摘要
目的:观察中医正骨疗法“牵拔抖摆推按手法”联合三塔垫夹板治疗老年桡骨远端C型骨折的临床疗效。方法:选取2022年6月至2024年12月收治的27例老年桡骨远端C型新鲜闭合性骨折患者,运用中医正骨“牵拔抖摆推按手法”联合三塔垫夹板进行治疗。观察治疗6~8周后骨折再移位发生率、桡骨远端的高度、掌倾角、尺偏角等恢复情况,采用Cooney评分进行腕关节功能疗效评价。结果:27例患者均运用本方法获得一次性成功复位,并全部获得8周随访,其中复位治疗2周时发生骨折端再次移位1例,发生率为3.7%。治疗6~8周后,桡骨远端的高度、腕关节掌倾角、尺偏角均得到良好的恢复,疼痛视觉模拟量表(VAS)评分明显降低,差异有统计学意义(P<0.05)。所有患者治疗8周后复查,影像学检查骨折端均对位对线良好,达到临床愈合,且未出现神经、血管、肌腱、皮肤组织挤压损伤等并发症。根据腕关节功能Cooney评分评价,优22例,良5例,优良率为100%。结论:运用中医正骨“牵拔抖摆推按手法”联合三塔垫夹板治疗老年桡骨远端C型骨折,显著降低骨折再移位率,具有复位准确、高效固定、功能恢复好等优点,值得临床推广应用。
Objective:To observe the clinical effect of traditional Chinese medicine bone-setting therapy“pull out,shake and push”combined with three-column pad splint in the treatment of old patients with distal radius type C fracture.Methods:A total of 27 elderly patients with type C fresh closed fracture of distal radius treated from June 2022 to December 2024 were treated with traditional Chinese medicine bone setting“pull out,shake and push”combined with three-column pad splint.The incidence of fracture redisplacement,the height of distal radius,palmar angle and ulnar deviation were observed after 68 weeks of treatment.Cooney score was used to evaluate the effect of wrist joint function.Results:All 27 patients achieved one-time successful reduction by using this method,and all were followed up for 8 weeks.Among them,1 case of dislocation of fracture end occurred after 2 weeks of reduction treatment,with an incidence of 3.7%.After 68 weeks of treatment,the height of distal radius,carpal palmar inclination and ulnar deviation were all well recovered,and the pain visual analogue scale(VAS)score was significantly decreased,the statistical difference was significant(P<0.05).After 8 weeks of treatment,all patients had good alignment of fracture end by reexamination of imaging,and clinical healing was achieved.There were no complications such as nerve,blood vessel,tendon and skin tissue injury.According to the Cooney score evaluation of wrist joint function,22 cases were excellent,5 cases were good,and the excellent and good rate was 100%.Conclusion:The use of traditional Chinese medicine bone setting“pull out,shake and push”combined with three-column pad splint in the treatment of elderly distal radius type C fracture significantly reduces the rate of fracture redisplacement,has the advantages of accurate reduction,efficient fixation and good functional recovery,and is worthy of clinical promotion.
作者
张新国
蒋鹰鹭
林新珍
陈洁
杨思琦
杨俊兴
赵亮
ZHANG Xinguo;JIANG Yinglu;LING Xinzhen;CHEN Jie;YANG Siqi;YANG Junxing;ZHAO Liang(Shenzhen Hospital(Futian)of Guangzhou University of Chinese Medicine,Shenzhen 518034,Guangdong China)
出处
《中国中医骨伤科杂志》
2025年第8期77-80,85,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
正骨疗法
小夹板固定
桡骨远端骨折
骨折移位
bone setting therapy
small splints fixation
distal radius fracture
displacement of fracture
作者简介
通信作者:赵亮,E-mail:312441748@qq.com。
