[1]朱俊峰 曾武△ 周晓明 董大海 范周锋 翁永勇.尺骨正向变异与老年女性柯莱斯骨折中医手法复位后功能恢复的关系[J].中国中医骨伤科杂志,2019,27(11):27-30.
　ZHU Junfeng ZENG Wu ZHOU Xiaoming DONG Dahai FAN Zhoufeng WENG Yongyong.Association between Ulnar Positive Variance and the Function of Colles' Fractures in Elderly Women after Traditional Chinese Manual Reduction[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(11):27-30.
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尺骨正向变异与老年女性柯莱斯骨折中医手法复位后功能恢复的关系()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年11期
页码:
27-30
栏目:
临床研究
出版日期:
2019-10-30

文章信息/Info

Title:
Association between Ulnar Positive Variance and the Function of Colles' Fractures in Elderly Women after Traditional Chinese Manual Reduction
文章编号:
1005-0205(2019)11-0027-04
作者:
朱俊峰1 曾武1△ 周晓明1 董大海1 范周锋1 翁永勇1
1浙江大学医学院附属第二医院遂昌分院(遂昌县人民医院) (浙江 遂昌,323300)
Author(s):
ZHU Junfeng1 ZENG Wu1△ ZHOU Xiaoming1 DONG Dahai1 FAN Zhoufeng1 WENG Yongyong1
1Suichang Branch of the Second Affiliated Hospital of Zhejiang University School of Medicine,Suichang 323300,Zhejiang China.
关键词:
尺骨变异;  老年女性;  柯莱斯骨折;  手法复位;  中医;  Logistic回归
Keywords:
ulnar variance;  old women;  Colles' fractures;  manual reduction;  traditional Chinese medicine;  Logistic regression
分类号:
R683.41
文献标志码:
A
摘要:
目的:探讨尺骨正向变异与老年女性柯莱斯骨折中医手法复位后功能恢复的关系。方法:收集126例经中医传统手法复位石膏外固定治疗后的老年女性柯莱斯骨折患者相关资料,待12周骨折完全愈合后,在标准后前位X线片上测量尺骨头关节面平行线与桡骨乙状切迹最远端关节面平行线之间的位置距离差,并以其位置距离差>2 mm为阳性变异(即正向变异)。依据Cooney腕关节评分将患者分为优良组(评分≥80分)和中差组(评分<80分),分析尺骨正向变异与Cooney腕关节评分的关系。结果:优良组86例,中差组40例。经统计学分析,发现尺骨正向变异与老年女性柯莱斯骨折中医手法复位后腕关节功能优良率负相关(B=-0.820<0),且差异有统计学意义(P=0.04<0.05)。结论:尺骨正向变异是老年女性柯莱斯骨折中医手法复位后功能恢复的重要因素,在临床行手法复位石膏外固定患者的治疗中需要对这一解剖结构的恢复予以足够的关注。
Abstract:
Objective:To study the association between ulnar positive variance and the function of Colles' fractures in elderly women after traditional Chinese manual reduction.Methods:To collect the data of Colles'fracture in elderly women after traditional Chinese manual reduction and plaster external fixation.The fracture healed completely after 12 weeks.On a standard posterior-anterior X-ray,the distance between the parallel lines on the articular surface of the ulnar bone and the radial'sigmoid incisures have been mesured.If the range difference was more than 2 mm,we have defined it as ulnar positive variance.According to Cooney wrist joint score,they were divided into two groups:the well group(>80)and the ill group(<80).Finally,the relationship between ulnar positive variance and Cooney wrist joint score was analyzed.Results:There were 86 cases in the well group and 40 cases in the ill group.Using statistical analysis,they showed a negative correlation(B=-0.820<0)between ulnar positive variance and the function of Colles' fractures in elderly women after traditional Chinese manual reduction,and there was no significance in statistics(P=0.04<0.05).Conclusion:Ulnar positive variance is an important factor in the function of Colles' fractures in elderly women after traditional Chinese manual reduction.In the treatment of patients with external plaster fixation by traditional Chinese manual reduction,doctors should pay adequate attention to the restoration of this anatomical structure.

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备注/Memo

备注/Memo:
基金项目:浙江省医药卫生科技计划项目(2019KY811) △通信作者 E-mail:zengwuni@qq.com(收稿日期:2019-07-15)
更新日期/Last Update: 2019-10-30