首页|活络骨康丸联合肘下石膏固定治疗老年骨质疏松性桡骨远端骨折的效果研究

活络骨康丸联合肘下石膏固定治疗老年骨质疏松性桡骨远端骨折的效果研究

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目的 观察活络骨康丸联合肘下石膏固定治疗老年骨质疏松性桡骨远端骨折的效果。方法 选取2021年8月至2022年7月郑州市骨科医院收治的老年骨质疏松性桡骨远端骨折70例作为研究对象,按随机数字表法将其分为对照组和观察组,各35例。对照组行碳酸钙D3+肘下石膏固定治疗,观察组行活络骨康丸+肘下石膏固定治疗。比较两组影像学指标、骨密度、疼痛程度、肿胀情况及腕关节功能恢复情况。结果 两组治疗前桡骨远端掌倾角、尺偏角度数和桡骨高度比较,差异均无统计学意义(P>0。05);与治疗前比较,两组经治疗后掌偏角度数有明显减低,尺偏角度数及桡骨高度均有明显增加且观察组上述指标优于对照组,差异均有统计学意义(P<0。05);两组治疗前大粗隆、股骨颈、Ward三角的骨密度比较,差异均无统计学意义(P>0。05);治疗后两组上述部位骨密度均有不同程度的升高,且观察组明显高于对照组,差异均有统计学意义(P<0。05);两组治疗前视觉模拟评分法(VAS)评分及肿胀情况比较,差异均无统计学意义(P>0。05);治疗后第1、3、6周VAS评分及肿胀值均有明显降低,且观察组明显低于对照组,差异均有统计学意义(P<0。05);观察组疗效优良率明显高于对照组,差异有统计学意义(P<0。05)。结论 活络骨康丸联合肘下石膏固定可有效减轻老年骨质疏松性桡骨远端骨折的疼痛及肿胀,并改善骨密度,提升康复效果。
Effect of study Huoluo Gukang pill combined with elbow plaster on the treatment of osteoporotic distal radius fracture in the elderly
Objective To observe the effect of Huoluo Gukang pill combined with elbow plaster on se-nile osteoporotic distal radius fracture in the elderly.Methods A total of 70 elderly patients with osteoporotic distal radius fractures admitted to Zhengzhou Orthopedic Hospital from August 2021 to July 2022 were select-ed as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 35 cases in each group.The control group was treated with calcium car-bonate D3+elbow plaster fixation,while the observation group was treated with Huoluo Gukang pill+elbow plaster fixation.The imaging indexes,bone mineral density,pain degree,swelling and wrist joint function re-covery were compared between the two groups.Results There was no significant difference in palmar tilt an-gle of distal radius,ulnar deviation angle and radial height between the two groups before treatment(P>0.05).After treatment,the palmar inclination angle was significantly decreased,the ulnar inclination angle and the radius height were significantly increased,and the differences were statistically significant(P<0.05).Compared with the control group,there were significant differences in metacarpal inclination angle,ulnar devi-ation angle and radius height between the observation group and the control group(P<0.05).There was no significant difference in bone mineral density of greater trochanter,femoral neck,and Ward's triangle between the two groups before treatment(P>0.05).After treatment,they all increased to different degrees,and the observation group was significantly higher than the control group,the differences were statistically significant(P<0.05).There was no significant difference in visual analogue scale(VAS)score and swelling between the two groups before treatment(P>0.05).The VAS score and swelling value were significantly decreased at the 1st,3rd and 6th week after treatment,and those in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The excellent rate of curative effect in the observation group was significantly higher than that in the control group,and the difference was statisti-cally significant(P<0.05).Conclusion Huoluo Gukang pill combined with elbow plaster fixation can effec-tively alleviate the pain and swelling of elderly patients with osteoporotic distal radius fractures,improve bone mineral density,and promote the rehabilitation effect.

Huoluo Gukang pillBelow elbow plasterCalcium carbonate D3OsteoporosisDistal radius fractureElderly

韩克、赵家邦、许少刚、黄万新

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郑州市骨科医院急诊科,河南郑州 450000

郑州市第一人民医院创伤骨科,河南郑州 450000

活络骨康丸 肘下石膏 碳酸钙D3 骨质疏松 桡骨远端骨折 老年人

河南省中医药科学研究专项

2019ZY3008

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(7)
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