中医闭合复位在踝部骨折治疗中应用效果探讨.docVIP

中医闭合复位在踝部骨折治疗中的应用效果探讨 　　[摘要] 目的 分析中医闭合复位在踝部骨折治疗中的应用效果。方法 采用回顾性方法分析，选取该院自2011年11月―2012年11月以来收治58例踝部骨折患者的临床资料，随机将其分为对照组及观察组，两组各29例，对照组给予西医手术复位，观察组给予中医闭合复位，比较两组患者的近期疗效及远期疗效。结果 观察组患者的临床优良率86.21%（25/29）明显高于对照组55.17%（16/29），两组数据差异有统计学意义（P0.05）；且两组患者在不良反应差异有统计学意义（P0.05）。结论 中医闭合复位治疗踝部骨折疗效确切，且骨折愈合快，并发症少，提高患者生活质量，值得临床推广应用。 　　[关键词] 中医闭合复位；踝部骨折；临床治疗 　　[中图分类号] R683.42 [文献标识码] A [文章编号] 1674-0742（2014）07（a）-0083-02 　　[Abstract] Objective To analyze the experience of TCM closed reduction applied in the treatment of ankle fractures. Methods The retrospective method was used. The clinical data of 58 cases of patients with ankle facture admitted in our hospital from November， 2011 to November， 2012 were selected and randomly divided into the control group and the observation group with 29 cases in each. The control group was given western medicine operation reset， while the observation group was given TCM closed reduction. The efficacies of short-term and long-term of two groups of patients were compared. Results The clinical excellent and good rate of the patients in the observation group was 86.21% （25/29）， which was significantly higher than 55.17% （16/29） of the patients in the control group， the difference between the two groups of data was statistically significant（P0.05）； and the two groups of patients with statistically significant difference in the adverse reactions （P0.05）. Conclusion For ankle fracture， the curative effect of TCM closed reduction is definite with quicker fracture healing and fewer complications， which can improve the quality of the life of the patients， and is worthy of clinical application. 　　[Key words] TCM closed reduction； Ankle fracture； Clinical treatment 　　踝部骨折是骨科一种多发关节内骨折，多发于青壮年，依据解剖学改变，可以将踝部骨折分为3种，即单踝骨折、双踝骨折、三踝骨折，其中最严重的为三踝骨折。在中老年人中也较为常见，主要由于老年人骨质疏松，即使轻微的扭伤也能导致踝部骨折。对人们的行走、负重等功能造成了严重的不良影响[1-2]。为了探讨中医闭合复位手法在踝部骨折治疗中的应用，该研究特选取该院自2011年11月―2012年11月以来收治58例踝部骨折患者作为该次研究研究对象，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选取该院收治58例踝部骨折患者，所有患者均经过X线确诊为踝部骨折，在临床中多表现为伤后