手法复位配合桃红四物汤治疗桡骨远端骨折的临床分析

Clinical Analysis o Manipulative Reduction Combined with Taohong Siwu Decoction in the Treatment of Distal Radius Fracture

目的研究手法复位小夹板外固定配合桃红四物汤、阿法骨化醇口服治疗桡骨远端骨折的临床疗效。方法选取江西省石城县中医院2018年2月—2020年2月收治的74例桡骨远端骨折患者进行研究,将之按照随机数字表法分为2组,对照组37例采用手法复位小夹板外固定治疗方法,观察组37例在此基础上联合应用桃红四物汤、阿法骨化醇口服治疗,比较2组患者的骨折愈合情况和治疗总有效率。结果观察组治愈率为94.59%(35/37),高于对照组75.68%(28/37),差异有统计学意义(P<0.05)。观察组骨折愈合效果优于对照组,差异有统计学意义(P<0.05)。结论对桡骨远端骨折患者采用中医手法复位小夹板外固定配合桃红四物汤、阿法骨化醇口服治疗,能提高患者的治愈率,疗效显著,值得临床推广。

Objective To study the clinical effect of manipulative reduction small splint external fixation combined with Taohong Siwu decoction and alfacalcidol in the treatment of distal radius fractures.Methods 74 cases of distal radius fractures in Shicheng Hospital of Traditional Chinese Medicine from February 2018 to February 2020 were selected and randomly divided into two groups.37 patients in the control group were treated with manual reduction and small splint external fixation,and 37 patients in the observation group were treated with Taohong Siwu decoction and alfacalcitol orally on this basis.The fracture healing and total effective rate of the two groups was compared.Results the cure rate of the observation group was 94.59%(35/37),and that of the control group was 75.68%(28/37).The cure rate of the observation group was significantly higher than that of the control group,and the difference was significant(P<0.05).The fracture healing effect of the observation group was better than that of the control group(P<0.05).Conclusion For the patients with distal radius fracture,the small splint external fixation combined with Taohong Siwu decoction and alfacalcidol oral treatment can improve the cure rate of patients with significant curative effect,which is worthy of clinical promotion.