吴氏伤科“内外兼治,筋骨并重,动静结合”理念在桡骨远端骨折治疗中的应用

Application of ‘TCM theory from Wu’s traumatology department in treating distal radial fracture

目的:评价临床对桡骨远端骨折患者中应用吴氏伤科"内外兼治,筋骨并重,动静结合"理念的治疗价值。方法:随机抽选2015年6月-2018年6月期间我院骨一科门诊诊治的98例桡骨远端骨折患者,所有骨折都是新鲜骨折,受伤到处理时间均在4天以内,均为闭合性骨折。98例患者均给予外固定方法、中药三期辨证治疗、中药外用(跌打膏外敷患处、驳骨酒外搽患处、伤科外洗方薰洗患处)、功能锻炼。分析所有患者的治疗效果。结果:骨折外固定时间26~40 d,平均外固定时间(29.06±1.15)d;全部患者均随访8个月,平均随访时间(2.62±1.05)个月。优良率93.88%(92/98),其中优62.24%(61/98)、良31.63%(31/98)、差6.12%(6/98)。结论:临床对桡骨远端骨折患者中应用吴氏伤科"内外兼治,筋骨并重,动静结合"理念,通过结合外固定方法与中医疗法,改善腕关节功能。

Objective: To evaluate application value of the Neiwai Jianzhi (内外兼治) Jin’gu Bingzhong (筋骨并重) Dongjing Jiehe (动静结合) theory from Wu’s traumatology department on distal radial fracture. Methods: 95 cases were selected and given fixed therapy, TCM three-phase syndrome differentiation and treatment, TCM external use, including external application of Diedagao (跌打膏) Bogu Jiu (驳骨酒) and TCM fumigation. Results: The external fixation time of the fracture was 26 to 40 days. The average external fixation time was(29.06±1.15) days. All patients were followed up for 8 months, and the average follow-up time was(2.62±1.05)months. The excellent and good rate was 93.88%(92/98). Conclusion: The Neiwai Jianzhi Jin’gu Bingzhong Dongjing Jiehe theory from Wu’s traumatology department plus external fixation and TCM therapy on distal radial fracture was effective,can improve wrist function.