[1]邓强,刘朝辉,王亚伟,等.手法整复夹板外固定治疗桡骨远端骨折疗效观察[J].西部中医药,2013,26(05):89-90.
　DENG Qiang,LIU Zhaohui,WANG Yawei,et al.Clinical Observation on Manipulative Reduction and Splint External Fixation in the Treatment for Distal Radius Fracture[J].Western Journal of Traditional Chinese Medicine,2013,26(05):89-90.
点击复制

手法整复夹板外固定治疗桡骨远端骨折疗效观察
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年05期
页码:
89-90
栏目:
出版日期:
2013-05-15

文章信息/Info

Title:
Clinical Observation on Manipulative Reduction and Splint External Fixation in the Treatment for Distal Radius Fracture
文章编号:
1004-6852(2013)05-0089-02
作者:
邓强，刘朝辉，王亚伟，张彦军，指导：姚树国
甘肃省中医院，甘肃 兰州 730050
Author(s):
DENG Qiang, LIU Zhaohui, WANG Yawei, ZHANG Yanjun，Director: YAO Shuguo
Gansu Province Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
桡骨远端骨折; 手法整复; 夹板外固定
Keywords:
distal radius fracture;  manipulative reduction;  splint external fixation
分类号:
R274
文献标志码:
B
摘要:
目的：对手法整复夹板外固定治疗桡骨远端骨折的疗效进行分析，并探讨其临床意义。方法：对310例桡骨远端骨折患者行手法整复夹板外固定，必要时结合外固定架固定。单纯夹板固定者4-6周拆除夹板，采用外固定架固定者如干骺端稳定，2-3周后拆除外固定架，改为夹板外固定，如干骺端不稳定，4周时拆除外固定架，改为夹板外固定；夹板固定不超腕关节，并行腕关节功能锻炼，同时通过 X 线片观察术后即时、3天、7天、14天时骨折复位丢失情况并及时调整治疗方案。3个月时从腕关节的疼痛和屈伸活动2方面评价疗效。结果：优259例，占83.55%；良40例，占12.90%；可6例，占1.94%；差5例，占1.61%。结论：治疗桡骨远端骨折首选手法整复夹板外固定治疗，少数无效病例再结合外固定架固定等有限手术方法。
Abstract:
Objective: To explore clinical meaning of manipulative reduction and splint external fixation in the treatment for distal radius fracture through analyzing its effects. Method: All 310 patients were given with manipulative reduction and splint external fixation, if necessary, combined with external fixators. The patients with splint fixation were removed in four to six weeks. External fixators were removed and replaced with splint in two to three weeks if the metaphysic was stable, if not, the fixators could be removed and replaced in four weeks; splint fixation could not exceed wrist joints, the patients were performed with functional exercise, the conditions of reduction loss were observed after surgery, in three days, seven days and 14 days after surgery with X ray to readjust the therapy timely. Clinical effects were evaluated from the pain and extension of wrist joints in three months.Result: There were 259 patients with excellent effects, it reached 83.55%; 40 cases with better effects and accounted for 12.90%; six cases effective and 1.94%; five cases ineffective and 1.61%. Conclusion: Manipulative reduction and splint external fixation are the therapy of choice for distal radius facture; a few ineffective cases could be given with external fixator and others.

相似文献/References:

[1]叶丙霖,周明旺,王想福,等.李盛华教授治疗桡骨远端骨折经验小结[J].西部中医药,2015,28(12):45.
[2]邓强,张彦军,张海清,等.桡骨远端骨折复位质量与腕关节功能恢复的相关性分析[J].西部中医药,2015,28(11):1.
[3]赵道洲,邓 强,王胡伟.桡骨远端骨折手法复位电子智能夹板固定的临床研究*[J].西部中医药,2014,27(10):7.
[4]高昀.手法复位小夹板固定联合中药内服治疗桡骨远端骨折39例[J].西部中医药,2017,30(02):102.
　GAO Yun.Manual Repositon, Clipboard Fixation with Internal Administration of Chinese Herbs in Treating 39 Cases of Distal Radius Fracture[J].Western Journal of Traditional Chinese Medicine,2017,30(05):102.
[5]王晓晨.消肿止痛方熏洗治疗桡骨远端骨折术后患者89例[J].西部中医药,2018,31(10):116.
　WANG Xiaochen.XiaoZhong ZhiTong Prescription Fumigation in the Treatment for 89 Patients Who Underwent the Surgery of Barton Fracture[J].Western Journal of Traditional Chinese Medicine,2018,31(05):116.
[6]陈杰,张堃,米仲祥,等.老年脆性桡骨远端骨折手术与保守治疗的疗效对比[J].西部中医药,2017,30(08):132.
　CHEN Jie,ZHANG Kun,MI Zhongxiang,et al.The Comparison between Curative Effects of Expectant Treatment and Surgery in Treating Senile Patients with Fragility Distal Radial Fracture[J].Western Journal of Traditional Chinese Medicine,2017,30(05):132.
[7]邵继胜,牛崇信.中药熏洗治疗桡骨远端骨折复杂区域性疼痛综合征35例[J].西部中医药,2021,34(04):126.[doi:10.12174/j.issn.2096-9600.2021.04.31]
　SHAO Jisheng,NIU Chongxin.Treating 35 Cases of Complex Regional Pain Syndrome of Distal Radius Fractures by Herbal Hot Compress and Fumigation[J].Western Journal of Traditional Chinese Medicine,2021,34(05):126.[doi:10.12174/j.issn.2096-9600.2021.04.31]

备注/Memo

备注/Memo:
收稿日期：2012-11-27 作者简介：邓强(1970—)，男，硕士学位，副主任医师，甘肃省卫生厅领军人才，甘肃省中西结合学会骨科微创专业委员会秘书长。研究方向：脊柱疾患及脊髓损伤的中西医结合诊治。
更新日期/Last Update: 2013-05-15