中西医结合保守治疗老年桡骨远端骨折的临床疗效  

Clinical effect of conservative treatment of distal radius fractures in the elderly with integrated traditional Chinese and western medicine

作　　者：李冬强 谢心军[2] 李康贵 王威 龙国华 马文娟 LI Dongqiang;XIE Xinjun;LI Kanggui;WANG Wei;LONG Guohua;MA Wenjuan(Department of Hand-foot,Zhuzhou Traumatology Hospital of Traditional Chinese Medicine,Zhuzhou 421007,Hunan,China;The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,Hunan,China)

机构地区：[1]株洲市中医伤科医院手足科,湖南株洲421007 [2]湖南中医药大学第一附属医院,湖南长沙4100071

出　　处：《广州医科大学学报》2023年第4期36-41,共6页Academic Journal of Guangzhou Medical University

基　　金：湖南省“西学中”骨干人才培训项目。

摘　　要：目的:探讨中西医结合保守治疗老年桡骨远端骨折的临床疗效。方法:收集2020年1月至2021年12月本院急诊收治的老年桡骨远端骨折患者90例,分为对照组与观察组,每组45例。对照组采用中医治疗,即手法复位小夹板固定、中药内服外敷疗法;观察组采用中西医结合治疗,即在对照组基础上增加骨折断端局部血肿内浸润麻醉、内服外贴止痛药进行治疗。使用视觉模拟评分(VAS)评价患者疼痛状况,治疗前、治疗后当天、治疗后1周及2周,记录两组患肢肿胀周长及患处疼痛状况并进行比较。结果:相较于治疗前,治疗后1、2周两组患肢肿胀情况均显著缓解(均P<0.05)。治疗后观察组患肢肿胀情况均优于对照组(均P<0.05)。观察组肿胀改善率显著高于对照组(P<0.05)。治疗后当天观察组VAS评分较治疗前降低(P<0.05),而对照组VAS评分较治疗前无明显改善(P>0.05)。观察组疼痛改善率显著高于对照组(P<0.05)。结论:中西医结合保守治疗老年桡骨远端骨折,可显著减轻患者早期肿痛,临床疗效较好。Objective:To explore the clinical effect of conservative treatment of distal radius fractures in the elderly with integrated traditional Chinese and western medicine.Methods:A total of 90 elderly patients with distal radius fractures admitted to the emergency department of our hospital from January 2020 to December 2021 were collected and divided into control group and observation group,with 45 cases in each group.The control group was treated with traditional Chinese medicine,that is,manual reduction and small splint fixation,internal and external application of traditional Chinese medicine.The observation group was treated with integrated traditional Chinese and Western medicine,that is,on the basis of the control group,the local hematoma infiltration anesthesia at the fracture end was added,and the painkillers were taken orally and externally.Visual analogue scale(VAS)was used to evaluate the pain status of patients.Before treatment,the day after treatment,1 week and 2 weeks after treatment,the swelling circumference of the wounded limb and the pain status of the wounded area were recorded and compared between the two groups.Results:Compared with the baseline,the swelling of the wounded limbs in both groups was significantly improved at 1 and 2 weeks after treatment(all P<0.05).After treatment,the limb swelling of the observation group was better than that of the control group(all P<0.05).The swelling improvement rate of the observation group was significantly higher than that of the control group(P<0.05).As compared with baseline,the VAS score of the observation group decreased on the day after treatment(P<0.05),while the VAS score of the control group was not significantly improved(P>0.05).The pain improvement rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:The conservative treatment of distal radius fractures in the elderly with integrated traditional Chinese and western medicine can significantly reduce the early swelling and pain of patients,and the

关 键 词：桡骨骨折 中西医结合疗法 保守治疗 

分 类 号：R687.3[医药卫生—骨科学]