局部中药外敷、夹板外固定与单纯石膏托外固定治疗老年桡骨远端骨折的疗效对比

Contrast Study of Small Splint Fixation Combined with Chinese Herbs and Plaster External Fixation in Elderly Patients with Osteoporotic Distal Radius Fracture

目的:探讨老年桡骨远端骨折两种不同外固定方法的疗效并进行对比研究。方法:将184例老年性桡骨远端骨折患者随机分为2组,分别采用中药夹板外固定与单纯石膏托外固定治疗。两组患者于治疗后第4、6、8、12周后摄腕部正侧位X线片,了解骨折愈合情况并进行对比,2个月后进行腕关节功能评估并进行疗效对比。结果:两组骨折愈合时间相比较,差异有统计学意义(P<0.05),在腕关节功能恢复方面中药夹板外固定组优良率亦明显高于单纯石膏托外固定组(P<0.05)。结论:中药夹板外固定治疗老年桡骨远端骨折能明显促进骨折愈合,缩短骨折愈合时间,且优于西药,同时能使患肢的功能得到最大程度的恢复。

Objective：To compare the effect of small splint fixation combined with chinese herbs and plaster external fixation in elderly patients with osteoporotic distal radius fracture（ODRF）.Methods：One hundred Eighty-four patients with ODRF were randomly divided into small splint fixation combined with chinese herbs group,plaster external fixation group.X-ray examination on the fractured wrist was taken at the 4,6,8,12 weeks after treating,wrist function evaluation and comparison of curative effect were taken after two-month treatment.Result：There were statistically significant differences in the fracture healing time between small splint fixation combined with chinese herbs and plaster external fixation（P0.05）,there were also statistically significant differences in wrist function evaluation between small splint fixation combined with chinese herbs and plaster external fixation（P0.05）.Conclusions：Small splint fixation combined with Chinese herbs can significantly promote the fracture healing and shorten the healing time,and also promote the wrist function recovery.