[1]孟宪宇△,李凤久,张旭,等.一体化扎带压垫夹板簾治疗桡骨远端伸直型骨折的临床应用[J].中国中医骨伤科杂志,2022,30(10):38-42.
　MENG Xianyu,LI Fengjiu,ZHANG Xu,et al.Clinical Study of the Integrated Retainer Pad Splint on the Treatment of Colle's Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(10):38-42.
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一体化扎带压垫夹板簾治疗桡骨远端伸直型骨折的临床应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年10期
页码:
38-42
栏目:
临床研究
出版日期:
2022-10-15

文章信息/Info

Title:
Clinical Study of the Integrated Retainer Pad Splint on the Treatment of Colle's Fracture
文章编号:
1005-0205(2022)10-0038-05
作者:
孟宪宇1△; 李凤久2; 张旭3; 赵东辉3; 李权3; 李秋红2; 王磊2; 杨吉2; 董礼榤2; 姜巍2
1黑龙江中医药大学附属第一医院(哈尔滨,150040)
2黑龙江中医药大学
3黑龙江省疾病预防控制中心
Author(s):
MENG Xianyu1△; LI Fengjiu2; ZHANG Xu3; ZHAO Donghui3; LI Quan3; LI Qiuhong2; WANG Lei2; YANG Ji2; DONG Lijie2; JIANG Wei2
1The First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China;
2Heilongjiang University of Chinese Medicine,Harbin 150040,China;
3Heilongjiang Center for Disease Control and Prevention,Harbin 150036,China.
关键词:
桡骨远端骨折;  伸直型骨折;  一体化扎带压垫夹板簾;  外固定
Keywords:
fracture of distal radius;  Colle's fracture;  integrated retainer pad splint;  external fixation
分类号:
R683.41
文献标志码:
A
摘要:
目的:观察应用一体化扎带压垫夹板簾治疗Colle's骨折的有效性和安全性以及一体化扎带压垫夹板簾与传统竹簾夹板固定治疗Colle's骨折相比较的优效性。方法:选取Colle's骨折患者100例,随机分为应用一体化扎带压垫夹板簾固定的治疗组和应用传统竹簾夹板固定的对照组。比较分析两组在操作时间长短,骨折愈合快慢,X线片桡骨高度、掌倾角、尺偏角的变化,以及第8周时Gartland-Werley评分变化。结果:在操作便捷性上,治疗组优于对照组(P<0.05),治疗组在应用中的操作时间更短。X线片下,治疗后第1,3,5周,两组差异有统计学意义(P<0.05),治疗组的骨折复位丢失更少。在第8周复诊时,两组患者的腕关节功能Gartland-Werley评分优良率对比,治疗组为96%,高于对照组的80%。结论:相对于传统竹簾夹板固定,一体化扎带压垫夹板簾具有操作更便捷、固定更稳定的特点,可以获得更高的腕关节功能优良率,值得临床推广应用。
Abstract:
Objective:To observe the efficacy and safety of the integrated retainer pad splint in treating Colle's fracture,and to compare the optimal efficacy of the integrated retainer pad splint with the traditional pad splint on the treatment of Colle's fracture.Methods:100 patients with Colle's fracture were randomly divided into the treatment group and the control group.The treatment group was fixed with the integrated retainer pad splint,and the control group was fixed with a traditional bamboo curtain.The two groups of patients were compared in terms of convenience,fracture healing time,X-ray data and Gartland-Werley scores at 8th week.Results:In terms of operation convenience,the treatment group was better than that of control group(P<0.05),and the operation time in the treatment group was shorter.X-ray data: the difference between the two groups was statistically significant at 1st,3rd and 5th week after treatment(P<0.05),which showed that the treatment group was more stable in fracture fixation and has less reduction loss during the treatment process.At the 8th week of treatment,in terms of the excellent rate of wrist joint function,the treatment group 96% was higher than the control group 80%.Conclusion:Compared with the traditional bamboo curtain,the integrated retainer pad splint is more convenient and stable,it has less reduction loss during the treatment.In addition,the distal radius retainer pad splint can obtain a higher rate of excellent wrist joint function,which is worthy of clinical use and promotion.

参考文献/References:

[1] 李柿樾,卜建文,谢增如.桡骨远端骨折的治疗进展[J].实用手外科杂志,2022,36(1):97-101.
[2] 雷雨擎,赵长伟,赵文海,等.“牵捺抖”手法配合消肿散治疗老年桡骨远端骨折的疗效分析[J].中国中医骨伤科杂志,2022,30(2):22-25.
[3] 张勇,牟健,刘牧,等.接骨续筋膏外敷结合小夹板固定治疗伸直型桡骨远端骨折患者79例[J].中国中医骨伤科杂志,2021,29(5):43-46.
[4] 许明熙,汪礼军,黄珍谷,等.谈《外科学》Colles骨折的表述存疑[J].医学与哲学,2021,42(17):68-70.
[5] 黄桂成,王拥军,张俐,等.中医骨伤科学[M].北京:中国中医药出版社,2016:150.
[6] FALK S S,MITTLMEIER T,GRADL G.Results of geriatric distal radius fractures treated by intramedullary fixation[J].Injury,2016,47(Suppl 7):S31-S35.
[7] 李鸿,张思琪,秦空,等.《肘后备急方》方药及其剂量文献研究[J].中华中医药杂志,2021,36(8):4827-4830.
[8] 刘凯,叶永亮,胡建炜,等.手法复位桡骨远端骨折后再移位92例原因分析[J].中国中医骨伤科杂志,2020,28(10):61-64.
[9] 王亮,孙正友,王龙剑,等.戴村骨伤膏结合夹板外固定治疗桡骨远端骨折50例[J].中国中医骨伤科杂志,2019,27(8):70-72.
[10] 姜自伟,黄枫,郑晓辉,等.数字化夹板治疗A型桡骨远端骨折的临床观察[J].中国中医骨伤科杂志,2018,26(3):26-30.
[11] 刘锦涛,戴宇祥,姜宏,等.吴门正骨手法复位加小夹板外固定联合骨折合剂内服治疗老年Colle's骨折的临床观察[J].中国中医骨伤科杂志,2020,28(12):30-35.
[12] 刘海军.中医手法整复夹板外固定治疗桡骨远端骨折的临床效果[J].当代医学,2022,28(10):125-127.
[13] 曾焘,高大伟,吴宇峰,等.小夹板结合3D打印支具外固定治疗Colles骨折[J].中国骨伤,2019,32(6):513-518.
[14] 陶宝琛,姜昆,郑斌,等.智能气囊小夹板治疗桡骨远端伸直型关节内骨折的三维有限元分析研究[J].中华中医药杂志,2017,32(4):1856-1859.
[15] 李亮,魏立友,王国强,等.小夹板与高分子石膏固定治疗桡骨远端骨折的疗效比较[J].中国骨与关节损伤杂志,2022,37(1):88-90.
[16] 李怀木,陈嘉良,方玮,等.手术与非手术治疗老年桡骨远端不稳定骨折的疗效比较[J].临床骨科杂志,2022,25(2):228-232.

备注/Memo

备注/Memo:
基金项目:黑龙江省中医药科研项目(ZHY19-032)
△通信作者 E-mail:xianyu1973@163.com
更新日期/Last Update: 2022-10-10