手法复位夹板外固定与伤骨再生汤联合治疗老年Colles骨折患者的临床效果

Clinical effect of manual reduction and splint external fixation combined with Shanggu Zaisheng Decoction on elderly Colles fracture patients

目的探讨手法复位夹板外固定与伤骨再生汤联合治疗老年Colles骨折患者的临床效果。方法选取2017年9月~2018年9月我院收治的120例老年Colles骨折患者作为研究对象。按照随机数字表法将其分为对照组和观察组,每组各60例。两组患者均采取手法复位夹板外固定治疗,术后,对照组患者给予骨康胶囊,观察组患者给予伤骨再生汤。比较两组患者的临床治疗效果;比较两组患者的治疗前后血钙、血磷及血清碱性磷酸酶(ALP)水平;比较两组患者不同时间点(治疗后10、20、30d)的骨痂X线评分情况。结果观察组患者的治疗总有效率(95.00%)高于对照组(75.00%),差异有统计学意义(P<0.05)。治疗前,两组患者的血钙、血磷及血清ALP水平比较,差异无统计学意义(P>0.05);两组患者治疗后的血钙、血磷及血清ALP水平均高于本组治疗前,差异有统计学意义(P<0.05);治疗后,观察组患者的血钙、血磷及血清ALP水平高于对照组,差异有统计学意义(P<0.05)。治疗后10、20、30d,观察组患者的骨痂X线评分均高于对照组,差异有统计学意义(P<0.05)。结论采取手法复位夹板外固定与伤骨再生汤联合治疗老年Colles骨折,可有效促进患者骨折愈合,提高生活质量,值得推广应用。

Objective To explore the clinical effect of manual reduction and splint external fixation combined with Shanggu Zaisheng Decoction on elderly Colles fracture patients. Methods A total of 120 elderly patients with Colles fracture admitted to our hospital from September 2017 to September 2018 were selected as research objects. According to the random number table method, they were divided into control group and observation group, 60 cases in each group. Both groups of patients were treated with manipulative reduction and splint external fixation. After the operation, the patients in the control group were given Gukang Capsules, while the patients in the observation group were given Shanggu Zaisheng Decoction. The clinical effects of the two groups were compared. The levels of blood calcium, blood phosphorus and serum alkaline phosphatase (ALP) before and after treatment were compared between the two groups. The X-ray scores of callus at different time points (10, 20, 30 d after treatment) were compared between the two groups. Results The total effective rate of patients in the observation group (95.00%) was higher than that in the control group (75.00%), and the difference was statistically significant (P<0.05). Before treatment, there were no significant difference in blood calcium, blood phosphorus and serum ALP levels between the two groups (P>0.05). After treatment, the levels of blood calcium, blood phosphorus and serum ALP in the two groups were higher than those before treatment, and the differences were statistically significant (P<0.05). After treatment, the levels of blood calcium, blood phosphorus and serum ALP in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05). X-ray scores of callus in the observation group were higher than those in the control group at 10, 20 and 30 days after treatment, the differences were statistically significant (P<0.05). Conclusion Manipulative reduction and splint external fixation combined with Shanggu Zaisheng Decoction for the treatment of Colles fracture in the elderly can effectively promote fracture healing and improve the quality of of patients′ life, is worth popularizing and applying.