一体化扎带压垫夹板簾治疗桡骨远端伸直型骨折的临床应用  

Clinical Study of the Integrated Retainer Pad Splint on the Treatment of Colle’s Fracture

作　　者：孟宪宇[1] 李凤久 张旭 赵东辉[3] 李权 李秋红[2] 王磊[2] 杨吉 董礼榤 姜巍 MENG Xianyu;LI Fengjiu;ZHANG Xu;ZHAO Donghui;LI Quan;LI Qiuhong;WANG Lei;YANG Ji;DONG Lijie;JIANG Wei(The First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang Center for Disease Control and Prevention,Harbin 150036,China)

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040 [2]黑龙江中医药大学 [3]黑龙江省疾病预防控制中心

出　　处：《中国中医骨伤科杂志》2022年第10期38-42,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：黑龙江省中医药科研项目(ZHY19-032)。

摘　　要：目的:观察应用一体化扎带压垫夹板簾治疗Colle’s骨折的有效性和安全性以及一体化扎带压垫夹板簾与传统竹簾夹板固定治疗Colle’s骨折相比较的优效性。方法:选取Colle’s骨折患者100例,随机分为应用一体化扎带压垫夹板簾固定的治疗组和应用传统竹簾夹板固定的对照组。比较分析两组在操作时间长短,骨折愈合快慢,X线片桡骨高度、掌倾角、尺偏角的变化,以及第8周时Gartland-Werley评分变化。结果:在操作便捷性上,治疗组优于对照组(P<0.05),治疗组在应用中的操作时间更短。X线片下,治疗后第1,3,5周,两组差异有统计学意义(P<0.05),治疗组的骨折复位丢失更少。在第8周复诊时,两组患者的腕关节功能Gartland-Werley评分优良率对比,治疗组为96%,高于对照组的80%。结论:相对于传统竹簾夹板固定,一体化扎带压垫夹板簾具有操作更便捷、固定更稳定的特点,可以获得更高的腕关节功能优良率,值得临床推广应用。Objective:To observe the efficacy and safety of the integrated retainer pad splint in treating Colle’s fracture,and to compare the optimal efficacy of the integrated retainer pad splint with the traditional pad splint on the treatment of Colle’s fracture.Methods:100 patients with Colle’s fracture were randomly divided into the treatment group and the control group.The treatment group was fixed with the integrated retainer pad splint,and the control group was fixed with a traditional bamboo curtain.The two groups of patients were compared in terms of convenience,fracture healing time,X-ray data and Gartland-Werley scores at 8 th week.Results:In terms of operation convenience,the treatment group was better than that of control group(P<0.05),and the operation time in the treatment group was shorter.X-ray data:the difference between the two groups was statistically significant at 1 st,3 rd and 5 th week after treatment(P<0.05),which showed that the treatment group was more stable in fracture fixation and has less reduction loss during the treatment process.At the 8 th week of treatment,in terms of the excellent rate of wrist joint function,the treatment group 96%was higher than the control group 80%.Conclusion:Compared with the traditional bamboo curtain,the integrated retainer pad splint is more convenient and stable,it has less reduction loss during the treatment.In addition,the distal radius retainer pad splint can obtain a higher rate of excellent wrist joint function,which is worthy of clinical use and promotion.

关 键 词：桡骨远端骨折 伸直型骨折 一体化扎带压垫夹板簾 外固定 

分 类 号：R683.41[医药卫生—骨科学]