手法复位小夹板外固定联合自制膏药治疗桡骨远端骨折临床观察  

Manual Reduction and Small Splint External Fixation Combined with Self-made Plaster in the Treatment of Distal Radius Fracture

作　　者：魏骏 WEI Jun(Department of Orthopedics and Traumatology,Dingnan Nanfang Hospital of Integrated Traditional Chinese and Western Medicine,Jiangxi Province,Ganzhou 341900,China)

机构地区：[1]定南南方中西医结合医院骨伤科,江西赣州341900

出　　处：《中国中医药现代远程教育》2024年第24期108-111,共4页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察桡骨远端骨折患者应用自制膏药联合手法复位小夹板外固定的疗效。方法回顾性选取2020年2月—2022年2月定南南方中西医结合医院收治的桡骨远端骨折患者100例,分为两组,各50例。统计分析两组疼痛程度、肿胀程度、消肿情况、腕关节活动度、临床疗效、骨折愈合情况、骨折愈合时间、并发症发生情况。结果联合治疗组患者的视觉模拟量表(VAS)评分、肿胀程度评分均低于单独治疗组(P<0.05)。术后1周、2周,联合治疗组患者的患肢手掌厚度均小于单独治疗组(P<0.05),术后1 d、3 d、1周、4周,联合治疗组患者的患肢手掌周径均小于单独治疗组(P<0.05)。治疗后,联合治疗组患者的掌倾角、背伸角、尺偏角、桡偏角、旋前角、旋后角均大于单独治疗组(P<0.05)。联合治疗组优良率为92.00%(46/50),高于单独治疗组的76.00%(38/50)(P<0.05),骨折愈合时间短于单独治疗组(P<0.05)。结论桡骨远端骨折患者应用自制膏药联合手法复位小夹板外固定的疗效较单独手法复位小夹板外固定显著。Objective To observe the effect of self-made plaster combined with manual reduction and small splint external fixation for distal radius fracture.Methods A total of 100 patients with distal radius fracture in Dingnan Nanfang Hospital of Integrated Tradi⁃tional Chinese and Western Medicine from February 2020 to February 2022 were retrospectively selected and divided into two groups,with 50 patients in each group.The pain degree,swelling degree,swelling condition,wrist joint range of motion,clinical efficacy,frac⁃ture healing,fracture healing time and complications of the two groups were statistically analyzed.Results The score of pain degree and swelling degree in the combined treatment group were lower than those in the single treatment group(P<0.05).At one week and two weeks after operation,the palmar thickness of the affected limb in the combined treatment group was smaller than that in the single treatment group(P<0.05).At one day,three days,one week and four weeks after operation,the palmar circumference of the af⁃fected limb in the combined treatment group was smaller than that in the single treatment group(P<0.05).After treatment,the palm in⁃clination angle,dorsal extension angle,ulnar deviation angle,radial deviation angle,pronation angle and supination angle of patients in the combined treatment group were higher than those in the single treatment group(P<0.05).The excellent and good rate in the com⁃bined treatment group was 92.00%(46/50),which was higher than that in the single treatment group(76.00%,38/50)(P<0.05).The fracture healing time of the combined treatment group was shorter than that of the single treatment group(P<0.05).Conclusion The ef⁃ficacy of self-made plaster combined with manual reduction and small splint external fixation for distal radius fracture is significantly better than that of manual reduction and small splint external fixation alone.

关 键 词：骨折病 桡骨远端骨折 自制膏药 手法复位小夹板外固定 

分 类 号：R274.9[医药卫生—中西医结合]