手法整复杉树皮夹板外固定结合中药治疗桡骨远端骨折临床探析.docVIP

手法整复杉树皮夹板外固定结合中药治疗桡骨远端骨折临床探析 　　[摘要] 目的 利用手法整复杉树皮夹板外固定结合中药疗法治疗桡骨远端骨折，探析其临床治疗效果。方法 将66例桡骨远端骨折患者分成对照组与观察组，观察组利用手法整复杉树皮夹板外固定结合中药方法治疗，对照组利用石膏托外固定。结果 观察组总有效率为97.0%，对照组为81.8%，两组数据差异具有统计学意义（P0.05）；观察组术后PRWE评分、疼痛肿胀消退时间等指标用均优于对照组（P0.05）；观察组患者并发症发生率为3.0%，对照组为9.1%，观察组明显优于对照组（P0.05）。结论 手法整复杉树皮夹板外固定与中药疗法联合治疗桡骨远端骨折，其治疗效果非常好，值得在临床治疗中推广应用。 　　[关键词] 手法整复杉树皮夹板外固定；中药；桡骨远端骨折 　　[中?D分类号] R683.4 [文献标识码] A [文章编号] 2095-0616（2017）10-187-04 　　Clinical study of Chinese herbal medicine combined with traditional Chinese medicine in the treatment of distal radius fractures 　　FENG Zhiwen 　　Zengcheng District Peoples Hospital， Guangzhou 511300， China 　　[Abstract] Objective To treat the distal radius fractures by using the method of external fixation combined with traditional Chinese medicine and the clinical treatment. Methods 66 patients with distal radius fractures were divided into control group and observation group. Patients in observation group were treated with traditional Chinese herbal medicine. Patients in control group were treated with open reduction and plate fixation. Results The total effective rate in the observation group（97.0%） was significantly higher than that in the control group（81.8%）， P0.05. The postoperative PRWE score， the pain swelling time and the average treatment cost in observation group were better than those in control group， P0.05. There were 1 patient （3.0%） with complications in the observation group， and 3 patients（9.1%） in the control group. The observation group was better than the control group（P0.05）. Conclusion The treatment of distal radius fractures with the method of external fixation combined with traditional Chinese medicine treatment can obtain better therapeutic effect. 　　[Key words] Manipulation of the fir cypress plywood external fixation； Traditional Chinese medicine； Distal radius fracture 　　桡骨远端骨折是临床上一种常见的损伤，多数情况下由于跌倒后手腕部接触地面导致，中老年人多表现为粉碎性骨折，儿童多表现为桡骨远端不完全性骨折，一般情况下这种骨折都有比较明显的移位或者短缩畸形，多数情况下患者会产生严重的心理压力，目前临床上主要利用传统整复手法联合夹板加压垫外固定[1-2]，可以取得比较