南少林牵抖手法结合小夹板固定治疗A型桡骨远端骨折40例  

40 Cases of Southern Shaolin Pulling and Shaking Technique Combined with Small Splint Fixation on the Treatment of Type A Distal Radius Fracture

作　　者：吴小宝[1] 葛继荣 郑晓蓉[1] 林志强 WU Xiaobao;GE Jirong;ZHENG Xiaorong;LIN Zhiqiang(Quanzhou Orthopedic Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Quanzhou 362000,Fujian China;Fujian Academy of Traditional Chinese Medicine,Fuzhou 350003,China.)

机构地区：[1]福建中医药大学附属泉州市正骨医院,福建泉州362000 [2]福建省中医药科学院

出　　处：《中国中医骨伤科杂志》2022年第12期58-60,65,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察南少林牵抖手法结合小夹板固定治疗A型桡骨远端骨折的临床疗效。方法:回顾性分析2020年7月至2021年5月收治的40例A型桡骨远端骨折患者,均用南少林牵抖手法结合小夹板外固定治疗,末次随访时基于比较复位前后及解除固定时的影像学指标、Cooney腕关节功能评分和复位次数、解除固定时间评估临床疗效。结果:40例A型桡骨远端骨折患者均获得随访,复位前后与解除固定时相比,影像学指标均改善,Cooney腕关节功能评分均上升,治疗前后差异有统计学意义(P<0.05);复位后和解除固定时的掌倾角、尺偏角及桡骨茎突长度均显著高于复位前,差异有统计学意义(P<0.05);复位后和解除固定时的Cooney腕关节功能评分均高于复位前,差异有统计学意义(P<0.05);平均复位次数为(1.46±0.37)次,平均解除固定时间为(39.02±2.52)d。结论:南少林牵抖手法结合小夹板固定治疗A型桡骨远端骨折的临床疗效好,能够在较短时间内改善尺倾角和桡骨茎突长度,促进腕关节功能恢复。Objective:To observe the clinical efficacy of Southern Shaolin pulling and shaking technique combined with small splint fixation on the treatment of type A distal radius fracture.Methods:40 patients with type A distal radius fractures from July 2020 to May 2021 were treated with Southern Shaolin pulling and shaking technique combined with small splint external fixation.All the patients were followed up.The reduction times,the time of de-fixation,radiographic parameters and Cooney wrist function scores before reduction,after reduction and at the time of de-fixation were used to evaluated the clinical efficacy.Results:40 patients with type A distal radius fractures were followed up.The imaging indexes were improved and the Cooney wrist function scores were increased before and after reduction(P<0.05).The angle of palm inclination,ulnar deviation and the length of styloid process of radius were significantly higher after reduction than those before reduction(P<0.05).The Cooney wrist function scores after reduction and at the time of un-fixation were significantly higher than those before reduction(P<0.05),the average reduction times were 1.46±0.37,and the average un-fixation time was(39.02±2.52)d.Conclusion:Southern Shaolin pulling and shaking technique combined with small splint fixation is effective on the treatment of type A distal radius fracture,which can improve the ulnar inclination angle and the length of radial styloid process in a short time and promote the recovery of wrist joint function.

关 键 词：正骨手法 桡骨远端骨折 小夹板外固定 南少林牵抖手法 

分 类 号：R683.41[医药卫生—骨科学]