手法复位小夹板外固定联合自制膏药治疗桡骨远端骨折的疗效观察

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• Title:手法复位小夹板外固定联合自制膏药治疗桡骨远端骨折的疗效观察

• 卷期:2024年22卷20期

• 作者:魏骏

• 定南南方中西医结合医院骨伤科   江西赣州  341900

• Author(s):Wei Jun

• Dingnan Nanfang Integrated Hospital of Traditional Chinese and Western Medicine Ganzhou City, Jiangxi Province

• 关键词桡骨远端骨折；自制膏药；手法复位小夹板外固定；疼痛程度；肿胀程度

• Keywords: Fracture of distal radius; Self-made plaster; Manual reduction and small splint external fixation; Degree of pain; Swelling degree

• 摘要: 目的：观察桡骨远端骨折自制膏药联合手法复位小夹板外固定的疗效。方法：回顾性选取2020年2月-2022年2月本院桡骨远端骨折患者100例，分为两组，各50例。统计分析两组疼痛程度、肿胀程度、消肿时间、腕关节活动度、临床疗效、骨折愈合情况、骨折愈合时间、并发症发生情况。结果：联合治疗组患者的疼痛程度评分、肿胀程度评分均低于单独治疗组（P<0.05）。术后1周、2周，联合治疗组患者的患肢手掌厚度均小于单独治疗组（P<0.05），术后1d、3d、1周、4周，联合治疗组患者的患肢手掌周径均小于单独治疗组（P<0.05）。联合治疗组患者的掌曲角、背伸角、尺偏角、桡偏角、旋前角、旋后角均大于单独治疗组（P<0.05），优良率高于单独治疗组（P<0.05）。联合治疗组患者的骨折愈合时间短于单独治疗组（P<0.05）。结论：桡骨远端骨折自制膏药联合手法复位小夹板外固定的疗效较单独手法复位小夹板外固定显著。                                                                                                                                                                                

• AbstractTo observe the effect of self-made plaster combined with manual reduction and small splint external fixation for distal radius fracture. Methods: 100 patients with distal radius fracture in our hospital from February 2020 to February 2022 were retrospectively selected and divided into two groups, 50 patients in each group. The pain degree, swelling degree, detumescence time, wrist joint range of motion, clinical efficacy, fracture healing, fracture healing time and complications of the two groups were statistically analyzed. Results: The score of pain degree and swelling degree in the combined treatment group were lower than those in the single treatment group (P<0.05). At 1 week and 2 weeks after operation, the palmar thickness of the affected limb in the combined treatment group was smaller than that in the single treatment group (P<0.05). At 1 day, 3 days, 1 week and 4 weeks after operation, the palmar circumference of the affected limb in the combined treatment group was smaller than that in the single treatment group (P<0.05). The palmar curvature angle, dorsal extension angle, ulnar deviation angle, radial deviation angle, pronation angle and supination angle of patients in the combined treatment group were higher than those in the single treatment group (P<0.05), and the excellent and good rate was higher than that in the single treatment group (P<0.05). The fracture healing time of the combined treatment group was shorter than that of the single treatment group (P<0.05). Conclusion: The efficacy of self-made plaster combined with manual reduction and small splint external fixation for distal radius fracture is significantly better than that of manual reduction and small splint external fixation alone.

  桡骨远端骨折在临床较为常见，有研究表明[1]，在骨科急诊中，13%~15%左右为桡骨远端骨折。主要诱发因素为跌倒时手直接触地，通常情况下，桡骨远端与关节面相距3 cm范围为骨折部位，伴桡腕关节或下尺桡关节损伤，严重影响了腕关节功能与稳定性，进而引发腕关节功能障碍，从而影响患者正常生活[2]。骨折病人中医病名是骨折病，主要是骨质出现了断裂的情况，从而导致了骨质的完整性和连续性的中断，从而就称为为骨折病。本研究统计分析了2020年2月-2022年2月本院桡骨远端骨折患者100例的临床资料。