手法复位接骨续筋膏外敷联合小夹板固定治疗桡骨远端骨折临床观察

发布时间：2018-01-15 10:16

本文关键词：手法复位接骨续筋膏外敷联合小夹板固定治疗桡骨远端骨折临床观察　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本次临床研究欲通过观察实验组和对照组患者腕部肿胀、疼痛变化过程,骨折愈合时间,腕部功能,并发症等方面差异。了解接骨续筋膏在临床中疗效。为其在临床治疗提供依据。方法:随机将临床上收集的满足实验标准的88例患者分成两组。手法复位满意后实验组给予接骨续筋膏外敷小夹板固定治疗;对照组给予小夹板固定治疗。记录患者随访过程中腕横纹和掌横纹处肿胀,疼痛,骨折愈合时间,腕关节功能,比较两组结果差异。结果:两组患者在疼痛缓解、腕横纹处肿胀消除、掌横纹处肿胀消除方面,第1天、第30天、第45天两组间无显著性差异(P0.05);第3天,第7天、第14天、第21天两组间有差异(P0.05),实验组疗效优于对照组。在临床愈合时间和腕关节评分等级方面,结果P0.05无统计学意义,表明两组疗法相同。结论:接骨续筋膏能更好地减轻腕部肿胀,缓解局部疼痛,早期行腕关节功能锻炼,且药物无皮肤刺激等不良反应,可作为临床诊疗方案之一。
[Abstract]:Objective: to observe the process of wrist swelling and pain, fracture healing time and wrist function in the experimental group and the control group. Complications and other differences. To understand the clinical efficacy of gluten. To provide the basis for its clinical treatment. Methods:. 88 patients who met the experimental standard were randomly divided into two groups. The experimental group was treated with small splint after satisfactory manual reduction. The patients in the control group were treated with splint fixation. The swelling, pain, fracture healing time and wrist joint function were recorded during the follow-up. Results: two groups of patients in pain relief, carpal stria swelling elimination, metacarpal striation swelling elimination, the first day, the 30th day. On the 45th day, there was no significant difference between the two groups. There were differences between the two groups on the 3rd, 7th, 14th and 21st day. The curative effect of the experimental group was better than that of the control group. Results there was no significant difference between the two groups (P0.05), which indicated that the two groups had the same therapy. Conclusion: the gluten can relieve the swelling of wrist, relieve local pain, and early exercise wrist joint function. And no skin irritation and other adverse drug reactions, can be one of the clinical diagnosis and treatment.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.1

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