作　　者： (刘俊）; (吴俊义）; (张杰）;

机构地区： 江苏大学附属武进医院骨科

出　　处： 《中华卫生应急电子杂志》 2017年第3期163-165,共3页

摘　　要： 目的探究手法复位联合小夹板外固定方法治疗桡骨远端骨折的临床治疗效果。方法回顾性分析常州市武进人民医院骨科2015年10月至2016年10月收治的54例桡骨远端骨折患者的临床资料,其中,男性22例,女性32例;年龄35~75岁,平均年龄(62.3±2)岁。将54例患者分为观察组(28例)和对照组(26例),观察组患者使用手法复位联合小夹板外固定的方法进行治疗,对照组患者进行切开复位内固定。对比分析两组患者的治疗效果(伤处疼痛减轻及腕关节功能恢复等治疗效果)。结果观察组与对照组患者的总体疗效优良率差异无统计学意义[92.86%(26/28)vs 88.46%(23/26),P>0.05]。观察组患者的不良反应发生率为7.14%(2/28),低于对照组的23.08%(6/26),差异有统计学意义(P<0.05)。结论手法复位联合小夹板外固定方法可在不降低桡骨远端骨折临床疗效的基础上,减少不良反应的发生,安全性较高,值得临床推广。 Objective To investigate the effect of manipulative reduction combined with external fixation with small splint in the treatment of distal radius fracture. Methods An retrospective study was carried out in 54 patients with distal radius fractures [22 males,32 females,aged 35 ~ 75 years old,average age(62. 3 + 2) years] treated in the Department of orthopedics of Changzhou Wujin People's Hospital from October 2015 to Ocotober 2016. 54 patients were divided into observation group(28 cases) and control group(26 cases). The observation group of patients were treated with manual reduction combined with small splint external fixation treatment,and the control group was treated with open reduction and internal fixation.The treatment effect and adverse reaction rate of the two groups were compared and analyzed. Results The observation group compared with the control group of patients The overall efficacy rate was not statistically significant between observation group and control group [92. 86%(26/28) vs 88. 46%( 23/26),P >0. 05],but the The adverse reaction rate of observation group was 7. 14%,which was lower than that of the control group(2/28) [23. 08%(6/26) ],the difference was statistically significant( P < 0. 05).Conclusion Manual reduction combined with external fixation with small splint can reduce the incidence of adverse reactions and is worth to be popularized in clinical practice.

关 键 词： 手法复位 小夹板外固定 桡骨远端骨折