手法复位小夹板固定联合中药内服治疗桡骨远端骨折39例

发布时间：2018-01-21 04:13

本文关键词： 桡骨远端骨折手法复位小夹板固定中药内服　出处：《西部中医药》2017年02期 　论文类型：期刊论文

【摘要】：目的:观察手法复位小夹板固定联合中药内服治疗桡骨远端骨折的临床疗效。方法:将78例患者随机分为观察组、对照组各39例。对照组单纯给予手法复位小夹板固定治疗;观察组在对照组治疗的基础上给予中药分期治疗。观察2组治疗后掌倾角、尺偏角、桡骨长度、消肿时间、骨折愈合时间、疼痛缓解时间、临床疗效及治疗前后VAS评分的变化情况。结果:治疗后治愈率治疗组、对照组分别为64.10%、58.97%,2组比较差异无统计学意义(P0.05)。总有效率治疗组、对照组分别为100.00%、97.44%,2组比较差异无统计学意义(P0.05)。治疗组消肿时间、骨折愈合时间、疼痛缓解时间均短于对照组,2组比较差异有统计学意义(P0.05)。掌倾角、尺偏角、桡骨长度治疗后观察组均小于对照组,2组比较差异有统计学意义(P0.05)。VAS评分2组治疗后均明显降低,治疗后各时点与本组治疗前比较,差异有统计学意义(P0.05)。治疗后相同时点2组比较,差异有统计学意义(P0.05)。结论:手法复位小夹板固定联合中药内服治疗桡骨远端骨折临床疗效显著,可快速缓解疼痛,消除水肿,加速骨折愈合,减轻疼痛,且可较好地纠正掌倾角、尺偏角、桡骨长度。
[Abstract]:Objective: to observe the clinical effect of manual reduction and splint fixation combined with traditional Chinese medicine in the treatment of distal radius fracture. Methods: 78 patients were randomly divided into observation group. In the control group, 39 cases were treated with manual reduction and small splint fixation. Observation group on the basis of the treatment of traditional Chinese medicine phased treatment. Observation of the two groups after the treatment of palmar obliquity, ulnar angle, radius length, swelling time, fracture healing time, pain relief time. Results: the cure rate of the treatment group and the control group were 64.10% and 58.97% respectively. There was no significant difference between the two groups (P 0.05). The total effective rate in the treatment group and the control group was 100.00,97.44% respectively. There was no significant difference between the two groups (P 0.05). The time of detumescence, fracture healing and pain relief in the treatment group were shorter than those in the control group. The difference between the two groups was statistically significant (P 0.05). The palmar inclination angle, ulnar deviation angle and radius length were smaller in the observation group than in the control group. The difference between the two groups was statistically significant (P 0.05). The VAS scores of the two groups were significantly decreased after treatment, and the time points after treatment were compared with those before treatment. The difference was statistically significant (P 0.05). The two groups were compared at the same time after treatment. The difference was statistically significant (P 0.05). Conclusion: the treatment of distal radius fracture by manual reduction and splint fixation combined with traditional Chinese medicine is effective, which can relieve pain quickly, eliminate edema and accelerate fracture healing. The pain is alleviated, and the angle of palmar inclination, ulnar deviation and radius length can be corrected well.
【作者单位】：永登县人民医院;
【分类号】：R274.1
【正文快照】： 桡骨远端骨折在临床上较为常见,可发生于任何年龄段,尤其多发于儿童和中老年人。根据受伤机制及患者骨折移位程度可将其分为屈曲型、伸直型和波及关节面型[1]。对于此类患者,经积极、合理治疗后大多数能取得较好疗效。手法复位小夹板外固定法是目前治疗桡骨远端骨折的常规治疗

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