ⅱ型肱骨髁上骨折中医手法整复夹板外固定与闭合穿针内固定的疗效对比分析中医骨伤科学专业论文.docxVIP

结论·· 结论·· ················ ·······························································18 参考文献 19 附录·················································································”····22 I咐 图 26 致谢····················· ··············· ··························· ·····．．．·．··．．．30 文献综述 31 作者简历 39 III 万方数据 中文摘要目的：对比研究中医手法整复夹板外固定与闭合穿针内固定对Ⅱ型肱骨髁上骨折的临床疗 中文摘要 目的：对比研究中医手法整复夹板外固定与闭合穿针内固定对Ⅱ型肱骨髁上骨折的临床疗 效。 方法：选取80例II型肱骨髁上骨折患者进行分组对比研究，选取自2013年10月~2015年 6月。采取随机数字抽签法进行分组，分为各有40例患者的中医组和手术组。中医组患者 进行中医手法整复夹板外固定治疗，手术组患者进行闭合穿针内固定治疗。对比两组患者 的治疗效果。 结果：两组患者复位后摄片时的B角差异不明显(P0．05)，解除固定时两组患者的B角、C 角存在明显差异(P0．05)；与复位后摄片时相比，解除固定时两组患者的B角出现明显的 变化(PO．05)，但中医组患者的变化幅度更大(P0．05)。两组患者的肘关节屈伸功能恢 复优良率不存在明显差异(PO．05)，但手术组患者的肘内翻发生率与中医组相比明显更低 (P0．05)。 结论：中医手法整复夹板外固定与闭合穿针内固定治疗II型肱骨髁上骨折均具有显著的临 床疗效，能够有效复位骨折端及维持骨折端稳定使骨折愈合，恢复肘关节功能，但闭合穿 针内固定治疗在维持骨折端复位及减少肘内翻方面更有优势。 【关键词】：II型肱骨髁上骨折，中医手法整复夹板外固定，闭合穿针内固定对比 IV 万方数据 Abstract【Abstract]：0bjective：comparative Abstract 【Abstract]：0bjective：comparative study of TCM manipulative reduction and splint external fixation and closed pinning internal fixation for type II humeral supracondylar fracture clinical curative effect．Methods：A comparative study of 80 patients with II type of五阻cture of the humerus were performed，and the selection of the patients was from January 20 1 3 to January 20 1 5．A random number method was used to divide the group into 40 patients wim the TCM group and the operation group．The TCM group were treated with manipulative reduction and splint external fixation for the treatment of TCM，the operation group of patients were with closed pin fixation for the treatment．Compared with the effect of the two groups of patients． Results：Two groups of patients were taken after reduction of B angle and C angle were not significantly different(P0．05)，liR the fixed two groups of patients with B angle，C angle difference(P0．05)；compared with the reset after the photo film，lift the fixed two groups of patients with B angle were changed(P0．05)，but t