedics doctors, after successful reduction by external fixation of small splints. And guide the patients to active functional exercise. After the reduction in June follow-up of patients with fracture healing fractures, wrist function, residual pain and other conditions. The results are: Some patients were followed up for 12~30 months, average 24 months. The anesthesia group was 98%, the non anesthesia group was 80%, comparing the two groups, the difference was statistically significant (P0.05). For the second degree patients with non anesthesia is better for patients with third degree between the two groups., no statistically significant difference (P0.05), patients with IV degree of anesthesia is better. Conclusion: Colles fracture patients the choice of anesthesia should be integrated with age, injury, fracture situation into account, the recommended age, severe fracture should be reset when waiting for anesthesia, young adults, can shift to a lesser extent considering the non anesthesia way fracture fracture reduction.

【作者单位】：贵阳中医学院研究生院;南充市高坪区中医医院;
【分类号】：R687.3
【正文快照】： 桡骨远端骨折骨折,分为Colles骨折、Smith骨折、Barton骨折、桡骨茎突骨折等[1]。其中Colles骨折是骨科临床门诊常见骨折类型,有学者[2]指出对于大多数的Colles骨折可以采取非手术治疗的方式能取得满意的效果。在非手术治疗Colles骨折的方式中,手法闭合复位,复位成功后采用小

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