郭氏正骨联合活络骨康丸治疗骨质疏松性桡骨远端骨折的临床研究

Clinical study on the treatment of osteoporotic distal radius fractures by Guo′s Bone setting combined with Huoluo Gukang pills

目的观察郭氏正骨联合活络骨康丸治疗骨质疏松性桡骨远端骨折的临床疗效。方法将2021年3月至2023年2月该院收治的86例骨质疏松性桡骨远端骨折患者按就诊顺序分为研究组(序号为偶数者)和对照组(序号为奇数者),每组43例。研究组采用郭氏正骨手法复位联合活络骨康丸进行治疗,对照组采用郭氏正骨手法复位联合钙尔奇D_(3)进行治疗。对比2组患者影像学指标、疼痛情况[视觉模拟疼痛量表(VAS)评分]、康复时间、骨密度及不良反应发生率。结果2组患者治疗前、复位当天桡骨远端掌倾角、尺偏角度数、桡骨高度、VAS评分比较,差异均无统计学意义(P>0.05);研究组患者复位后3个月桡骨远端掌倾角、尺偏角度数、桡骨高度均较复位当天明显增加,对照组则明显减少,差异均有统计学意义(P<0.05);研究组患者手法复位后2周,1、3个月桡骨远端掌倾角、尺偏角度数均明显大于对照组,桡骨高度均明显高于对照组,差异均有统计学意义(P<0.05)。与复位当天比较,2组患者复位后2周、1个月VAS评分均明显降低,且研究组患者复位后2周、1个月VAS评分均明显低于对照组,差异均有统计学意义(P<0.05);研究组患者肿胀、瘀斑消失时间,以及骨折临床愈合时间均明显短于对照组,差异均有统计学意义(P<0.05);2组患者治疗前大粗隆、股骨颈、Ward三角的骨密度比较,差异均无统计学意义(P>0.05);治疗后各部位骨密度均有不同程度升高,且研究组患者治疗后各部位骨密度均明显高于对照组,差异均有统计学意义(P<0.05);研究组患者不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论郭氏正骨联合活络骨康丸能有效提高骨质疏松性桡骨远端骨折的康复效果,并缩短康复时间及改善骨密度,且无明显不良反应,是安全而有效的治疗手段。

Objective To observe the clinical effect of Guo′s Bone Setting combined with Huoluo Gukang pills in the treatment of osteoporotic distal radius fracture.Methods A total of 86 patients with osteoporotic distal radius fracture admitted to our hospital from March 2021 to February 2023 were divided into the study group(with even serial number)and the control group(with odd serial number)according to the order of treatment,with 43 cases in each group.The study group was treated with Guo′s bone setting manipulative reduction combined with Huoluo Gukang pill,and the control group was treated with Guo′s bone setting manipulative reduction combined with Calci D_(3).Imaging indexes,pain status[visual analogue scale(VAS)score],recovery time,bone mineral density and incidence of adverse reactions were compared between the two groups.Results There were no significant differences in distal radial palmar angle,ulnar deviation degree,radius height,and VAS score between two groups before treatment and on the day of reduction(P>0.05).The distal palmar angle,ulnar angle,and radius height of the study group were significantly increased at three months after reduction,while those of the control group were significantly decreased,with statistical significance(P<0.05).After two weeks,one,and three months after manual reduction,the distal palmar angle and ulnar deviation of the radius in the study group were significantly higher than those in the control group,and the radius height was significantly higher than that in the control group,with statistical significance(P<0.05).Compared with the day of reduction,VAS scores of two groups were significantly decreased at two weeks and one month after reduction,and VAS scores of two weeks and one month after reduction in the study group were significantly lower than the control group,with statistical significance(P<0.05).The disappearance time of swelling,ecchymosis,and clinical healing time of fracture in the study group were significantly shorter than those in the control group,with statistical significance(P<0.05).There was no significant difference in bone mineral density of greater trochanteric,femoral neck and Ward triangle between two groups before treatment(P>0.05).Bone mineral density in all parts of the study group was significantly higher than that in the control group after treatment,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was significantly lower than that in the control group,with statistical significance(P<0.05).Conclusion Guo′s Bone setting combined with Huoluo Gukang pills can effectively improve the rehabilitation effect of osteoporotic distal radius fracture,shorten the rehabilitation time and improve bone mineral density without obvious adverse reactions,and it is a safe and effective treatment.