摘要
目的:探讨清宫正骨流派手法在桡骨远端骨折治疗中的临床应用.方法:选择2019年8月至2023年8月在诊治的桡骨远端骨折患者80例作为研究对象,予以清宫正骨流派手法结合小夹板外固定治疗,分析临床疗效、不良反应,统计分析治疗前后握力、疼痛视觉模拟量表(VAS)评分、临床愈合情况、腕关节功能、生活质量综合评定量表(GQOLI-74)评分.结果:患者临床疗效优33例,良43例,中2例,差2例,治疗优良率为95.00％(76/80).治疗后患者握力较治疗前升高,VAS评分较治疗前降低,差异有统计学意义(P＜0.05).患者的桡骨缩短长度为(0.18±0.23)cm,外生骨痂出现时间为(7.23±0.79)周,骨折完全愈合时间为(61.33±6.57)d.治疗后患者功能状况、握力、疼痛、活动度评分均较治疗前升高,差异有统计学意义(P＜0.05).治疗后患者躯体、心理、物质、社会评分均较治疗前升高,差异有统计学意义(P＜0.05).患者中出现1例恶心呕吐,1例腹泻,不良反应发生率为2.50％(2/80).结论:清宫正骨流派手法能很好地复位桡骨远端骨折,促进患者腕关节功能恢复,减轻疼痛感,从而提高治疗效果,临床应用价值较高.
Abstract
Objective:To explore the efficacy of the Qinggong orthopedic technique on wrist joint function in patients with distal radius fractures.Methods:80 patients with distal radius fractures who were treated from August 2019 to August 2023 were selected as the research subjects.They were given Qinggong orthopedic technique combined with splint external fixation.The clinical efficacy,adverse reactions were analyzed,and the grip strength,visual analogue scale(VAS)score,clinical healing status,wrist joint function,and General Quality of Life Inventory-74(GQOLI-74)scores before and after treatment were statistically analyzed.Results:There were 33 cases with excellent results,43 cases with good results,2 cases with moderate results,and 2 cases with poor results.The excellent and good treatment rate was 95.00％(76/80).After treatment,the patient's grip strength increased compared to before treatment,and the VAS score decreased com-pared to before treatment(P＜0.05).The shortening length of the patient's radius was(0.18±0.23)cm,the appearance time of external callus was(7.23±0.79)weeks,and the complete healing time of the fracture was(61.33±6.57)d.Af-ter treatment,the patient's functional condition,grip strength,pain,and range of motion scores all increased compared to before treatment(P＜0.05).After treatment,the patient's physical,psychological,material,and social scores all increased compared to before treatment(P＜0.05).The patient experienced one case of nausea and vomiting,one case of diarrhea,and the incidence of adverse reactions was 2.50％(2/80).Conclusion:The Qinggong orthopedic technique can promote the recovery of wrist joint function in patients with distal radius fractures,reduce pain,and improve treatment effectiveness,with extremely high clinical application value.
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