摘要
目的分析骨伤复原汤与手法复位小夹板固定联合治疗伸直型桡骨远端骨折的效果。方法简单随机选取2020年1月-2021年12月福建中医药大学附属第二人民医院收治的60例伸直型桡骨远端骨折患者为研究对象,采用信封双盲法分为对照组和观察组,各30例。其中,对照组行手法复位小夹板固定治疗,观察组在此基础上联合骨伤复原汤治疗。对比两组治疗效果、手腕活动度和腕关节功能评分。结果治疗后,观察组、对照组的总有效率分别是96.67%和86.67%,差异无统计学意义(χ^(2)=1.963,P=0.161)。治疗前,两组手腕旋前度、背伸度、掌曲度对比,差异无统计学意义(P均>0.05);治疗后两组各项指标均改善,且观察组优于对照组,差异有统计学意义(P均<0.05)。治疗后和随访6个月,两组Cooney评分均提高,且观察组高于对照组,差异有统计学意义(P均<0.05)。结论骨伤复原汤联合手法复位小夹板固定治疗伸直型桡骨远端骨折疗效确切,能改善手腕活动度、促进腕关节功能恢复。
Objective To analyze the effect of the combined treatment of telescopic distal radius fracture with the com-bination of bone injury recovery decoction and manipulative reduction and small splint fixation.Methods 60 patients with telescopic distal radius fractures admitted to the Second People's Hospital Affiliated to Fujian University of Tradi-tional Chinese Medicine from January 2020 to December 2021 were randomly selected as the study objects,and they were divided into the control group and the observation group by the double-blind envelope method,with 30 cases in each group.Among them,the patients in the control group were treated with manipulative reduction and small splint fixation,and the observation group was treated with bone injury recovery decoction on this basis.The treatment effect,wrist mobility and wrist function score of the two groups were compared.Results After treatment,the total effective rates of the observation group and control group were 96.67%and 86.67%,respectively,and the difference was not statistically significant(χ^(2)=1.963,P=0.161).Before treatment,there were no statistically significant differences in the wrist rotation,dorsal extension and palmar flexion of the two groups(all P>0.05).All the indexes improved of the two groups after treatment,and the measurement values of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).Compared with the pre-treatment,the Cooney scores of the patients improved after treatment and 6 months of follow-up in the observation group,higher than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion The efficacy of bone injury recovery decoction combined with manipulation and small splint fixation in the treatment of telescopic distal ra-dius fracture is accurate,which can improve the mobility of the wrist and promote the recovery of wrist function.
作者
刘宇
林桂宇
陈重凯
LIU Yu;LIN Guiyu;CHEN Chongkai(Department of Hand and Foot Surgery and Traumatology,the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350003 China)
出处
《中外医疗》
2024年第7期5-8,共4页
China & Foreign Medical Treatment
关键词
伸直型桡骨远端骨折
小夹板固定
骨伤复原汤
腕关节功能
Telescopic distal radius fracture
Small splint fixation
Bone injury recovery decoction
Wrist function
