摘要
目的:观察“王氏五步法”手法整复治疗老年桡骨远端骨折的临床疗效。方法:选择老年桡骨远端骨折患者60例,采用随机数字表法分为观察组和对照组各30例,对照组行桡骨远端骨折切开复位解剖锁定型钛板内固定术,观察组采用“王氏五步法”手法整复。统计对比两组患者的手术时间、住院时间、疼痛评分、Cooney腕关节功能评分及桡骨高度,并评价两种治疗方法的安全性。所有患者随访3个月。结果:观察组住院时间、手术时间均短于对照组(P<0.05)。治疗后两组患者的疼痛评分均较治疗前降低(P<0.05),桡骨高度均升高(P<0.05)。组间比较,观察组术后半个月的疼痛评分低于对照组(P<0.05);术后半个月,两组桡骨高度比较,差异无统计学意义(P>0.05),术后一个半月、3个月对照组的桡骨高度优于观察组(P<0.05),观察组6例患者出现桡骨高度丢失;两组Cooney评分优良率比较,差异无统计学意义(P>0.05)。安全性方面,对照组发生1例术后感染、1例骨折延迟愈合,观察组未见并发症。结论:“王氏五步法”手法整复治疗老年桡骨远端骨折有利于骨折愈合及腕关节功能恢复,可有效避免开放手术的并发症;虽然术后影像学显示部分桡骨高度丢失,但并未影响患者腕关节功能恢复。
Objective:To observe the clinical effect of“WANG’s five-step method”manipulative rectification in the treatment of distal radius fractures in the elderly.Methods:A total of 60 elderly patients with distal radius fracture were selected and divided into the observation group and the control group according to the random number table method,with 30 cases in each group.The control group was treated with open reduction and anatomical locking titanium plate internal fixation of distal radius fractures,and the observation group was treated with“WANG’s five-step method”manipulative rectification.The operation time,hospital stay,pain score,Cooney wrist function score and radius height of the two groups were statistically compared,and the safety of the two treatment methods was evaluated.All patients were followed up for 3 months.Results:The hospital stay and operation time of the observation group were shorter than those of the control group(P<0.05).After treatment,the pain scores of both groups were lower than those before treatment(P<0.05),and the height of radius was increased(P<0.05).The pain score of the observation group was lower than that of the control group half a month after operation(P<0.05).Half a month after operation,there was no significant difference in radius height between the two groups(P>0.05).The radius height of the control group was better than that of the observation group one and a half months and three months after operation(P<0.05),and there were six cases of radial height loss in the observation group;There was no significant difference in Cooney score between the two groups(P>0.05).In terms of safety,there was 1 case of postoperative infection and 1 case of delayed fracture healing in the control group,while there was no complication in the observation group.Conclusion:“WANG’s five-step method”manipu‐lative rectification is beneficial to fracture healing and functional recovery of wrist joint,and it can effectively avoid complications of open surgery.Although postoperative imaging shows partial radius height loss,it does not affect the recovery of the wrist function.
作者
周斌
姚昉
许波
陈延荣
王明喜
管泳
ZHOU Bin;YAO Fang;XU Bo;CHEN Yanrong;WANG Mingxi;GUAN Yong(Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Jinan Hospital of Traditional Chinese Medicine,Jinan 250013,China)
出处
《山东中医杂志》
2024年第9期987-992,共6页
Shandong Journal of Traditional Chinese Medicine
基金
2024齐鲁中医药文化研究项目(批文号:鲁卫函[2024]152号)
王明喜山东省名老中医药专家传承工作室建设项目(批文号:鲁卫中发展字[2018]号)。
关键词
王氏五步法
桡骨远端骨折
手法整复
腕关节功能
夹板
内固定
WANG’s five-step method
fracture of distal radius
manipulative rectification
wrist function
splint
internal fixation
