首页|手法复位小夹板外固定结合红白舒筋散治疗桡骨远端骨折的临床观察

手法复位小夹板外固定结合红白舒筋散治疗桡骨远端骨折的临床观察

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目的 探讨手法复位小夹板外固定结合红白舒筋散治疗桡骨远端骨折的临床疗效.方法 选取 2021 年 1 月-2022 年 6 月本院收治的 80 例桡骨远端骨折患者,按照随机数表法分为观察组与对照组,各 40 例.对照组以手法复位小夹板外固定治疗,观察组在对照组治疗基础上增加红白舒筋散外敷治疗.连续治疗 1 个月后评估 2 组的症状消退时间、骨折愈合时间、腕关节活动度、治疗安全性.结果 观察组症状包括疼痛、肿胀、畸形、瘀血消退、骨折愈合时间均短于对照组(P<0.05).观察组腕关节活动度均高于对照组(P<0.05).观察组满意度高于对照组(P<0.05).2 组不良反应发生率无统计学意义(P>0.05).结论 红白舒筋散外敷结合手法复位小夹板外固定治疗桡骨远端骨折的效果良好,可促进患者症状消退,缩短骨折愈合时间,改善患者的腕关节活动度,降低炎症因子水平,改善血液流变学指标,治疗安全性良好.
Clinical observation on the treatment of distal radius fracture with manipulative reduction and external fixation of small splints combined with Hongbai Shujin powder
Objective To explore the clinical efficacy of manipulative reduction and external fixation of small splints combined with Hongbai Shujin powder in the treatment of distal radius fracture.Methods A total of 80 patients with distal radius fracture admitted to Neijiang Hospital of Traditional Chinese Medicine from January 2021 to June 2022 were selected and divided into the control group and the observation group according to random number table method,with 40 cases in each group.The control group was treated with manipulative reduction and external fixation of small splints,and the observation group was treated with external application of Hongbai Shujin powder on the basis of the treatment of the control group.Symptom resolution time,fracture healing time,wrist joint range of motion and treatment safety of both groups were evaluated after 1 month of continuous treatment.Results The symptoms of pain,swelling,and deformity in the observation group were milder than those in the control group,and blood stasis resolution time and fracture healing time were shorter than those in the control group(P<0.05).Wrist joint range of motion in the observation group was higher than that in the control group(P<0.05).The satisfaction of the observation group was higher than that of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion Manipulative reduction and external fixation of small splints combined with Hongbai Shujin powder has the good effect in the treatment of distal radius fracture,which can promote the symptoms resolution,shorten fracture healing time,improve wrist joint range of motion,reduce the levels of inflammatory factors,improve hemorheology indexes.This therapy has the good safety.

distal radius fracturemanipulative reduction and external fixation of small splintsHongbai Shujin powderfracture healingwrist joint range of motion

严文洁、伍峰、冯旋、王文佳

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四川省内江市中医医院骨科,四川 内江 641000

桡骨远端骨折 手法复位小夹板外固定 红白舒筋散 骨折愈合 腕关节活动度

四川省中医药管理局科学技术研究专项课题

2021MS310

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(9)