摘要
目的观察比较小儿桡骨小头半脱位采取旋前复位法与常规旋后复位法治疗的效果。方法选择医院接诊的小儿桡骨小头半脱位患儿80例作为研究对象,家属均签署知情同意书,随机分为观察组和对照组,每组40例。对照组采取常规旋后复位法治疗,观察组采取旋前复位法治疗,观察记录2组患儿一次复位成功率、Mayo肘关节功能评分(MEPS)效果,及患儿家属对治疗满意率。结果观察组一次复位成功率为95.0%,高于对照组的85.0%(P<0.05);观察组复位后MEPS评定肘关节功能优良率为95.0%,显著高于对照组的75.0%(P<0.01);观察组患儿家属对治疗总满意率为97.5%,高于对照组的85.0%(P<0.05)。结论小儿桡骨小头半脱位采取旋前复位法治疗一次复位成功率高,肘关节功能优良率高,疼痛轻,且家属对治疗满意程度也高,值得借鉴。
Objective To investigate the effect of pronation reduction and supination reduction in treatment of radial head subluxation in children. Methods 80 cases of children with radial head subluxation who were admitted to our hospital were randomly divided into study group and control group, each of 40 cases. The patients in the control group were treated with supination reduction, the patients in the study group were treated with pronation reduction method. The success rate, Mayo el- bow joint function score （MEPS） effect and the satisfaction rate of the family members of the 2 groups were recorded and com- pared. Results The success rate in the study group was 95.0%, which was significantly higher than 85.0% in the control group（ P 〈0.05 ）. The excellent rate of MEPS in the study group was 95.0% ,which was significantly higher than 75.0% in the control group （P 〈 0.01 ）. The satisfaction rate of family members in the study group was 97.5% ,which was significantly higher than 85.0% of the control group （P 〈 0.05）. Conclusion Compared with traditional supination reduction method, the one reduction success rate, excellent rate of elbow function of prenatal reduction method is higher. And the pain is lighter, the family is more satisfied with the treatment.
出处
《临床合理用药杂志》
2017年第5期13-14,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
桡骨小头半脱位
旋前复位法
旋后复位法
效果
小儿
Radial head subluxation
Supination reduction
Pronation reduction
Effect
Children
