桡骨远端骨折采用切开复位钢板内固定术结合骨愈康复灵汤治疗的临床效果观察

发布时间：2019-03-11 10:34

【摘要】：目的:探讨分析切开复位钢板内固定术结合骨愈康复灵汤治疗桡骨远端骨折的临床效果。方法:130例桡骨远端骨折患者,随机分成观察组与对照组,每组65例。对照组患者使用切开复位钢板内固定术治疗,观察组在对照组治疗的基础上加用骨愈康复灵汤治疗。评价两组患者临床疗效;观察患者患肢完成各种动作的角度和并发症发生情况。结果:观察组患者治疗总优良率96.92%显著高于对照组87.69%(P0.05),组间差异有统计学意义(P0.05)。治疗后,观察组患者掌曲、尺偏、旋后、背伸、桡偏、旋前等角度明显大于对照组,组间差异具有统计学意义(P0.05)。两组患者并发症发生率比较差异无统计学意义(P0.05)。结论:切开复位钢板内固定术结合骨愈康复灵汤治疗桡骨远端骨折,临床疗效较好,有助于患者功能恢复,且没有显著并发症发生,具有较高的临床应用价值,值得推广。
[Abstract]:Objective: to investigate the clinical effect of open reduction plate internal fixation combined with Guyukangling decoction in the treatment of distal radius fracture. Methods: 130 patients with distal radius fracture were randomly divided into observation group and control group with 65 cases in each group. The patients in the control group were treated with open reduction plate internal fixation, and the patients in the observation group were treated with Guyukangling decoction on the basis of the treatment in the control group. To evaluate the clinical efficacy of the two groups, to observe the angle and complications of the affected limbs. Results: the total excellent and good rate of treatment in the observation group was significantly higher than that in the control group (96.92% vs 87.69%, P0.05), and there was a significant difference between the two groups (P0.05). After treatment, the palmar curvature, ulnar deviation, rotation, back extension, radial deviation, pre-rotation angle in the observation group were significantly larger than those in the control group, and the differences between the groups were statistically significant (P0.05). There was no significant difference in the incidence of complications between the two groups (P0.05). Conclusion: open reduction plate internal fixation combined with Guyukangling decoction is effective in the treatment of distal radius fracture. It is helpful to the functional recovery of the patients and has no significant complications. It has a high clinical application value and is worth popularizing.
【作者单位】：浙江中医药大学附属温州市中医院骨2科;
【分类号】：R687.32

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