摘要
目的:对比手法复位特色小夹板固定联合中医药与手术治疗桡骨远端粉碎性骨折的疗效。方法:选取2018年1月~2020年1月芜湖市中医医院收治的86例桡骨远端粉碎性骨折老年患者,按随机数字表法将其分为A组(接受手法复位特色小夹板固定联合中医药治疗)和B组(接受手术治疗),各43例。采用视觉模拟评分法(VAS)对两组患者治疗前后进行疼痛评估,比较两组患者的住院时间及费用,并记录治疗过程中出现的并发症情况,随访6个月以上,在治疗后6个月通过记录两组患者腕关节功能Ma评分来比较其长期治疗效果。结果:治疗后,两组患者VAS评分均显著低于治疗前,且A组显著低于B组;A组患者的住院时间、费用均显著低于B组;两组患者畸形愈合、伤口感染以及腕管综合征等并发症并无明显差异;A组患者治疗后6个月腕关节功能Mayo评分的关节活动度范围、疼痛、稳定度以及日常活动能力均显著高于B组。结论:手法复位特色小夹板固定联合中医药治疗桡骨远端粉碎性骨折对老年患者的综合价值更高。
Objective To omprehensively compare the cuative efet of characteritic smal plit fixation combined with traditional Chinese medicine in the treatment of distal radialcomminuted fractures.Methods A total of 86 elderly patients with distal radiuscomminuted fractures admited to Wuhu Hospital of tradtional Chinese Medicine from January 2018 to January 2020 were selected and divided itotwo groups according to therandom numbertable method Group A received characteristic mal splint fixation combined withtaditional Chinese medicineand group Breceived surgical therapy,with 43 patients in each group Visual Analogue Scale(VAS)was used to ssess the pain of patients in the two groups before and aferthe treatmenthospitaliation time and cost of patient inthetwo groups were compared.and complications duringthe treatment were recorded Patients were folowed up for over6months.6 months afterthe treatment,theMayo score of wrist function was ecorded to compare the long-term outcomes of the two groups.Results AferthetreamentVASscores in the two groups weresignificantly lowerthan those before the treatmenand group A was significantly lower than group B;The hospitalizationtime and cost of groupA were significantly lowerthan those ofgroup B:There were no significant diferences n malunion wound infectioncarpal tunnel syndrome and other complications between the two groups 6months after the treatmenthe range of motion,pain tablity and daily acivity abilty of wris funetion in Mayo scores of goup A were sigifcanly higher han thosein group B Conclusion Characteristic smalsplint fixation combined with traditional Chinese medicine has higher Comprehensive value in the treatment ofelderly patients with distal radialcomminuted fractures.
作者
刘明月
王林
李景光
章平治
Liu Ming-yue;Wang Lin;Li Jing-guang;Zhang Ping-zhi(Deparment of Orthopedics,Wuhu Hospital of Traditional Chinese Medicine,Wuhu 241000,China;Department of Orthopedics,The first affiliated hospital of wannan medical college,Wuhu 241000,China)
出处
《湖南师范大学学报（医学版）》
2022年第4期81-84,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
桡骨远端粉磷性骨折
手法复位
特色小夹板固定
中医药
distal radialcomminuted fractures
manipulation
characteristic small splint fixation
traditional Chinese medicine
