B超下中医手法整复儿童新鲜孟氏骨折的临床研究  

Clinical study on the Traditional Chinese Medicine manipulative reduction under the guidance of B-ultrasound in repairing fresh Monteggia fracture in children

作　　者：熊飞 杨柳青 熊斌[1] 李健 XIONG Fei;YANG Liuqing;XIONG Bin;LI Jian(Department of Orthopaedics,Honggutan District,Jiangxi Provincial Children's Hospital,Nanchang,Jiangxi,330000,China;Neonatal Medicine,Honggutan District,Jiangxi Provincial Children's Hospital,Nanchang,Jiangxi,330000,China)

机构地区：[1]江西省儿童医院红谷滩院区骨科,江西南昌330000 [2]江西省儿童医院红谷滩院区新生儿内科,江西南昌330000

出　　处：《当代医学》2024年第22期100-104,共5页Contemporary Medicine

基　　金：江西省中医药管理局科技计划(2022B148)。

摘　　要：目的探讨B超指导下中医手法整复儿童新鲜孟氏骨折的临床价值。方法选取2018年12月至2022年12月就诊于江西省儿童医院红谷滩院区的50例新鲜孟氏骨折患儿作为研究对象,根据随机数字表法分为实验组与对照组,每组25例。实验组采用B超指导下中医手法整复,对照组采用外固定架固定。比较两组肘关节功能恢复优良率、骨痂形成时间、骨性愈合时间、前臂活动度、并发症发生率。结果实验组肘关节功能恢复优良率为96.00%,高于对照组的68%,差异有统计学意义(P<0.05);实验组骨痂形成时间、骨性愈合时间、住院时间均短于对照组,差异有统计学意义(P<0.05);实验组前臂旋前、旋后活动度均大于对照组,差异有统计学意义(P<0.05);实验组并发症发生率为8.00%,低于对照组的40.00%,差异有统计学意义(P<0.05)。结论B超指导下行中医手法整复可进一步增强儿童新鲜孟氏骨折的临床疗效,加快骨痂形成,缩短骨性愈合时间,改善前臂肘关节活动功能,减少并发症的发生,值得临床推广应用。Objective To investigate the clinical value of Traditional Chinese Medicine manipulative reduction under the guidance of B-ultrasound in repairing fresh Monteggia fracture in children.Methods 50 children with fresh Monteggia fracture were treated in Honggutan District,Jiangxi Provincial Children's Hospital from December 2018 to December 2022 were selected as the study subjects,they were divided into the experimental group and the control group according to the random number table method, with 25 cases in each group. The experimental group underwentTraditional Chinese Medicine manipulation under the guidance of B-ultrasound, while the control group was fixed with an external fixation frame,the excellent and good rate of elbow joint function recovery, callus formation time, bone healing time, forearm range of motion, and complicationswere compared between two groups. Results The excellent and good rate of elbow joint function recovery in the experimental group was 96.00%,which was higher than 68.00% in the control group, and the difference was statistically significant (P<0.05);Callus formation time, bone healingtime, hospitalization time in the experimental group were shorter than those in the control group, and the differences were statistically significant (P<0.05);the forearm pronation supination range of motion in the experimental group was greater than that in the control group, and the difference wasstatistically significant (P<0.05);the incidence of complications in the experimental group was 8.00%, which was lower than 40.00% in the controlgroup, the difference was statistically significant (P<0.05). Conclusion The Traditional Chinese Medicine manual repair under the guidance of Bultrasoundcan further improve the clinical efficacy of fresh Monteggia fracture in children, accelerate callus formation, shorten bone healing time,improve forearm elbow joint movement function and reduce the occurrence of complications, which is worthy of clinical promotion and application.

关 键 词：儿童 孟氏骨折 B超 中医手法整复 

分 类 号：R68[医药卫生—骨科学]