骨八方联合正骨十四法小夹板外固定治疗老年A3型伸直型桡骨远端骨折临床研究  

Clinical Study on Guba Prescription Combined with External Small Splint Immobiliza⁃tion with Fourteen Bone-Setting Manipulation for Senile Type A3 Extended Distal Radius Fracture

作　　者：李腾 林晓光[2] 曹高华 严国新 马耿佳 邓蕴源 LI Teng;LIN Xiaoguang;CAO Gaohua;YAN Guoxin;MA Gengjia;DENG Yunyuan(Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000,China;Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528100,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]佛山市中医院,广东佛山528000 [3]佛山市中医院三水医院,广东佛山528100

出　　处：《新中医》2025年第3期73-78,共6页New Chinese Medicine

基　　金：佛山市自筹经费类科技计划项目(2220001004864)。

摘　　要：目的:观察骨八方联合正骨十四法小夹板外固定治疗老年A3型伸直型桡骨远端骨折(Colles骨折)的临床效果。方法:回顾性选取2023年1月—12月于佛山市中医院骨科治疗的78例老年A3型Colles骨折患者,按治疗方法不同分为观察组和对照组各39例。对照组接受正骨十四法小夹板外固定治疗,观察组在对照组基础上加用骨八方治疗。评价2组临床疗效,比较2组影像学参数、骨折愈合周期、腕关节Cooney评分以及并发症发生情况。结果:观察组优良率为92.31%(36/39),高于对照组74.36%(29/39),差异有统计学意义(P<0.05)。2组复位后即刻、治疗4周后的掌倾角、尺偏角和桡骨高度较复位前升高,差异有统计学意义(P<0.05)。治疗后,观察组腕关节Cooney评分的疼痛评分、腕关节活动度评分、功能状态评分以及总分均高于对照组,差异有统计学意义(P<0.05)。观察组的骨折愈合时间短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为5.13%(2/39),低于对照组20.51%(8/39),差异有统计学意义(P<0.05)。结论:骨八方联合正骨十四法小夹板外固定治疗老年A3型Colles骨折效果明显,能够提升患者的腕关节功能,缩短骨折的临床愈合周期,降低并发症的发生风险,从而提高患者的生活质量。Objective:To observe the clinical effect of Guba Prescription combined with external small splint immobilization with fourteen bone-setting manipulation on senile type A3 extended distal radius fracture(Colles fracture).Methods:A total of 78 senile patients with type A3 Colles fractures treated in the Orthopedics Department of Foshan Hospital of Traditional Chinese Medicine from January to December 2023 were retrospectively selected and divided into the observation group and the control group,with 39 cases in each group,according to different treatment methods.The control group received external small splint immobilization with fourteen bone-setting manipulation,and the observation group received additional treatment with Guba Prescription on the basis of the control group.The clinical efficacy of the two groups was evaluated,and the imaging parameters,fracture healing cycle,wrist Cooney scores,and incidence of complications were compared between the two groups.Results:The excellent and good rate was 92.31%(36/39)in the observation group,which was higher than that of 74.36%(29/39)in the control group,with the difference being significant(P<0.05).The palm inclination angle,ulnar deviation angle,and radius height in the two groups immediately after reduction and after four weeks of treatment were increased when compared with those before reduction,with the difference being significant(P<0.05).After treatment,the pain scores,wrist range of motion scores,functional status scores,and total scores of the Cooney scores in the observation group were higher than those in the control group,with the differences being significant(P<0.05).The fracture healing time in the observation group was shorter than that in the control group,with the difference being significant(P<0.05).The incidence of complications was 5.13%(2/39)in the observation group,which was lower than that of 20.51%(8/39)in the control group,with the difference being significant(P<0.05).Conclusion:Guba Prescription combined with external fixation treatment with

关 键 词：COLLES骨折 骨八方 正骨十四法 小夹板固定 老年 腕关节功能 骨折愈合 

分 类 号：R683.41[医药卫生—骨科学]