手法复位、克氏针固定辅以单味桂枝煎汤治疗小儿肱骨远端GartlandⅢ型骨折84例

Manipulative Reduction and Kirschner Wire Fixation Combined with Single Guizhi Decoction in the Treatment of Distal Humerus Gartland Type III Fracture in Children for 84 Cases

目的探讨手法复位、克氏针固定辅以单味桂枝煎汤内服治疗小儿肱骨远端GartlandⅢ型骨折的方法及效果。方法将2015年4月—2017年4月在本院接受治疗的小儿肱骨远端GartlandⅢ型骨折患儿84例作为研究对象,随机分为2组各42例,对照组实施手法复位、克氏针固定治疗,而观察组在此基础上增加单味桂枝煎汤内服治疗,对2组患者的肿胀测量周径改善、肘关节活动度改善情况进行比较。结果术后7 d、石膏拆除7 d,观察组肿胀测量周径均明显低于同时期对照组,P<0.05;石膏拆除7 d后,观察组肘关节活动度明显高于对照组,P<0.05。结论对小儿肱骨远端GartlandⅢ型骨折在采用手法复位、克氏针固定治疗的基础上增加单味桂枝煎汤内服治疗有利于进一步提高疗效,促使患者肿胀尽快消除,并提高关节活动度,值得推广。

Objective To investigate the method and effect of manual reduction and Kirschner wire fixation combined with single Guizhi decoction in the treatment of distal humerus Gartland type III fracture in children.Methods During the period from April2015 to April 2017 in our hospital,84 cases of distal humerus Gartland type III fracture in children were selected as the research objects.They were randomly divided into control group of 42 cases received manipulative reduction and Kirschner wire fixation and the observation group of 42 cases received single Guizhi decoction based on the control group.Improvement of swelling measurements diameter of the elbow and the elbow joint activity were observed and compared.Results After 7 days of operation and plaster removal the circumference swelling measurements of the observation group was significantly lower than that of the control group P〈0.05.7 d after removal of the plaster casts,elbow motion in observation group was significantly higher than that of the control group P〈0.05.Conclusion The manual reduction and Kirschner wire fixation combined with single Guizhi decoction in the treatment of distal humerus Gartland type III fracture in children is beneficial to further improve the curative effect,promote the patient ＇s swelling to eliminate as soon as possible,and improve the degree of joint activity.It is worth popularizing.