早期石膏托外固定联合手法复位杉树皮夹板外固定在老年桡骨远端骨折患者中的疗效观察

Observation of the Therapeutic Effect of Early Plaster Cast External Fixation Combined with Manual Reduction and External Fixation of Cedar Bark Leather Plate in Elderly Patients with Distal Radius Fractures

目的分析早期石膏托外固定联合手法复位杉树皮夹板外固定在老年桡骨远端骨折患者中的应用效果。方法选取2023年1月—2023年12月江苏省苏北人民医院收治的68例老年桡骨远端骨折患者为研究对象,根据随机数字表法将其分为对照组和观察组,每组34例。对照组采用手法复位杉树皮夹板外固定治疗,观察组采用早期石膏托外固定联合手法复位杉树皮夹板外固定治疗。比较两组患者的腕关节功能优良率、疼痛程度、腕关节功能及腕关节活动度。结果观察组腕关节功能优良率为94.12%,高于对照组的70.59%,差异有统计学意义(P<0.05)。治疗4周后,观察组疼痛视觉模拟评分为(1.29±0.27)分,低于对照组的(2.13±0.56)分,差异有统计学意义(P<0.05)。治疗12周后,Gartland-Werley评分为(7.85±1.62)分,低于对照组的(10.84±2.03)分,尺偏角为(16.32±3.35)°,掌倾角为(9.89±1.56)°,均大于对照组的(13.19±3.12)°、(7.43±1.35)°,组间差异有统计学意义(P<0.05);观察组腕关节掌屈度、背伸度、旋后度均大于对照组,差异有统计学意义(P<0.05)。结论早期石膏托外固定联合手法复位杉树皮夹板外固定治疗在老年桡骨远端骨折患者中的应用效果显著,能提高腕关节功能的恢复质量,减轻疼痛。

Objective To analyze the effect of early plaster cast external fixation combined with manual reduction and external fixation of cedar bark leather plate in elderly patients with distal radius fractures.Methods A total of 68 elderly patients with distal radius fractures admitted to Jiangsu Subei People's Hospital from January 2023 to December 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 34 cases in each group.The control group was treated with manual reduction and external fixation of cedar bark leather plate,and the observation group was treated with early plaster cast external fixation combined with manual reduction and external fixation of cedar bark leather plate.The excellent and good rate of wrist joint function,pain degree,wrist joint function and wrist joint activity were compared between the two groups.Results The excellent and good rate of wrist joint function in the observation group was 94.12%,which was higher than 70.59% in the control group,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,the Visual Analogue Scale of pain in the observation group was(1.29±0.27)points,which was lower than(2.13±0.56)points in the control group,and the difference was statistically significant(P<0.05).After 12 weeks of treatment,Gartland-Werley score was(7.85±1.62)points,which was lower than(10.84±2.03)points of the control group,the ulnar deviation Angle was(16.32±3.35)°,and the palm inclination Angle was(9.89±1.56)°,they were greater than(13.19±3.12)°,(7.43±1.35)°in the control group,the differences between the two groups were statistically significant(P<0.05);the palmar flexion,dorsal extension and supination of wrist joint in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Early plaster cast external fixation combined with manual reduction and external fixation of cedar bark leather plate has a significant effect in the treatment of elderly patients with distal radius fractures,which can improve the recovery quality of wrist joint function and reduce pain.