摘要
目的:探讨手法整复夹板固定治疗桡骨远端骨折的效果及对腕关节活动度的影响。方法:选取2019年1月1日-2022年1月1日于南靖县医院诊治的100例桡骨远端骨折患者,使用随机数字表法将患者分为观察组(n=50)和对照组(n=50)。对照组接受手术治疗,观察组接受手法整复夹板固定治疗,对比两组治疗总有效率、疼痛评分、肿胀评分、腕关节功能评分、腕关节活动度、握力及并发症发生率。结果:治疗6个月后,观察组的治疗总有效率(96.00%)高于对照组(84.00%)(P<0.05)。治疗前,两组的视觉模拟评分法(VAS)评分、腕关节肿胀评分及Cooney腕关节功能评分差异均无统计学意义(P>0.05);治疗1个月后,两组的VAS评分及腕关节肿胀评分均降低,观察组均低于对照组(P<0.05);Cooney腕关节功能评分均升高,观察组高于对照组(P<0.05)。治疗前,两组的腕关节旋前、旋后、背伸、掌屈度及桡偏度差异均无统计学意义(P>0.05);治疗1个月后,两组的各项活动度均升高,观察组均高于对照组(P<0.05)。治疗前,两组的患侧握力差异无统计学意义(P>0.05);治疗1个月后,两组的患侧握力均上升,观察组高于对照组(P<0.05)。观察组的并发症发生率(2.00%)低于对照组(14.00%)(P<0.05)。结论:手法整复夹板固定治疗桡骨远端骨折效果显著,可减少腕关节疼痛,减轻肿胀,提高腕关节活动度及握力,促进腕关节功能恢复,减少并发症,安全有效。
Objective:To investigate the effect of manual revision splinting in the treatment of distal radius fractures and the influence on wrist mobility.Method:One hundred patients with distal radius fractures treated at Nanjing County Hospital,from January 1st,2019 to January 1st,2022 were selected and divided into observation group(n=50)and control group(n=50)using the random number table method.The control group received surgical treatment and the observation group received manual revision splinting,and the total treatment efficiency,pain score,swelling score,wrist function score,wrist mobility,grip strength and complication rate of the two groups were compared.Result:After six months of treatment,the total effective rate of treatment in the observation group(96.00%)was higher than that in the control group(84.00%)(P<0.05).Before treatment,there were no significant differences in the visual analog scale(VAS)score,wrist swelling score and Cooney wrist function score between the two groups(P>0.05);after 1 month of treatment,the VAS score and wrist swelling score decreased in both groups,and the observation group were lower than those of the control group(P<0.05);the Cooney wrist function score increased in both groups,and the observation group was higher than that of the control group(P<0.05).Before treatment,there were no significant differences between the two groups in anterior rotation,posterior rotation,dorsiflexion,palmar flexion and radial deviation of the wrist joint(P>0.05);after 1 month of treatment,all the activities of the two groups increased,and the observation group were higher than those of the control group(P<0.05).Before treatment,the difference in grip strength on the affected side was not significant between the two groups(P>0.05);after 1 month of treatment,the grip strength on the affected side increased in both groups,and the observation group was higher than that of the control group(P<0.05).The incidence of complications in the observation group(2.00%)was lower than that in the control group(14.00%)(P<0.05).Conclusion:The treatment of distal radius fracture with manual revision splinting is effective,can reduce wrist pain,reduce swelling,improve wrist mobility and grip strength,promote wrist function recovery,reduce complications,and is safe and effective.
作者
黄志宏
HUANG Zhihong(Nanjing County Hospital,Zhangzhou City,Fujian Province,Nanjing 363600,China)
出处
《中国医学创新》
CAS
2023年第8期53-57,共5页
Medical Innovation of China
关键词
桡骨远端骨折
腕关节活动度
手法整复
夹板固定
握力
并发症
Distal radius fracture
Wrist mobility
Manipulation revision
Splinting
Grip strength
Complications
