[1]程正亮 王永铭 涂世玉 王化齐 崔磊 党杰 宁军强 李鹏 杨鹏 张光祥△.手法复位配合中药外敷治疗Colles骨折的临床研究[J].中国中医骨伤科杂志,2017,25(11):15-19.
　CHENG Zhengliang WANG Yongming TU Shiyu WANG Huaqi CUI Lei DANG Jie NING Junqiang LI Peng YANG Peng ZHANG Guangxiang.Clinical Research of Manual Reduction Combined with Herbal Penetration Therapy for Treating the Colles's Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(11):15-19.
点击复制

手法复位配合中药外敷治疗Colles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25卷
期数:
2017年11期
页码:
15-19
栏目:
临床研究
出版日期:
2017-11-15

文章信息/Info

Title:
Clinical Research of Manual Reduction Combined with Herbal Penetration Therapy for Treating the Colles's Fractures
文章编号:
1005-0205(2017)11-0015-05
作者:
程正亮1 王永铭1 涂世玉1 王化齐1 崔磊1 党杰1 宁军强1 李鹏1 杨鹏1 张光祥1△
1陕西安康市中医院骨一科(陕西 安康,725000) △通信作者 E-mail:187281600@qq.com
Author(s):
CHENG Zhengliang1 WANG Yongming1 TU Shiyu1 WANG Huaqi1 CUI Lei1 DANG Jie1 NING Junqiang1 LI Peng1 YANG Peng1 ZHANG Guangxiang1△
1Departement of Orthopedics,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,Shaanxi China.
关键词:
伸直型桡骨远端骨折;  “点-线-面”三位一体;  无痛;  正骨手法;  中药外敷;  临床疗效
Keywords:
Keywords: extension-type distal radius fractures;  the trinity of “point-line-surface”;  painless;  bone-setting manipulations;  herbal penetration therapy;  clinical efficacy
分类号:
R683.41
文献标志码:
A
摘要:
目的:观察“点-线-面”三位一体无痛正骨手法复位配合中药外敷治疗伸直型桡骨远端骨折的临床疗效和安全性。方法:选取安康市中医医院2014年1月至2016年1月入选标准的70例Colles患者,按骨折类型分为A型组(37例)和C型组(33例),两组均给予“点-线-面”三位一体无痛正骨手法复位配合中药外敷夹板固定治疗,采用积分法比较两组有效率、不同时间点肿胀程度和不同时间点两组影像学相关指标,并进行对比分析。结果:A型组和C型组总有效率分别为97.3%和74.6%,两组有效率比较,差异有统计学意义(χ2=8.378,P=0.039<0.05); 复位前两组患者肿胀程度积分差异无统计学意义(P>0.05); 复位后第1,3,5及7天A型组在肿胀消退方面均优于C型组,差异有统计学意义(P<0.05); 在复位后第14天,两组比较,t=0.201,P=0.061>0.05,差异无统计学意义; 两组在桡骨掌倾角、尺偏角、桡骨相对高度、关节面塌陷方面与复位前比较,差异均有统计学意义(P<0.05); 复位后2周、4周组间比较,A型组优于C型组,差异有统计学意义(P<0.05)。结论:“点-线-面”三位一体无痛正骨手法复位配合中药外敷对A型、C型Colles骨折均能够获得满意临床疗效,但对于A型骨折疗效更确切。
Abstract:
Abstract Objective:To observe the clinical curative effect,effectiveness and safety of extension-type distal radius fractures by taking the method of the trinity of “point-line-surface” painless bone-setting manipulations combined with herbal penetration therapy treated.Methods:All 70 cases of Colles's fracture were selected in Ankang municipality hospital of traditional Chinese medicine(TCM)from January 2014 to January 2016.They were divided into type A group(37 cases),and type C group(33 cases).The patients in two group were all given the trinity of “point-line-surface” painless bone-setting manipulations combined with herbal penetration therapy splint fixation treatment.The effective rate,the degree of swelling,and the related parameters of imaging at different time points were analyzed and compared between the two groups.Results:The total effective rate of type A and type C group were 97.3% and 74.6% respectively(χ2=8.378,P=0.039<0.05).There was no significant difference in the degree of swelling between the two groups before manual reduction(P>0.05),which was reduced more in Type A group than Type C group at 1st,3th,5th,and 7th day after manual reduction respectively(P<0.05).But at 14th day after manual reduction,there was no significant difference between the two groups(t=0.201,P=0.061>0.05).The angle of adius of the volar tilt,the ulnar deviation angle,the relative height of the radius,and the collapse of the joint surface after treatment were improved significantly than before(P<0.05).Comparing the two groups at 2nd weeks and 4th weeks after reduction,type A group was better than type C group(P<0.05).Conclusion:It is effective of the trinity of “point-line-surface” painless bone-setting manipulations combined with herbal penetration therapy for treating Colles's fractures.And the effect of type A fracture is more precisely.

参考文献/References:

[1] 吕凯.中药洗剂配合手法对老年桡骨远端骨折术后关节僵直的疗效[J].中国中医骨伤科杂志,2016,24(2):62-63.
[2] 倘艳锋,李建明,刘又文.中医药干预桡骨远端骨折早期肿痛的疗效观察[J].中国中医骨伤科杂志,2015,23(3):52-54.
[3] 赵继荣,李红专,慕向前.桡骨远端骨折的非手术治疗进展[J].中国中医骨伤科杂志,2015,23(12):77-80.
[4] 黄永铨,罗毅文,王斌,等.补肾活血汤治疗老年桡骨远端骨折的临床疗效观察[J].中国中医骨伤科杂志,2015,23(3):5-8.
[5] 沈文,金桥.关节面累及情况对老年桡骨远端骨折治疗方法选择的影响[J].山东医药,2016,56(16):60-61.
[6] 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,1994:161.
[7] 中华医学会临床诊疗指南-骨科分册[M].北京:人民卫生出版社,2009,21.
[8] 张世民,李海丰,黄轶刚.骨折分类与功能评定[M].北京:人民军医出社,2008:33-35.
[9] Dienst M,Wozasek GE,Seligson D.Dynamic external fixa-tion distalradius fractures[J].Clin Orthop Relat Res,1997,338:160-171
[10] 张斌,陈刚,李海龙,等.复方夏天无片治疗老年骨质疏松性桡骨远端骨折的疗效观察[J].中国中药杂志,2015,40(12):2445-2448.
[11] ünlüer Erden Erol,Karagöz Arif,ünlüer Seran,et al.Ultrasound-guided supracondylar radial nerve block for Colles Fractures in the ED[J].The American journal of emergency medicine,2016,34(8):1718-1720.
[12] 王威,廖苏平,危蕾.骨康胶囊辅助治疗老年桡骨远端骨折的临床疗效分析[J].中药材,2015,38(1):193-196.
[13] 叶洁,尹萌辰,夏烨,等.小夹板与石膏外固定技术对桡骨远端骨折临床疗效的系统评价[J].中国中医基础医学杂志,2015,21(6):715-717.
[14] 董万涛,宋敏,刘保健,等.消定膏治疗桡骨远端骨折的临床研究[J].中成药,2015,37(11):2378-2382.

备注/Memo

备注/Memo:
基金项目:陕西省中医管理局中医药科研课题(临床 研究类研究课题)(15-LC064)
更新日期/Last Update: 1900-01-01