[1]刘西纺△ 郭浩 雷军玲 董博 袁普卫.四动五步法治疗单纯尺骨干闭合性骨折的临床研究[J].中国中医骨伤科杂志,2015,23(12):38-41.
　LIU Xifang GUO Hao LEI Junling DONG Bo YUAN Puwei.Clincal Study of Isolated Ulnar Shaft Fractures Treatedby “Four Actions and Five Steps” Method[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(12):38-41.
点击复制

四动五步法治疗单纯尺骨干闭合性骨折的临床研究
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年12期
页码:
38-41
栏目:
临床研究
出版日期:
2015-12-08

文章信息/Info

Title:
Clincal Study of Isolated Ulnar Shaft Fractures Treated by “Four Actions and Five Steps” Method
文章编号:
1005-0205(2015)12-0038-04
作者:
刘西纺1△ 郭浩1 雷军玲2 董博3 袁普卫3
1.西安交通大学医学院附属红会医院中医骨科(西安,710054)
2.陕西省荣誉军人康复医院外科
3.陕西中医药大学附属医院骨科
△.通信作者 E-mail:lxfyg2006@126.com
Author(s):
LIU Xifang1 GUO Hao1 LEI Junling2 DONG Bo3 YUAN Puwei3
1.Department of Orthopedics of Traditional Chinese Medicine,Honghui Hospital to Affiliated Medical College of Xi'an Jiaotong University,Xi'an 710054,China;
2.Department of General Surgery,Shaanxi Military Honor Rehabilitation Hospital,Huayin 714200,Shaanxi China;
3.Department of Orthopedics,the Affiliated Hospital of Shaanxi Universiry of Traditional Chinese Medicine,Xianyang 712000,Shaanxi China.
关键词:
尺骨干闭合性骨折;  四动五步法;  临床研究
Keywords:
isolated ulnar shaft fractures;  “Four Actions and Five Steps” method;  clinical research
分类号:
R683.41
文献标志码:
A
摘要:
目的:评价四动五步法治疗单纯尺骨干闭合性骨折的临床疗效及应用价值。方法:选取西安交通大学医学院附属红会医院中医骨科及创伤上肢病区、陕西省荣誉军人康复医院外科、陕西中医药大学第一附属医院骨伤科,自2010年3月1日至2014年6月3日的176例早期单纯尺骨干闭合性骨折病例,采用多中心观察性分析临床研究方法,患者按治疗方法分为两组:四动五步组98例,采取四动五步法系列疗法进行治疗。手术组78例,采用切开复位内固定术治疗。治疗3个月后参照成人前臂骨折治疗效果Anderson评定标准进行疗效评价,并比较两组的骨折愈合时间、并发症发病率等情况。结果:四动五步组和手术组临床总优良率分别为97.75%和96.55%,两组总优良率比较差异无统计学意义(P>0.05)。四动五步组患者的骨折愈合时间明显短于手术组,两组比较差异有统计学意义(P<0.05)。结论:四动五步法治疗尺骨干闭合性骨折疗效显著,具有操作简便、费用低廉、疗程短、功能好等优点,可以作为单纯尺骨干闭合性骨折的首选治疗方法,值得临床应用及推广。
Abstract:
Objective:To evaluate clinical application of isolated ulnar shaft fractures treated by “Four Actions and Five Steps” method.Methods:By the means of multicenter randomized single blind controlled method,176 patients were divided into “Four Actions and Five Steps” group and the operation group from March 1,2010 to June 3,2014.The curative effect was evaluated according to the Anderson evaluation standards.The healing time and the incidence of complications were compared also.Results:The excellent rate of the “Four Actions and Five Steps” group and the operation group were 97.75% and 96.55% respectively.There was statistical significance(P>0.05).The healing time of the “Four Actions and Five Steps” group was less than that of the operation group.There was no significant difference between the two groups(P<0.05).Conclusion:The curative effect of “Four Actions and Five Steps” method was very significant in treating the isolated ulnar shaft fractures,which have such advantages as easy manipulation,low cost,short course of treatment,as well as the good function.It deserves to be developed in more hospitals.

参考文献/References:

[1] Joseph RD.Isolated ulnar shaft fractures[J].Chin J Orthop Trauma,2009,11(2):170-175.
[2] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:154.
[3] 姚保,兵赵亮,尹成国.有限切开锁定钢板内固定治疗尺骨干骨折[J].中华手外科杂志,2014,30(4):320.
[4] 袁普卫,昝强,董博,等.“四动”、“五步法”治疗上肢闭合性骨折的临床研究[J].中国中医骨伤科杂志,2012,20(7):6-11.
[5] 刘德玉,袁普卫,余红超.“四动”、“五步法”治疗闭合性骨折[J].中国中医骨伤科杂志,2009,17(6):66.
[6] 董博,杨利学,刘德玉.“四动”、“五步法”在胫腓骨骨折中的应用[J].陕西中医学院学报,2012,35(1):45-49.
[7 ] 袁邡.中国手法治疗骨折彩色图谱[M].2版.北京:北京科学技术出版社,2002:136.
[8] Sauder DJ,Athwal GS.Management of isolated ulnar shaft fractures[J].Hand Clinics,2007,23(2):179-184.
[9] Dos Reis FB,Faloppa F,Fernandes HJ,et al.Outcome of diaphyseal forearm fracture-nonunions treated by autologous bone grafting and compression plating[J].Ann Surg Innov Res,2009,3(5):1164-1186.
[10] Coulibaly MO,Jones CB,Sietsema DL,et al.Results of 70 consecutive ulnar nightstick fractures[J].Injury,2015,46(7):1359-1366.
[11] Van Leemput T,Mahieu G.Conservative management of minimally displaced isolated fractures of the ulnar shaft[J].Acta Orthop Belg,2009,70(6):710-713.
[12] Handoll HH,Perace P.Interventions for treating isolated diaphyseal fractures of the ulnar in adults[J].Cochrane Database Rev,2012,6.

备注/Memo

备注/Memo:
收稿日期:2015-06-11
基金项目:国家中医药管理局‘十二五'重点专科建设单位专 项基金资助
更新日期/Last Update: 2015-12-15