手法复位、石膏托外固定联合中药内服治疗儿童伸直型肱骨髁上骨折55例临床观察  

Clinical observation on 55 cases of children with extension type supracondylar fracture of humerus treated by manual reduction and external fixation with gypsum support combined with oral administration of Chinese materia medica

作　　者：陈波[1] 黄燕波 毛利丹[3] CHEN Bo;HUANG Yanbo;MAO Lidan(Department of Orthopedics,Yuyao Municipal The People's Hospital,Yuyao,Zhejiang,315400,China;Department of Orthopedics,Yuyao Municipal Hospital of TCM,Yuyao,Zhejiang,315400,China;Department of Pediatrics,Yuyao Municipal The People's Hospital,Yuyao,Zhejiang,315400,China)

机构地区：[1]余姚市人民医院骨科,浙江余姚315400 [2]余姚市中医医院骨科,浙江余姚315400 [3]余姚市人民医院儿科,浙江余姚315400

出　　处：《中医儿科杂志》2021年第3期72-76,共5页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察手法复位、石膏托外固定联合中药内服治疗儿童伸直型肱骨髁上骨折的临床疗效。方法选取2018年10月至2019年10月余姚市人民医院骨科收治的伸直型肱骨髁上骨折患儿105例,采用随机数字表法分为对照组50例和治疗组55例。对照组行手法复位、石膏托外固定治疗,治疗组在对照组治疗方法的基础上予桃红四物汤加减治疗,2组均以10 d为1个疗程,疗程间隔3 d,治疗2个疗程后统计临床疗效。结果对照组优良率为76.00%(38/50),治疗组为92.73%(51/55), 2组比较,差异有统计学意义(P<0.05)。治疗前,2组Mayo肘关节功能评分(MEPS)比较,差异无统计学意义(P>0.05),具有可比性。治疗后随访6个月,2组MEPS评分均明显升高,与同组治疗前比较,差异有统计学意义(P<0.01),且治疗组MEPS评分升高更显著,与对照组治疗后比较,差异有统计学意义(P<0.05)。随访6个月,治疗组与对照组并发症发生率分别为12.74%(7/55),16.00%(8/50),2组比较,差异无统计学意义(P>0.05)。结论采用手法复位、石膏托外固定联合中药内服治疗儿童伸直型肱骨髁上骨折,可显著提高临床疗效,促进骨折愈合,并能改善患儿肘关节功能,减少并发症的发生,值得临床推广应用。Objective To observe the clinical efficacy of manual reduction and external fixation with gypsum support combined with oral administration of Chinese materia medica in the treatment of children with extension type supracondylar fracture of humerus.Methods From October 2018 to October 2019,105 children with extension type supracondylar fracture of humerus admitted into orthopedics department in Yuyao Municipal The People’s Hospital were divided into control group with 50 cases and treatment group with 55 cases according to random number table method.The control group was given manual reduction and external fixation with gypsum support, on this basis, the treatment group was given modified Taohong Siwu Tang(桃红四物汤).Ten days constituted a course of treatment for both groups, with 3 days interval between courses.We kept statistics about the clinical efficacy after 2 courses of treatment.Results The excellent rate of the control group was 76.00%(38/50),and 92.73%(51/55) in the treatment group, and the difference between the 2 groups was statistically significant(P<0.05).Before treatment, there was no significant difference in Mayo elbow performance score(MEPS) between the 2 groups(P>0.05),and they were comparable.A 6-month follow-up was conducted after treatment, the MEPS of the 2 groups significantly increased, and the difference was statistically significant compared with the same group before treatment(P<0.01),moreover, MEPS of the treatment group increased more significantly, and the difference was statistically significant compared with the control group after treatment(P<0.05).After 6 months follow-up, the incidence of complications in the treatment group and the control group were 12.74%(7/55) and 16.00%(8/50),respectively.There was no significant difference between the 2 groups(P>0.05).Conclusion It can significantly improve the clinical efficacy, promote union of bone, improve the elbow joint function of children, and reduce the occurrence of complications to use manual reduction and external fixat

关 键 词：儿童 伸直型肱骨髁上骨折 手法复位 石膏托外固定 桃红四物汤 临床观察 

分 类 号：R683.41[医药卫生—骨科学]