手法复位加小夹板固定跌打膏外敷治疗老年桡骨远端骨折

Manipulative Reduction combined with Splint Fixation and External Dieda Ointment in the Treatment of Elderly Fracture of Distal Radius

目的:对手法复位加小夹板固定跌打膏外敷治疗老年桡骨远端骨折疗效进行评价。方法:将85例患者随机分为两组,治疗组42例采用手法复位加小夹板固定跌打膏外敷治疗,对照组43例采用手法复位加石膏固定治疗。主要观察治疗后患肢的功能恢复及对桡骨远端骨密度的影响。结果:采用手法复位加小夹板固定跌打膏外敷治疗后的6周随访疗效优良率为78.57%,对照组优良率为60.46%;12周随访治疗组疗效优良率为80.95%;对照组优良率为60.74%;治疗组明显优于对照组(P<0.05)。治疗组固定前,治疗12周骨密度测定比较差异无统计学意义(P>0.05),对照组骨密度测定治疗后低于治疗前,差异有统计学意义(P<0.05)。结论:手法复位小夹板固定治疗老年桡骨远端骨折相对于石膏固定具有疗效好、病人痛苦小、方法简便、价格低廉等优点。

To evaluate the clinical efficacy of elderly fracture of distal radius treated with manipulative reduction combined with splint fixation and external Dieda ointment. Methods.. A total of 85 patients were randomly divided into treat- ment group （42 cases）, who were treated with manipulative reduction combined with splint fixation and external Dieda ointment, and control group （43 cases）, who were treated with manipulative reduction combined with plaster fixation. The function recovery of affected limbs as well as the bone mineral density （BMD） of distal radius was observed. Results. After 6 weeks, 78.57% of patients in treatment group achieved good functional recovery, which was 60.46% in control group, showing significant difference between the two groups （P〈0.05）. There was no obvious difference in BMD before the treatment and 12 weeks after the intervention in treatment group, while BMD was significant decreased in control group af- ter the intervention （P〈0.05）. Conclusion .. Manipulative reduction combined with splint fixation for elderly fracture of dis- tal radius has the advantages of favorable efficacy, little pain, easy to perform, low cost, etc.