推拿按摩手法在胫腓骨骨折早期的应用(附18例报告)

The application of massage manipulations in early treatment of tib- ial and fibular fracture: A report of 18 cases

推拿按摩具有活血化瘀、舒筋通络、通利关节、壮身强骨之功效。选择适当的手法,用于骨折治疗早期,与骨折复位、固定、功能锻炼和内外用药有机地结合起来,可促进骨折愈合。减少并发症。通过18例小腿不稳定骨折的临床观察,与对照组相比,牵引时间由6～8周缩短到3～4周,患肢关节功能恢复由2～3周缩短到2～3天。认为正确掌握手法的症(适应症)、法(手法的选择)、时(时间)、量(手法的轻重)、度(关节活动的程度)是取得良好疗效的关键。

Massage functions to activate blood circulation, eliminate blood stasis, relax soft tissues, dredge the collaterals, promote articular motion, strengthen bones and body resistance. Combined appropriately with fracture reduction and fixation, functional exercises, both internal and external application of medicines, proper massage manipulations selected and used for early trestment of fracture stimulate fracture healing and decrease complications. Clinical observations on 18 cases of unstble fr-facture of leg showed that compared with those of the control group, the period of skeletal traction in the experimental group was shortened from 6-8 weeks to 3-4 weeks and the time for the joint-function recovery of the affected limb from 2-3 weeks to 2-3 days. It is believed that the correct selection of the indications, maneuvers, time and strength of massage manipulations and the motion degree of the joint is the key to obtaining satisfactory results.