摘要
目的:观察"点-线-面"三位一体无痛正骨手法复位配合中药外敷治疗伸直型桡骨远端骨折的临床疗效和安全性。方法:选取安康市中医医院2014年1月至2016年1月入选标准的70例Colles患者,按骨折类型分为A型组(37例)和C型组(33例),两组均给予"点-线-面"三位一体无痛正骨手法复位配合中药外敷夹板固定治疗,采用积分法比较两组有效率、不同时间点肿胀程度和不同时间点两组影像学相关指标,并进行对比分析。结果:A型组和C型组总有效率分别为97.3%和74.6%,两组有效率比较,差异有统计学意义(χ2=8.378,P=0.039<0.05);复位前两组患者肿胀程度积分差异无统计学意义(P>0.05);复位后第1,3,5及7天A型组在肿胀消退方面均优于C型组,差异有统计学意义(P<0.05);在复位后第14天,两组比较,t=0.201,P=0.061>0.05,差异无统计学意义;两组在桡骨掌倾角、尺偏角、桡骨相对高度、关节面塌陷方面与复位前比较,差异均有统计学意义(P<0.05);复位后2周、4周组间比较,A型组优于C型组,差异有统计学意义(P<0.05)。结论:"点-线-面"三位一体无痛正骨手法复位配合中药外敷对A型、C型Colles骨折均能够获得满意临床疗效,但对于A型骨折疗效更确切。
Objective：To observe the clinical curative effect,effectiveness and safety of extension-type distal radius fractures by taking the method of the trinity of＂point-line-surface＂painless bone-setting manipulations combined with herbal penetration therapy treated.Methods：All 70cases of Colles＇s fracture were selected in Ankang municipality hospital of traditional Chinese medicine（TCM）from January 2014to January 2016.They were divided into type A group（37cases）,and type C group（33cases）.The patients in two group were all given the trinity of＂point-line-surface＂painless bone-setting manipulations combined with herbal penetration therapy splint fixation treatment.The effective rate,the degree of swelling,and the related parameters of imaging at different time points were analyzed and compared between the two groups.Results：The total effective rate of type A and type C group were 97.3%0.05）.There was no significant difference in the degree of swelling between the two groups before manual reduction（P〈0.05）,which was reduced more in Type A group than Type C group at 1st,3th,5th,and 7th day after manual reduction respectively（P〈0.05）.But at 14th day after manual reduction,there was no significant difference between the two groups（t=0.201,P=0.0610.05）.The angle of adius of the volar tilt,the ulnar deviation angle,the relative height of the radius,and the collapse of the joint surface after treatment were improved significantly than before（P〈0.05）.Comparing the two groups at 2nd weeks and 4th weeks after reduction,type A group was better than type C group（P〈0.05）.Conclusion：It is effective of the trinity of＂point-line-surface＂painless bone-setting manipulations combined with herbal penetration therapy for treating Colles＇s fractures. And the effect of type A fracture is more precisely.
出处
《中国中医骨伤科杂志》
CAS
2017年第11期15-19,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
陕西省中医管理局中医药科研课题(临床研究类研究课题)(15-LC064)
关键词
伸直型桡骨远端骨折
“点-线-面”三位一体
无痛
正骨手法
中药外敷
临床疗效
extension-type distal radius fractures
the trinityof ＂point-line-surface＇
painless
bone-setting manipulations
herbal penetration therapy
clinical efficacy
