掌骨骨折患者经手法复位小夹板外固定治疗对VAS评分及术后患肢功能恢复的影响

The effect of manual reduction and splint external fixation in patients with metacarpal fractures on VAS score and postoperative recovery of the affected limb

目的探讨掌骨骨折患者应用手法复位小夹板外固定治疗对视觉模拟评分法(VAS)评分及术后患肢功能的改善效果。方法64例掌骨骨折患者,根据治疗方式不同分为对照组和研究组,每组32例。对照组应用锁定钢板+螺钉内固定治疗,研究组应用手法复位小夹板外固定治疗。对比两组VAS评分、患侧掌握力、患肢功能恢复情况、骨折愈合时间、消肿时间。结果治疗后,研究组VAS评分(3.25±0.17)分低于对照组的(5.16±1.14)分,患侧掌握力(312.16±20.49)N高于对照组的(245.71±15.76)N,差异具有统计学意义(P<0.05)。研究组患肢功能恢复优良率93.75%高于对照组的75.00%,差异具有统计学意义(P<0.05)。研究组骨折愈合时间、消肿时间短于对照组,差异具有统计学意义(P<0.05)。结论对掌骨骨折患者应用手法复位小夹板外固定治疗,可取得显著疗效,有助于减轻患者疼痛感,促进患肢功能早日恢复,值得推荐应用。

Objective To discuss the effect of manual reduction and splint external fixation in patients with metacarpal fractures on visual analogue scale(VAS)score and postoperative recovery of the affected limb.Methods A total of 64 patients with metacarpal fractures were divided into control group and research group according to different treatment methods,with 32 cases in each group.The control group was treated with locking plate and screw internal fixation,and the research group was treated with manual reduction and splint external fixation.The VAS score,control of the affected side and functional recovery of the affected limb,fracture healing time,detumescence time were compared between the two groups.Results After treatment,the VAS score(3.25±0.17)points of the research group was lower than(5.16±1.14)points of the control group,and the control of the affected side(312.16±20.49)N was higher than(245.71±15.76)N of the control group,and the difference was statistically significant(P<0.05).The excellent-good rate of functional recovery of affected limb of the research group was 93.75%,which was higher than 75.00%of the control group,and the difference was statistically significant(P<0.05).The fracture healing time and detumescence time of the research group were shorter than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of manual reduction and splint external fixation can achieve significant efficacy for metacarpal fractures,and it helps relieve the pain of treatment,promote the early recovery of the affected limb,which is worthy of promotion and application.