四合一塑型硬纸壳夹板联合石膏托板在小儿肱骨髁上骨折治疗中的应用  

Application of Four-in-One Moulded Cardboard Splint Combined with Plaster Plate in the Treatment of Humeral Supracondylar Fracture in Children

作　　者：刘俊锋 赵红 董英 范小春 Liu Junfeng;Zhao Hong;Dong Ying;Fan Xiaochun(Department of Children's Orthopaedics,Nanchong Hospital of Traditional Chinese Medicine,Nanchong 637000,China;Traditional Chinese Medicine for Prevention and Treatment of Musculoskeletal Diseases Key Laboratory of Nanchong City,Nanchong 637000,China)

机构地区：[1]南充市中医医院儿童骨科,南充637000 [2]筋骨病中医药防治南充市重点实验室,南充637000

出　　处：《成都医学院学报》2025年第1期106-109,共4页Journal of Chengdu Medical College

基　　金：四川省中医药管理局科学技术研究专项项目(No:2021MS542);医学影像四川重点实验室科研资金项目(No:MIKL202309);四川省中医药管理科研项目(No:2024MS614)。

摘　　要：目的探究四合一塑型硬纸壳夹板联合石膏托板外固定在小儿肱骨髁上骨折治疗中的应用效果。方法选取2021年5月至2023年5月南充市中医医院收治的120例肱骨髁上骨折患儿为研究对象,按照随机数字表法分为对照组和试验组,每组60例。两组均先行手法整复至解剖或功能复位,随后对照组应用传统管型石膏外固定,试验组采用四合一塑型硬纸壳夹板联合石膏托板外固定。比较两组患儿临床疗效、携带角、Baumann角、Mayo肘关节功能评分及并发症发生情况。结果试验组临床疗效优良率91.67%高于对照组73.33%(P<0.05);治疗8周后,试验组患儿患肘Baumann角(78.15±1.88)°低于对照组(80.54±2.03)°,携带角(15.16±1.66)°高于对照组(12.51±1.26)°(P<0.05);试验组患儿患伤肢Mayo肘关节功能评分(79.14±8.04)分高于对照组(72.15±7.46)分(P<0.05)。试验组与对照组并发症总发生率(5.00%vs 6.67%)比较,差异无统计学意义(P>0.05)。结论四合一塑型硬纸壳夹板联合石膏托板外固定在小儿肱骨髁上骨折治疗中应用效果和稳定性较好,可促进肘关节功能的恢复,且安全性良好。Objective To investigate the application effect of external fixation with four-in-one moulded cardboard splint combined with plaster plate in the treatment of humeral supracondylar fracture in children.Methods A total of 120 children with humeral supracondylar fracture in Nanchong Hospital of Traditional Chinese Medicine from May 2021 to May 2023 were included as the study subjects.They were randomly divided into the control group(n=60)and the experimental group(n=60)by random number table method.After manual reduction to anatomical or functional reduction in both groups,the control group received external fixation with traditional tube type plaster,while the experimental group received external fixation with four-in-one moulded cardboard splint combined with plaster plate.The clinical efficacy,carrying angle,Baumann angle,Mayo Elbow Performance Score(MEPS),and incidence of complications were compared between the two groups.Results The excellent and good rate of clinical efficacy in the experimental group was higher than that in the control group(91.67%vs 73.33%)(P<0.05).After 8 weeks of treatment,the improvements of Baumann angle[(78.15±1.88)°vs(80.54±2.03)°]and carrying angle[(15.16±1.66)°vs(12.51±1.26)°]of the affected elbow in the experimental group were better than those in the control group(P<0.05).The MEPS of the affected elbow in the experimental group was(79.14±8.04),which was higher than(72.15±7.46)in the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(5.00%vs.6.67%)(P>0.05).Conclusion External fixation with four-in-one moulded cardboard splint combined with plaster plate shows excellent effect and stability in the treatment of humeral supracondylar fracture in children,which promotes the recovery of elbow function with good safety.

关 键 词：肱骨髁上骨折 儿童 四合一塑型硬纸壳夹板 手法整复 石膏托板外固定 

分 类 号：R274.11[医药卫生—中医骨伤科学]