石膏、夹板分期交替固定在桡骨远端骨折保守治疗中的临床疗效观察

Clinical Curative Effect Observation of Alternate Fixation of Gypsum and Splint in Conservative Treatment of Distal Radius Fracture

目的:探讨中医手法整复石膏、小夹板分期交替固定在桡骨远端骨折保守治疗中的临床效果。方法:选取2018年6-12月本院收治住院的100例桡骨远端患者为研究对象,采用随机数字表法将患者分为对照组和观察组,每组50例。对照组采取中医手法整复石膏外固定治疗,观察组采取中医手法整复石膏外固定2周后更换为小夹板外固定的石膏、夹板分期交替固定的治疗方法。观察比较两组患者治疗后的骨痂生长情况、骨折愈合时间、Cooney腕关节评分情况、满意度。结果:治疗后1、3个月,观察组骨痂X线评分的优良率均高于对照组,差异均有统计学意义(P<0.05);观察组的骨折愈合时间短于对照组,差异有统计学意义(P<0.05);治疗后3个月,观察组Cooney腕关节评分的优良率高于对照组,差异有统计学意义(P<0.05);治疗后3个月,观察组患者的满意度高于对照组,差异有统计学意义(P<0.05)。结论:中医手法整复石膏、夹板分期交替固定在桡骨远端骨折保守的治疗中效果显著,能够有效地加快骨痂的生长,缩短骨折愈合时间,促进腕关节功能恢复,提高患者治疗过程的满意度。

Objective:To explore the clinical curative effect observation of alternate fixation of gypsum and small splint in conservative treatment of distal radius fracture by Chinese traditional manual manipulation.Method:A total of 100 patients with distal radius treated in our hospital from June 2018 to December 2018 were selected as the study objects.Random number table method was used to divide the patients into control group and observation group,50 patients in each group.The control group were treated by manual manipulation and gypsum external fixation。After 2 weeks of external fixation of plaster by means of manipulation,the observation group was replaced with a small splint external fixation of plaster and splint in stages.The callus growth,fracture healing time,Cooney wrist joint score and satisfaction were observed and compared between the two groups.Result:1 and 3 months after treatment,the excellent and good rate of callus X-ray score in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05).The fracture healing time in the observation group was shorter than that in the control group,the difference was statistically significant (P<0.05).3 months after treatment,the excellent and good rate of Cooney wrist joint score in the observation group was higher than that in the control group,with statistically significant difference (P<0.05).3 months after treatment,the satisfaction of the observation group was higher than that in the control group,the difference was statistically significant (P<0.05).Conclusion:In conservative treatment of distal radius fracture,the treatment gypsum and splint alternate fixation by Chinese traditional manual manipulation has a significant effect,which can effectively accelerate the callus growth,shorten fracture healing time,promote the recovery of wrist function,and improve the degree of patients’ satisfaction in the treatment process.