小夹板结合石膏外固定治疗桡骨远端骨折的疗效刍议

Therapeutic Effect of Small Splint Combined with External Fxation of Gypsum on Distal Radius Fracture

目的研究小夹板结合石膏外固定治疗桡骨远端骨折的疗效。方法该次研究对象为方便选取该院于2015年8月—2016年7月收治的桡骨远端骨折患者132例,按照治疗方法的差别分为对照组(小夹板固定治疗)、观察组(小夹板结合石膏外固定治疗),66例/组。将两组各项指标进行比较。结果两组患者术后3个月的骨折复位维持情况[掌倾角(4.44±2.28)°,尺偏角(20.12±7.53)°,桡骨缩短(1.65±0.89)°]均优于术前,组间对比差异无统计学意义(P>0.05);观察组桡骨远端骨折患者的骨折愈合时间(33.51±7.06)d和疼痛评分(2.68±1.31)分同对照组差距较大(P<0.05);观察组桡骨远端骨折患者的腕关节功能恢复优良率(93.94%)与对照组相比差值较大(P<0.05)。结论桡骨远端骨折患者采用小夹板结合石膏外固定治疗取得的疗效可观。

Objective This paper tries to study the curative effect of small splint combined with plaster external fixation on distal radius fractures.Methods In this study,132 patients from August 2015 to July 2016 with distal radius fractures admitted to this hospital were convenient selected and divided into control group(small splint fixation treatment)and observation group(small splint plus plaster external fixation treatment),66 cases/group according to the difference of treatment methods.The two groups of indicators were compared.Results The maintenance of fracture reduction at three months postoperatively[heel dipole(4.44±2.28)°,ulnar declination(20.12±7.53)°,radius shortening(1.65±0.89)°were better in both groups than those before operation(P>0.05).There was no significant difference between the two groups.The fracture healing time(33.51±7.06)days and the pain score(2.68±1.31)points in the distal radial fracture group in the observation group were significantly different from those in the control group(P<0.05).In the observation group,the excellent rate of recovery of wrist joint function(93.94%)was higher than that of the control group(P<0.05).Conclusion The treatment of distal radius fractures with small splint combined with gypsum external fixation is effective.