中西医结合治疗Colles骨折225例分析

Treatment of Colle's fracture with intergration of Western and Chinese traditional method: A report of 225 cases

目的 探讨中西医结合治疗Colles骨折的临床疗效。方法 采用手法复位后,先用前后石膏托将腕关节固定在掌倾尺偏位,2周后更换功能位管形石膏,同时根据骨折的三期分治原则而运用辨证施治的内服方药和海桐皮汤熏洗患处。结果 本组225例,随访6个月～1.5年。骨折愈合平均时间为5.5周。根据综合评定,优良率92％。结论 早期复位,及时更换石膏,早期有效的功能锻炼,同时配合中药内服及熏洗患处,可缩短骨折的愈合时间,减少腕关节创伤性炎症,获得最佳腕关节的功能康复。

Objective To discuss the clinical effect of treating Colle's fracture with Western and Chinese traditional method Methods After manual fracture reduction, the wrist was immobilized with a short arm splinter with ulnar and palm deviation. The splinter was replaced with a cast after 2 weeks of immobilization in the functional position. The Chinese traditional medicine was given orally and Haitongpi liquid was used locally for fuming and washing in the fracture region. Results 225 cases were included in the study with follow-up period from 6 months to 1.5 yesrs. The average period of fracture healing was 5.5 weeks,and good results were obtained in 92% of all cases according to the combined assessment. Conclusion Early fracture reduction,replacing cast in time, and taking adequate Chinese traditional medicine are very important measures for the fracture healing and wrist function.