摘要
目的:探讨手法整复、竹夹板外固定治疗肱骨近端骨折的临床疗效。方法:将符合标准的68例肱骨近端骨折患者随机分为2组。夹板固定组35例,采用手法整复、竹夹板外固定治疗;石膏固定组33例,采用采用手法整复、石膏固定。比较2组患者的骨折愈合时间及整复6周后的肩关节Neer评分。结果:石膏固定组有3例患者因疼痛对治疗结果不满意2,组其余患者均对治疗结果满意,均无明显畸形。夹板固定组Neer评分高于石膏固定组,差异有统计学意义(t=9.357,P=0.000);2组患者骨折愈合时间比较,差异无统计学意义(临床愈合时间:t=0.575,P=0.567;骨性愈合时间:t=1.901,P=0.062)。结论:手法整复后采用竹夹板外固定能使患者尽早开展肩关节功能锻炼,有利于肱骨近端骨折患者肩关节功能恢复。
Objective：To explore the clinical curative effect of manipulative reduction and external fixation with bamboo splint in the treatment of proximal humerus fracture.Methods：68 patients with proximal humerus fracture,who met the criteria,were randomly divided into 2 groups.35 cases were administrated with manipulative reduction and external fixation with bamboo splint,while the others were administrated with manipulative reduction and plaster fixation.The fracture healing time were compared between the 2 groups,so did the Neer score of shoulder joint 6 weeks after reduction.Results：The patients in the 2 groups were all satisfied with the treatment result except 3 cases in plaster fixation group for the pain.No gross deformity was found in all the patients.Neer score of splintage group was higher than that of plaster fixation group and there was statistical difference between the 2 groups（t=9.357,P=0.000）.There was no statistical difference in the fracture healing time between the 2 groups（clinical healing time：t=0.575,P=0.567;bone healing time：t=1.901,P=0.062）.Conclusion：It is benefit for the patients with proximal humerus fracture to carry out earlier functional exercise of shoulder joint through the treatment with the external fixation with bamboo splint after the manipulative reduction,which is useful for the patients to recover the functions of their shoulder joint.
出处
《中医正骨》
2011年第3期13-15,共3页
The Journal of Traditional Chinese Orthopedics and Traumatology
基金
浙江省中医药科技计划项目(2009CA101)
关键词
肩骨折
舒筋整复手法
小夹板固定
石膏
外科
Shoulder fractures
Muscle tendon relax reduction
Small splint fixation
Casts
surgical
