小儿肱骨髁上骨折的手法治疗效果观察

Observation on the effect of manipulation treatment in children with supracondylar fracture of the humerus

目的:探讨小儿肱骨髁上骨折实施手法治疗的临床疗效。方法:2012年1月-2014年6月收治肱骨髁上骨折患儿160例,随机分成观察组与对照组,各80例。对照组给予常规开放复位联合钢针内固定结合小夹板外固定治疗,观察组实施中医手法治疗联合皮克氏针内固定结合小夹板外固定治疗,比较两组患儿的临床治疗效果及并发症的发生情况。结果:观察组治疗后痊愈54例(67.5%),显效22例(27.5%),总有效率95.0%;对照组痊愈42例(52.5%),显效24例(30.0%),总有效率82.5%。观察组的临床治疗效果明显优于对照组,两组比较差异有统计学意义(P<0.05)。观察组并发症总发生率7.5%,与对照组并发症总发生率27.5%比较有显著性降低,两组比较差异有统计学意义(P<0.05)。结论:应用中医手法治疗小儿肱骨髁上骨折能够有效促使患儿骨折复位和骨折愈合,促进肘部功能的恢复,缩短恢复时间,减轻患儿痛苦,具有临床有效率高,并发症发生率低、恢复快等优点,是临床治疗小儿肱骨髁上骨折的有效方法,值得在临床推广使用。

Objective:To investigate the clinical effects of manipulation treatment in children with supracondylar fracture of the humerus.Methods:160 children with supracondylar fracture of humerus were selected from January 2012 to June 2014.They were randomly divided into the observation group and the control group with 80 cases in each.The control group was given the treatment of conventional open reduction and pin internal fixation combined with small splint external fixation,while the observation group implemented the practices of Chinese medicine treatment of external fixation combined with Kirschner wire internal fixation combined with small splint,then we compared the clinical treatment effect and the clinical complications in children of two groups.Results:In the observation group,54 patients were cured(67.5%),22 cases were effective(27.5%),the total efficiency was 95%;in the control group there 42 cases were cured(52.5%),24 cases were effective(30%),the total efficiency was 82.5%;so the clinical therapeutic effect of the observation group wa obviously better than that of the control group,and the difference was statistically significant between two groups(P<0.05).The total incidence of complications in the observation group was 7.5%,and significantly lower than the control group of 27.5%,there was significant difference between two groups(P<0.05).Conclusion:Application of traditional manipulation treatment in children with supracondylar fracture of humerus can effectively promote the fracture reduction and fracture healing of children,promote the recovery of elbow function,shorten the recovery time,and reduce the pain of patients.It has the advantages of high clinical effective rate,low complication rate and rapid recovery,so it is an effective method for clinical treatment of humeral supracondylar fracture in children,and worthy of clinical applacation.