手法复位与手术复位疗法对桡骨远端骨折患者的影响  

Observation of the effect of manual reduction and surgical reduction on distal radius fracture

作　　者：孙跃先 王九妹 赵丽丽[3] 郭长秀[4] 于晶[4] SUN Yue-xian;WANG Jiu-mei;ZHAO Li-li;GUO Chang-xiu;YU Jing(Department of Orthopaedic First Ward,Mudanjiang Forestry Central Hospital,Heilongjiang Province,Mudanjiang 157000,China;Department of Dermatology,Mudanjiang Medical University Hongqi Hospital,Heilongjiang Province,Mudanjiang 157000,China;Department of Respiratory,Mudanjiang Medical University Hongqi Hospital,Heilongjiang Province,Mudanjiang 157000,China;Department of Endocrinology,Mudanjiang Medical University Hongqi Hospital,Heilongjiang Province,Mudanjiang 157000,China)

机构地区：[1]黑龙江省牡丹江林业中心医院骨科一病区,黑龙江牡丹江157000 [2]牡丹江医学院红旗医院皮肤科,黑龙江牡丹江157000 [3]牡丹江医学院红旗医院呼吸科,黑龙江牡丹江157000 [4]牡丹江医学院红旗医院内分泌科,黑龙江牡丹江157000

出　　处：《中国当代医药》2021年第4期108-111,共4页China Modern Medicine

摘　　要：目的探讨手法复位与手术复位疗法对桡骨远端骨折患者的影响。方法选取2018年10月~2019年9月牡丹江林业中心医院收治的84例桡骨远端骨折患者为研究对象,按照随机数字表法分为手法复位组(42例)和手术复位组(42例)。手法复位组患者行手法复位治疗,手术复位组患者行手术复位治疗,比较两组患者手术时间、手术费用、骨折愈合时间、并发症总发生率、腕关节活动度和疼痛情况。结果治疗后两组患者腕关节活动度评分均高于治疗前,疼痛评分均低于治疗前,差异有统计学意义(P<0.05)。手术复位组手术时间长于手法复位组,手术费用高于手法复位组,骨折愈合时间短于手法复位组,并发症总发生率低于手法复位组,腕关节活动度评分高于手法复位组,疼痛评分低于手法复位组,差异均有统计学意义(P<0.05)。结论在桡骨远端骨折患者的治疗上,手术复位治疗效果更佳,疼痛评分更低。Objective To investigate the effects of manual reduction and surgical reduction on patients with distal radius fracture.Methods A total of 84 patients with distal radius fracture admitted to Mudanjiang Forestry Central Hospital from October 2018 to September 2019 were selected as the research objects.According to the random number table method,the patients were divided into manual reduction group(42 cases)and surgical reduction group(42 cases).Patients in the manipulative reduction group received manipulative reduction therapy,while patients in the surgical reduction group received surgical reduction therapy.Operation time,operation cost,fracture healing time,the total incidence of complications rate,wrist range of motion and pain were compared between the two groups.Results After treatment,wrist range of motion score of two groups was higher than that before treatment,and pain score was lower than that before treatment,the differences were statistically significant(P<0.05).The operative time of the surgical reduction group was longer than that of the manual reduction group,the operation cost was higher than that of the manual reduction group,and the fracture healing time was shorter than that of the manual reduction group,the total incidence of complications rate was lower than that of the manual reduction group,the wrist range of motion score was higher than that of the manual reduction group,and the pain score was lower than that of the manual reduction group,the differences were statistically significant(P<0.05).Conclusion In patients with distal radius fractures,surgical reduction is more effective and pain scores are lower.

关 键 词：手法复位 手术复位 桡骨远端骨折 腕关节活动度 疼痛评分 

分 类 号：R683.41[医药卫生—骨科学]