手法整复后应用小夹板固定治疗小儿肱骨髁上骨折的可行性研究

A feasibility study on treating condylar fracture of the humerus in children by small splint fixation following manipulation

目的:探讨小儿肱骨髁上骨折的手法整复后联合小夹板固定的治疗效果。方法:选取2009年1月-2014年1月在本院门诊治疗的120例小儿肱骨髁上骨折患者,随机分为观察组和对照组,每组各60例,行手法整复后对照组采取石膏外固定,而观察组则采用小夹板固定,外敷中药粉,比较两组患者的情况。结果:观察组患儿肘关节功能明显优于对照组患儿,观察组患儿的疼痛感评分为(2.13±1.43),而对照组患儿疼痛感评分为(4.10±1.33),观察组肿胀消除度为72%,对照组肿胀消除度为54%,观察组明显高于对照组。三项指标对比,差异均具有统计学意义(P<0.05)。结论:对小儿肱骨髁上骨折患者行小夹板固定比石膏外固定取得的效果更佳,具有积极的临床意义。

Objective： To explore clinical effects of manipulative reduction plus small splint fixation on children supracondylar fracture. Methods： 120 children with supracondylar fractures were randomly divided into the observation group and control group, 60 cases in each; the control group took plaster external fixation, and the observation group took a small splint and topical powder. Results： The elbow function in children in the observation guoup was significantly better; swelling eliminating in the observation group was 72%, better than 54% in the control group（P〈0.05）. Conclusion： The therapy on children supracondylar fractures was better than the plaster splint external fixation, with a positive clinical significance.