| 引用本文: |
马笃军;彭力平;林松青;何彬彬;朱春城;肖立新;姚志城;.改良柳木小夹板治疗桡骨下端伸直型骨折的临床观察[J].湖南中医药大学学报,2012,32(1):57-60[点击复制] |
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| 改良柳木小夹板治疗桡骨下端伸直型骨折的临床观察 |
| 马笃军;彭力平;林松青;何彬彬;朱春城;肖立新;姚志城; |
| (湖南中医药大学; 深圳市中医院; 深圳市第二中医院) |
| 摘要: |
| 目的比较改良柳木小夹板与传统小夹板治疗桡骨下端伸直型骨折的临床疗效。方法用前瞻性研究方法,将61例桡骨下段伸直型骨折患者分为改良柳木小夹板治疗组、传统小夹板对照组,每组分别为31、30例。进行治疗前、治疗后第1、3、7、30天的疼痛、肿胀评分,比较两组治疗后15 d内的调整次数,评定治疗后第45天疗效。结果治疗组与对照组疼痛、肿胀、调整次数等方面的评分在自身前后对照、治疗后组间对照差异有统计学意义(P<0.05,P<0.01),其中治疗组在治疗前至第3天时段疼痛明显缓解(P<0.05),在第3天至第7天时段肿胀明显减轻(P<0.01),评分降幅分别为(28.71±5.16)、(0.84±0.52)分,15 d内调整次数为(1.58±0.78)次;对照组在第3天至第7天时段疼痛缓解,肿胀评分在第7 d至第30 d时段才明显减轻,评分降幅分别为(13.83±3.13)、(1.40±0.56)分,15 d内调整次数为(3.03±0.81)次。而两组临床疗效总有效率比较差异无统计学意义(P>0.05)。结论改良柳木小夹板外固定治疗桡骨下端骨折,能显著减少骨折早期的肿胀、疼痛和调整次数,是一种安全、有效的新型小夹板外固定器。 |
| 关键词: 桡骨下端骨折 小夹板 恒力扎带 临床疗效 |
| DOI： |
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| 基金项目:广东省中医药局资助项目(2009029);深圳市福田区科技局资助项目(FTWS049) |
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| Clinical study of advanced small willow splint on distal radius extension fractures |
| MA Du-jun1,PENG Li-ping2,LIN Song-qing3,HE Bin-bin3,ZHU Chun-cheng1, XIAO Li-xin1,YAO Zhi-cheng1 |
| (1.TCM University of Hunan,Changsha,Hunan 410007,China; 2.TCM Hospital of Shenzhen,Shenzhen,Guangdong 518033,China; 3.Second TCM Hospital of Shenzhen,Shenzhen,Guangdong 518034,China) |
| Abstract: |
| [Abstract] ObjectiVE
To compare the clinical effects of the advanced small willow splint with
traditional small splint on the distal
radius extension fractures.Methods
With the prospective
study method, 61 patients were divided into two groups:31 patients in treatment group advanced small willow splint and 30 patients in
control group treated with traditional small splint.The scores of pain and swelling were evaluated before
treatment and at 1st, 3rd, 7th and 30th day
after treatment, and the number of adjusting small splint within 15 days after treatment was
counted,besides
clinical effects were evaluated at 45th day
after treatment. Results The scores
of pain and swelling and the number of adjusting
small splint were significantly decreased after
treatment in each group and between the two groups (P<0.05 and P<0.01). In treatment group,pain
was obviously relieved within 3 days after treatment
(P <0.05) and swelling was significantly reduced during the 3rd day and the 7th day (P<0.01) with
scores re-
spectively (28.71+5.16,28.71-5.16
and 0.84士0.52); the number of adjusting small splint within 15 days after treatment were 1.58士
0.78 times (P<0.01). In control group, pain was significantly relieved during the 3rd day and the
7th day after treatment(P<0.05) and swelling was significantly reduced during the 7th day and the
30th day(P<0.01) with scores declining respectively(13.87士3.08 and 1.39士0.56); the number of ad-
justing small splint within 15 days after treatment were 3.03士0.81 times (P<0.01). But the
total clinical efficiency between two groups was not significant (P>0.05). Conclusion The advanced
small willow splint can significantly reduce pain, swelling and adjustment times in early stages
of distal radius extension fractures, which is a new safe and effective method. |
| Key words: (Key words〕 facture of distal end of radius Small Splints ribbons with constant pow-
er clinical effects |
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