[1]龚龙,张立新,谢瑞,等.清宫正骨流派手法在桡骨远端骨折治疗中的临床应用[J].中国中医骨伤科杂志,2024,32(08):60-63.[doi:10.20085/j.cnki.issn1005-0205.240812 ]
　GONG Long,ZHANG Lixin,XIE Rui,et al.The Effect of Qinggong Orthopedic Technique on Wrist Joint Function in Patients with Distal Radius Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(08):60-63.[doi:10.20085/j.cnki.issn1005-0205.240812 ]
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清宫正骨流派手法在桡骨远端骨折治疗中的临床应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年08期
页码:
60-63
栏目:
临床报道
出版日期:
2024-08-15

文章信息/Info

Title:
The Effect of Qinggong Orthopedic Technique on Wrist Joint Function in Patients with Distal Radius Fractures
文章编号:
1005-0205(2024)08-0060-04
作者:
龚龙1; 张立新1; 谢瑞1; 石雷1; 王迪1; 张军2△
1北京中医医院顺义医院(北京,101300)；2中国中医科学院望京医院
Author(s):
GONG Long1; ZHANG Lixin1; XIE Rui1; SHI Lei1; WANG Di1; ZHANG Jun2△
1Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital,Beijing 101300,China; 2Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
清宫正骨流派手法;  桡骨远端骨折;  腕关节功能
Keywords:
Qinggong orthopedic techniques;  distal radius fracture;  wrist joint function
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.240812
文献标志码:
B
摘要:
目的:探讨清宫正骨流派手法在桡骨远端骨折治疗中的临床应用。方法:选择2019年8月至2023年8月在诊治的桡骨远端骨折患者80例作为研究对象,予以清宫正骨流派手法结合小夹板外固定治疗,分析临床疗效、不良反应,统计分析治疗前后握力、疼痛视觉模拟量表(VAS)评分、临床愈合情况、腕关节功能、生活质量综合评定量表(GQOLI-74)评分。结果:患者临床疗效优33例,良43例,中2例,差2例,治疗优良率为95.00%(76/80)。治疗后患者握力较治疗前升高,VAS评分较治疗前降低,差异有统计学意义(P<0.05)。患者的桡骨缩短长度为(0.18±0.23)cm,外生骨痂出现时间为(7.23±0.79)周,骨折完全愈合时间为(61.33±6.57)d。治疗后患者功能状况、握力、疼痛、活动度评分均较治疗前升高,差异有统计学意义(P<0.05)。治疗后患者躯体、心理、物质、社会评分均较治疗前升高,差异有统计学意义(P<0.05)。患者中出现1例恶心呕吐,1例腹泻,不良反应发生率为2.50%(2/80)。结论:清宫正骨流派手法能很好地复位桡骨远端骨折,促进患者腕关节功能恢复,减轻疼痛感,从而提高治疗效果,临床应用价值较高。
Abstract:
Objective:To explore the efficacy of the Qinggong orthopedic technique on wrist joint function in patients with distal radius fractures.Methods:80 patients with distal radius fractures who were treated from August 2019 to August 2023 were selected as the research subjects.They were given Qinggong orthopedic technique combined with splint external fixation.The clinical efficacy,adverse reactions were analyzed,and the grip strength,visual analogue scale(VAS)score,clinical healing status,wrist joint function,and General Quality of Life Inventory-74(GQOLI-74)scores before and after treatment were statistically analyzed.Results:There were 33 cases with excellent results,43 cases with good results,2 cases with moderate results,and 2 cases with poor results.The excellent and good treatment rate was 95.00%(76/80).After treatment,the patient's grip strength increased compared to before treatment,and the VAS score decreased compared to before treatment(P<0.05).The shortening length of the patient's radius was(0.18±0.23)cm,the appearance time of external callus was(7.23±0.79)weeks,and the complete healing time of the fracture was(61.33±6.57)d.After treatment,the patient's functional condition,grip strength,pain,and range of motion scores all increased compared to before treatment(P<0.05).After treatment,the patient's physical,psychological,material,and social scores all increased compared to before treatment(P<0.05).The patient experienced one case of nausea and vomiting,one case of diarrhea,and the incidence of adverse reactions was 2.50%(2/80).Conclusion:The Qinggong orthopedic technique can promote the recovery of wrist joint function in patients with distal radius fractures,reduce pain,and improve treatment effectiveness,with extremely high clinical application value.

参考文献/References:

[1] 殷浩,陈光,李燕,等.背侧克氏针增强AO C型桡骨远端骨折尺背侧骨折块稳定性的有限元分析[J].中国组织工程研究,2023,27(31):4921-4925.
[2] 张琳袁,吴佳俊,沈超,等.桡骨远端骨折合并同侧腕舟骨骨折的临床特点与治疗策略[J].中华手外科杂志,2023,39(2):112-115.
[3] 伍贻山,轩传顺,李文华,等.活血生骨汤联合复位内固定治疗肾虚血瘀型骨质疏松性桡骨远端骨折的疗效及对tPINP、sCTx的影响研究[J].广州中医药大学学报,2023,40(1):74-80.
[4] 张典,林强.中医三期补肾论治老年骨质疏松性桡骨远端骨折的临床观察[J].中国中医急症,2023,32(4):694-697.
[5] 李海波,马宝通.老年桡骨远端骨折保守治疗的研究进展[J].中国中西医结合外科杂志,2023,29(3):406-410.
[6] 陈国富,姚灿,梁军波,等.闭合复位经皮克氏针及石膏固定治疗儿童桡骨远端骨折[J].临床骨科杂志,2023,26(1):83-86.
[7] 胥少汀,葛宝丰,徐印坎.实用骨科学(精)[M].3版.北京:人民军医出版社,2005:44-45.
[8] 余刚,余利军,吴华杰.平乐郭氏正骨联合小夹板外固定对老年桡骨远端骨折患者掌倾角及腕关节功能的影响[J].中国中西医结合外科杂志,2023,29(3):322-326.
[9] 张仲传,朱勋兵,袁伶俐,等.腕关节四位片术中透视联合桡骨远端掌侧“T”型万向锁定钛板内固定应用于桡骨远端骨折的疗效研究[J].蚌埠医学院学报,2023,48(8):1045-1049.
[10] 殷京,孙树椿,赵宝力,等.清宫正骨流派传承与其特色理筋手法运用探析[J].中华中医药杂志,2021,36(1):267-271.
[11] 万世元,李飞跃,施荣庭,等.当归续骨汤加减结合手法复位联合新型夹板外固定治疗桡骨远端骨折患者的临床效果[J].广西医学,2023,45(14):1695-1699.
[12] 伍亮,赵纯.祛风活络丸联合郑氏伤科针灸治疗桡骨远端骨折并发创伤后急性骨萎缩疗效研究[J].陕西中医,2023,44(3):379-382.
[13] 王海洲,杨冰,祁冀,等.林定坤采用正骨手法结合小夹板固定治疗桡骨远端骨折经验[J].广州中医药大学学报,2023,40(5):1256-1259.
[14] 王成远,金添,孙树椿,等.清宫正骨流派传承对中医骨伤学科发展的影响[J].中国中医骨伤科杂志,2023,31(1):81-83.
[15] 王小强,谢兴文,徐世红,等.不同流派手法在脊柱疾病治疗中的应用及机制研究进展[J].中医临床研究,2023,15(17):34-38.
[16] 李法杰,谷金玉,王成远,等.孙树椿教授诊治腰椎关节突关节紊乱的经验总结[J].中医正骨,2023,35(6):64-66.
[17] 董晨鑫,程潞瑶,甘叶娜,等.著名骨伤专家刘寿山筋伤病辨治学术思想撷芳[J].中国医药导报,2022,19(28):128-131.
[18] 万田豪,侯晓宙,谷金玉,等.基于“动静结合,以动为主”的清宫正骨拔戳揉捻法治疗肱骨外上髁炎临床观察[J].北京中医药,2023,42(3):313-317.
[19] 赵国东,韩涛,王尚全,等.孙树椿应用清宫正骨手法联合中药治疗椎动脉型颈椎病临床经验[J].国际中医中药杂志,2021,43(10):1039-1040.
[20] 郑昊,邓素玲,杜旭召,等.清宫正骨流派手法特点浅析[J].中国中医骨伤科杂志,2019,27(2):80-81.
[21] 王尚全,孙树椿,陈明,等.清官正骨流派学术思想初探[J].中国中医骨伤科杂志,2017,25(9):68-70.
[22] 李国胜.清宫正骨手法联合骶管注射治疗腰椎间盘突出症的临床疗效观察[J].颈腰痛杂志,2021,42(6):818-820.

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△通信作者 E-mail:zhangjunmd@163.com
更新日期/Last Update: 2024-08-05