平乐郭氏正骨联合小夹板外固定对老年桡骨远端骨折患者掌倾角及腕关节功能的影响  

Impacts of Pingle Guo's Orthopedics combined with small splint external fixation on palmar inclination and wrist joint function in elderly patients with distal radius fractures

作　　者：余刚 余利军 吴华杰 YU Gang;YU Li-jun;WU Hua-jie(Department of Orthopedics and Traumatology,Chun'an Hospital of Traditional Chinese Medicine,Hangzhou 311700,China)

机构地区：[1]浙江省淳安县中医院骨伤科,杭州311700

出　　处：《中国中西医结合外科杂志》2023年第3期322-326,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：浙江省青年人才基金项目(2021ZQ080);杭州市卫生健康委科研项目(B20200477)。

摘　　要：目的:探讨平乐郭氏正骨联合小夹板外固定对老年桡骨远端骨折(DRF)患者掌倾角及腕关节功能的影响。方法:回顾性分析2019年3月—2022年4月本院收治的103例老年DRF患者的临床资料,根据复位手法的不同分成常规复位组(n=51,常规手法复位)、中医复位组(n=52,平乐郭氏正骨手法复位),两组复位后均予以小夹板外固定。比较两组腕关节尺偏角、掌倾角、腕关节主动活动度(AROM)及腕关节功能恢复效果。结果:两组腕关节尺偏角、掌倾角均随治疗时间增加而减小(P<0.05),尺偏角的组间与时点无交互作用(P>0.05),掌倾角的组间与时点存在交互作用(P<0.05),其中中医复位组治疗后即刻、6周及12周的尺偏角、掌倾角均明显大于常规复位组(P<0.05);治疗后12周,两组患侧腕关节背伸、掌屈、旋后时的AROM均大于治疗前,且中医复位组均明显大于常规复位组(P<0.05);中医复位组腕关节功能恢复优良率为96.15%,明显高于常规复位组的82.35%,差异有统计学意义(P<0.05)。结论:对老年DRF患者实施平乐郭氏正骨联合小夹板外固定治疗,可有效复位骨折,并确保长久复位,明显提高腕关节功能恢复效果,显著增大腕关节AROM。Objective To investigate the impacts of Pingle Guo's Orthopedics combined with small splint external fixation on palmar inclination and wrist joint function in elderly patients with distal radius fracture(DRF).Methods The clinical data of 103 elderly patients with DRF accepted in our hospital from March 2019 to April 2022 were retrospectively analyzed.According to the different reduction techniques,they were grouped into conventional reduction group(n=51,conventional reduction)and traditional Chinese medicine reduction group(n=52,Pingle Guo's Orthopedics).Both groups were treated with small splint external fixation after reduction.The wrist ulnar declination,wrist palmar inclination,wrist active range of motion(AROM)and wrist function recovery effects were compared between the two groups.Results The wrist ulnar declination and palmar inclination increased with the treatment time in both groups(P<0.05),and there was no interaction in ulnar declination among groups and time points(P>0.05),while there was an interaction effect in palm inclination angle among groups and time points(P<0.05),and the ulnar declination and palmar inclination of the TCM reduction group were greatly greater than those of the conventional reduction group at immediately,6 weeks and 12 weeks after treatment(P<0.05);at 12 weeks after treatment,the AROM of the affected wrist in dorsiflexion,palmar flexion and supination in both groups were higher than those before treatment(P<0.05),and the TCM reduction group were greatly larger than the conventional reduction group(P<0.05);the excellent and good rate of wrist joint function recovery in the TCM reduction group was 96.15%,which was greatly higher than that in the conventional reduction group(82.35%),the difference is statistically significant(P<0.05).Conclusion Pingle Guo's Orthopedics combined with small splint external fixation for elderly patients with DRF can effectively regain?the bone,ensure long-term reduction,greatly enhance the recovery effect of wrist joint function,and greatly expand

关 键 词：平乐郭氏正骨 小夹板外固定 桡骨远端骨折 腕关节功能 

分 类 号：R274.11[医药卫生—中医骨伤科学]