本文關(guān)鍵詞：促愈接骨湯配合夾板固定治療Colles骨折的臨床觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 促愈接骨湯 傷科接骨片 手法整復(fù) 夾板固定 Colles骨折

【摘要】：目的:通過對(duì)比促愈接骨湯與傷科接骨片配合手法整復(fù)夾板固定治療Colles骨折的臨床療效,從而為Colles骨折治療方案的選擇提供更優(yōu)性參考。方法:本課題通過研究黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院骨科病房及門急診自2015年3月-2016年12月收治的60例60周歲以上Colles骨折患者,通過手法整復(fù)夾板固定配合以促愈接骨湯和夾板固定配合以傷科接骨片兩種治療方案,對(duì)骨折愈合時(shí)間和愈合情況、患肢腫脹程度、腫脹消退時(shí)間的影響,對(duì)患者疼痛視覺模擬評(píng)分法(VAS)評(píng)分,對(duì)骨折復(fù)位后12周的腕關(guān)節(jié)功能評(píng)分進(jìn)行對(duì)比,以及患者骨折復(fù)位后12周的骨密度與血清參數(shù)的分析。結(jié)果:兩組患者在治療前后骨折愈合時(shí)間和愈合情況上無明顯差異(P0.05),但在骨折臨床愈合過程中治療組掌傾角、尺偏角、橈骨高度的丟失略小于對(duì)照組;兩組患者疼痛VAS評(píng)分比較無明顯差異(P0.05),不具有統(tǒng)計(jì)學(xué)意義;治療組在改善患肢腫脹程度與腫脹消退時(shí)間上優(yōu)于對(duì)照組,尤其在骨折復(fù)位后1天、3天及1周這三個(gè)時(shí)間點(diǎn),對(duì)腕橫紋與掌橫紋加快消腫的療效比對(duì)照組好;治療組在骨折復(fù)位后12周骨密度與血清參數(shù)的測(cè)定結(jié)果比較上均明顯優(yōu)于對(duì)照組;且Gartland-Werley腕關(guān)節(jié)功能評(píng)分顯示:治療組優(yōu)9例,良17例,可3例,優(yōu)良率86.7%;對(duì)照組優(yōu)7例,良16例,可5例,優(yōu)良率76.7%。治療組在骨折復(fù)位后12周的腕關(guān)節(jié)功能優(yōu)良率高于對(duì)照組。結(jié)論:本課題研究中,治療Colles骨折使用促愈接骨湯配合手法整復(fù)夾板固定在加快患肢腫脹消退及腕關(guān)節(jié)功能恢復(fù)方面,以及在骨密度與血清參數(shù)的測(cè)定分析中,均明顯優(yōu)于傷科接骨片配合手法整復(fù)夾板固定治療,值得臨床推廣及應(yīng)用。
[Abstract]:Objective: to compare the clinical effect of CYJD and Jiejiao tablet combined with manual reduction splint fixation in the treatment of Colles fracture. So as to provide a better reference for the treatment of Colles fracture. Methods:. From March 2015 to December 2016, 60 patients with Colles fracture over 60 years old were treated in orthopedic ward and outpatient department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. The effects of manual reduction splint fixation and splint fixation on fracture healing time and healing condition, swelling degree of affected limbs and swelling and extinction time were studied. Visual analogue score (VAS) score of pain and wrist function score 12 weeks after fracture reduction were compared. Results: there was no significant difference in fracture healing time and healing condition between the two groups before and after treatment (P 0.05). However, the loss of palmar inclination angle, ulnar deviation angle and radial height in the treatment group was slightly smaller than that in the control group during the healing process of fracture. There was no significant difference in pain VAS score between the two groups (P 0.05). The treatment group was superior to the control group in improving the swelling degree and the time of swelling regression, especially at the three time points of 3 days and 1 week after the reduction of fracture, the curative effect of the treatment group was better than that of the control group in accelerating the detumescence of the transverse and metacarpal stripes. The results of bone mineral density and serum parameters in the treatment group were significantly better than those in the control group at 12 weeks after fracture reduction. The Gartland-Werley wrist function score showed that the treatment group was excellent in 9 cases, good in 17 cases and fair in 3 cases. The excellent and good rate was 86.7%. In the control group, 7 cases were excellent, 16 cases were good, 5 cases were fair, and the excellent and good rate was 76.7.The excellent and good rate of wrist joint function in the treatment group was higher than that in the control group at 12 weeks after fracture reduction. Conclusion: in this study. The treatment of Colles fracture with CYJD combined with manual reduction splint fixation can accelerate the deterioration of swelling of affected limb and the recovery of wrist function, as well as the determination and analysis of bone mineral density (BMD) and serum parameters. It is worth popularizing and applying in clinic.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R274.1

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