接骨散外敷辅助经皮克氏针内固定治疗小儿桡骨远端不稳定骨折的疗效观察

Curative effect observation of bone powder outside the application assisted percutaneous K-wire fixation of unstable distal radius fractures

目的:探讨接骨散外敷辅助经皮克氏针内固定治疗小儿桡骨远端不稳定骨折的临床疗效。方法:选取2011年5月至2014年5月我院收治的80例桡骨远端不稳定骨折患儿为研究对象,随机分为对照组与观察组,每组40例。对照组:采用皮克氏针内固定治疗。观察组:采用皮克氏针内固定,并接骨散外敷治疗。观察比较2组患儿的临床疗效、骨折愈合时间及不良反应发生情况。结果:观察组优良率为95.0%高于对照组优良率72.5%,差异具有统计学意义(P<0.01)。观察组骨折愈合时间短于对照组骨折愈合时间,差异具有统计学意义(P<0.01)。2组患儿不良反应发生率比较,差异无统计学意义(P>0.05)。结论:采用接骨散外敷辅助经皮克氏针内固定治疗桡骨远端不稳定骨折临床效果显著,能有效缩短骨折愈合时间且无严重不良反应,值得临床借鉴使用。

Objective： To study on the effect of bone powder outside the application assisted percutaneous K-wire fixation of unstable distal radius fractures. Methods： We selected 80 cases of unstable fracture of the distal radius in children as the object of study,from 2011 May to 2014 May in our hospital,were randomly divided into control group and observation group,each group of 40 cases. Control group： using Kirschner wire internal fixation. The observation group： using Kirschner wire internal fixation,fracture healingpowder treatment. To observe and compare the clinical efficacy,wound healing time and the incidence of adverse reactions of two groups of children with fracture. Results： The excellent and good rate was 95% in the observation group more than 72. 5% that of control group,the difference was statistically significant（ P〈0. 01）. Fracture healing time,observation group was shorter than the control group,the difference was statistically significant（ P〈0. 01）. The incidence of adverse reactions,no statistically significant difference between the two groups（ P〉0. 05）. Conclusion： Bone powder outside application assisted percutaneous Kirschner wire fixation for the treatment of unstable fracture of the distal radius,good clinical effect,can effectively shorten the healing time and no serious adverse reactions,it is worthy of clinical reference.