手法复位小夹板固定对老年桡骨远端骨折患者的影响  

Effect of Manual Reduction Small Splint Fixation on Elderly Patients with Distal Radius Fractures

作　　者：黄裕润 HUANG Yurun(Datian General Hospital,Datian 366100,China)

机构地区：[1]大田县总医院,福建大田366100

出　　处：《中外医学研究》2024年第22期110-114,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究手法复位小夹板固定对老年桡骨远端骨折患者的影响。方法:选取2020年1月—2023年6月大田县总医院收治的109例老年桡骨远端骨折患者。根据随机数表法将其分为对照组(54例)和研究组(55例)。对照组给予石膏外固定,研究组给予手法复位小夹板固定。比较两组骨折恢复效果,临床指标,治疗前、治疗后6个月生活质量及腕关节功能。结果:研究组优良率高于对照组,差异有统计学意义(P<0.05)。研究组骨折线消失时间早于对照组,桡骨缩短长度短于对照组,差异有统计学意义(P<0.05)。治疗后6个月,研究组功能、握力、疼痛、活动度评分均高于对照组,差异有统计学意义(P<0.05)。治疗后6个月,研究组生理、躯体、情感、社会评分均高于对照组,差异有统计学意义(P<0.05)。结论:老年桡骨远端骨折治疗采用手法复位小夹板固定方案效果显著,有助于腕关节功能恢复,促进骨折愈合,提高生活质量。Objective:To investigate the effect of manual reduction small splint fixation on elderly patients with distal radius fractures.Method:A total of 109 elderly patients with distal radius fracture admitted to Datian General Hospital from January 2020 to June 2023 were selected.They were divided into control group(54 cases)and study group(55 cases)according to random number table method.The control group was given plaster external fixation,and the study group was given manual reduction and small splint fixation.The effects of fracture recovery,clinical indexes,quality of life and wrist joint function before and 6 months after treatment were compared between the two groups.Result:The excellent and good rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The time of fracture line disappearance in the study group were earlier than those in the control group,and the radius shortening length was shorter than that in the control group,the differences were statistically significant(P<0.05).At 6 months after treatment,the scores of function,grip strength,pain and motion in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).At 6 months after treatment,the physiological,physical,emotional and social scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The treatment of distal radius fracture in elderly patients with manual reduction and small splint fixation is effective,which is helpful to the recovery of wrist joint function,promote fracture healing and improve the quality of life.

关 键 词：桡骨远端骨折 手法复位小夹板固定 腕关节功能 

分 类 号：R687.3[医药卫生—骨科学]