何氏正骨疗法配合外固定器治疗肱骨干骨折的临床研究  

Clinical Study on the Treatment of Humeral Shaft Fracture by He's Osteo⁃therapy Combined with External Fixator

作　　者：周肃陵 胡业昌 廖辉 安建原 ZHOU Suling;HU Yechang;Liao Hui;AN Jianyuan(Xiangyang Hospital of Traditional Chinese Medicine(Xiangyang Institute of Traditional Chinese Medicine),Xiangyang,Hubei Province,441000 China)

机构地区：[1]襄阳市中医医院(襄阳市中医药研究所)正骨科,湖北襄阳441000

出　　处：《中外医疗》2024年第9期173-177,共5页China & Foreign Medical Treatment

摘　　要：目的观察肱骨干骨折经何氏正骨疗法配合外固定器治疗的临床效果。方法回顾性选取2011年1月—2020年12月襄阳市中医医院收治的90例肱骨干骨折患者的临床资料,依据治疗方式分为3组:观察组30例,经何氏正骨疗法配合外固定器治疗;对照组Ⅰ30例,经钢板内固定术治疗;对照组Ⅱ30例,经何氏正骨疗法(同观察组)治疗。比较骨折愈合情况,并运用Constant-Murley肩关节评分量表及Mayo肘关节评分量表分别评价肩、肘关节功能。结果观察组总有效率(100%)较对照组Ⅰ(93.33%)、对照组Ⅱ(90.00%)高,差异有统计学意义(χ^(2)=9.109、5.560,P均<0.05)。术后第2、4、6、24周观察组肩关节功能评分均高于对照组Ⅰ和对照组Ⅱ,差异有统计学意义(P均<0.05),2年后观察组与对照组Ⅰ比较,差异无统计学意义(P>0.05),但均优于对照组Ⅱ,差异有统计学意义(P均<0.05)。术后第2周观察组及对照组Ⅰ肘关节功能评分均高于对照组Ⅱ,差异有统计学意义(P均<0.05),第4、6、24周及2年后,3组间肘关节功能恢复比较,差异无统计学意义(P均>0.05)。结论何氏正骨疗法配合外固定器可以有效治疗肱骨干骨折,且安全性高、术后恢复良好。Objective To observe the clinical effect of the treatment of humeral shaft fracture by He's osteotherapy combined with external fixator.Methods The clinical data of ninety cases of humeral shaft fracture admitted to Xiang⁃yang Hospital of Traditional Chinese Medicine from January 2011 to December 2020 were retrospectively selected and divided into three groups according to treatment methods.Observation group with thirty cases were treated by He's os⁃teotherapy combined with external fixator.Control groupⅠwith thirty cases were treated by internal fixation with steel plate.Control groupⅡwith thirty cases were treated by He's osteotherapy(same as observation group).The fracture healing was compared,and the shoulder and elbow joint functions were evaluated by Constant-Murley shoulder joint rating scale and Mayo elbow joint rating scale.Results The effective rate of observation group was 100%,higher than 93.33%of control groupⅠand 90.00%of control groupⅡ,and the difference was statistically significant(χ^(2)=9.109,5.560,both P<0.05).The shoulder joint function scores in the observation group were higher than those in the con⁃trol groupⅠand control groupⅡat 2,4,6 and 24 weeks after surgery,and the difference was statistically significant(all P<0.05).After 2 years,there was no statistically significant difference between observation group and control groupⅠ(P>0.05),and both were better than control groupⅡ,and the difference was statistically significant(both P<0.05).The elbow joint function scores of observation group and control groupⅠwas higher than that of control groupⅡat the 2nd week after surgery,and the difference was statistically significant(both P<0.05).At 4,6,24 weeks and 2 years later,there were no statistically significant significant differences in elbow joint function recovery among the 3 groups(all P>0.05).Conclusion He's osteotherapy combined with external fixator can effectively treat humeral shaft fracture with high safety,good postoperative recovery.

关 键 词：肱骨干骨折 何氏正骨 外固定器 

分 类 号：R4[医药卫生—临床医学]