经皮穿针治疗GartlandⅡ型儿童肱骨髁上骨折的临床效果  

Clinical effect of percutaneous acupuncture in the treatment of Gartland typeⅡsupracondylar fracture of humerus in children

作　　者：陈群华 殷琴 陈青平 张涛 CHEN Qunhua;YIN Qin;CHEN Qingping;ZHANG Tao(Department of Orthopaedics,Longyan Hospital of Traditional Chinese Medicine,Fujian Province,Longyan364000,China)

机构地区：[1]福建省龙岩市中医院骨伤科,福建龙岩364000

出　　处：《中国当代医药》2023年第27期76-79,共4页China Modern Medicine

基　　金：福建省龙岩市科技计划项目(2021LYF17059)。

摘　　要：目的探讨经皮穿针治疗GartlandⅡ型儿童肱骨髁上骨折的临床效果。方法选取2021年1月至2022年6月就诊于龙岩市中医院骨伤科的60例GartlandⅡ型儿童肱骨髁上骨折患儿为研究对象,按随机数字表法分为对照组(n=30)和试验组(n=30),对照组采用传统石膏固定,试验组采用经皮穿针治疗,比较两组患儿的骨折愈合时间、Baumann角、肘关节功能恢复时间、外固定拆除时间和并发症发生情况。结果全组随访时间5~14个月,中位随访8.5个月,两组患儿随访率均为100%。两组患儿的外固定拆除时间、骨折愈合时间、Baumann角比较,差异无统计学意义(P>0.05);试验组患儿的肘关节功能恢复时间短于对照组,差异有统计学意义(P<0.05)。试验组的肘关节功能优良率高于对照组,差异有统计学意义(P<0.05)。两组患儿外固定拆除时间均为3~4周,骨折全部愈合,无肘内翻等并发症。结论经皮穿针治疗和传统石膏固定治疗GartlandⅡ型儿童肱骨髁上骨折临床效果相当,经皮穿针治疗在骨折稳定性、肘关节功能恢复时间上优于传统石膏,骨折早期、肿胀明显者建议直接使用经皮穿针治疗。Objective To investigate the clinical effect of percutaneous acupuncture in the treatment of supracondylar fracture of humerus in Gartland typeⅡchildren.Methods A total of 60 children with Gartland typeⅡsupracondylar fracture of humerus diagnosed in the Department of Orthopaedics,Longyan Hospital of Traditional Chinese Medicine from January 2021 to June 2022 were selected and divided into control group(n=30)and experimental group(n=30)according to randomized control method.The control group was fixed with traditional plaster,and the experimental group was treated with percutaneous needle.The fracture healing time,Baumann Angle,elbow joint function recovery time,external fixation removal time and complications were compared between the two groups.Results The follow-up time of the whole group was 5-14 months,the median follow-up time was 8.5 months,and the follow-up rate of the children in both groups was 100%.There were no significant differences in the removal time of external fixation,fracture healing time and Baumann Angle between the two groups(P>0.05).The recovery time of elbow joint function in experimental group was shorter than that in control group,and the difference was statistically significant(P<0.05).The excellent and good rate of elbow joint function in experimental group was higher than that in control group,and the difference was statistically significant(P<0.05).The removal time of external fixation in both groups was 3-4 weeks,all fractures healed,and no complications such as cubital varus were found.Conclusion The clinical effect of percutaneous acupuncture is comparable to that of traditional plaster in the treatment of supracondylar fracture of humerus in Gartland typeⅡchildren.Percutaneous acupuncture treatment is superior to traditional plaster in terms of fracture stability and elbow joint function recovery time.Direct use of percutaneous acupuncture treatment is recommended for patients with early fracture and obvious swelling.

关 键 词：经皮穿针 石膏固定 GartlandⅡ型 儿童肱骨髁上骨折 

分 类 号：R683[医药卫生—骨科学]