老年骨质疏松性桡骨远端骨折手法复位的要点.docVIP

精品论文 参考文献 老年骨质疏松性桡骨远端骨折手法复位的要点 （四川省成都市双流县西航港社区卫生服务中心 四川 成都 610200） 【摘 要】目的：探讨老年骨质疏松性桡骨远端骨折手法复位的要点，并对比分析中医适宜技术对提升患者预后的价值，以指导基层医院开展疾病治疗。方法：纳入2009年1月至2014年12月到我中心接受治疗的80例患者为研究对象，按治疗方法分为两组，所有患者均行手法复位、小夹板外固定治疗，在此基础上对照组（40例）予密盖息、钙尔奇D、alpha;-骨化醇治疗。结果：观察组骨折愈合时间明显短于对照组，差异均有统计学意义（P＜0.05）。两组并发症发生率无明显差异（P＞0.05）。结论：掌握老年骨质疏松性桡骨远端骨折手法复位的要点可以保证其治疗效果；中药汤剂有助于提升预后。 【关键词】老年；中药疗法；骨质疏松症；桡骨远端骨折；小夹板固定 【中图分类号】R244.1 【文献标识码】Ｂ 【文章编号】1004-6194（2015）02-0218-02 【Abstract】Objective To explore the senile osteoporotic distal radius fracture of the main points of the manipulative reduction and contrast analysis of TCM suitable technology to enhance the value of the prognosis of the patients, to guide the grass-roots hospitals to carry out treatment of disease. MethodsInto the 2009 January to December 2014 to our center to accept the treatment of 80 cases of patients as the research object, according to treatment methods are divided into two groups, all patients were treated with manipulative reduction and small splint external fixation for the treatment, based on the control group (40 cases) given Miacalcic, Caltrate D and alfacalcidol treatment. Results The fracture healing time of the observation group was significantly shorter than that of the control group, the difference was statistically significant (P lt; 0.05). There was no significant difference in the incidence of complications between the two groups (P gt; 0.05). Conclusion mastering senile osteoporotic distal radius fracture manipulative reduction of points can ensure the treatment effect; Decoction of Chinese medicine helps to improve the prognosis. 【Keywords】old age, TCM therapy, osteoporosis, fracture of distal radius, small splint fixation 骨质疏松为中老年常见疾病，临床表现为骨量减少、骨脆性增加，此时一般碰撞及其他非创伤性因素即可导致骨折，影响患者日常生活及工作[1-3]。为指导基层医院开展手法复位外固定治疗，提升患者疗效，本研究重点分析了手法复位的要点，并探讨了中药汤剂对促进患者预后的价值，报告如下。 1 资料与方法 1.1 一般资料 纳入骨质疏松性桡骨远端骨折患者80例为研究对象，纳入标准[4]：骨密度检查BSD＜M-2SD；骨折不涉及关节面，为colles或smith骨折；受伤至就诊时间不超过4h；年龄ge;65岁；除外严重心脑血管疾病史患