自制骨伤一号膏联合小夹板外固定治疗老年桡骨远端骨折的临床观察

摘要/Abstract

摘要： 目的评估并系统分析在老年桡骨远端骨折患者治疗中联合应用自制骨伤一号膏与小夹板外固定的实际效果,以指导临床实践。方法选取2019年1月~2020年1月湛江市第二中医院收治的桡骨远端骨折患者84例,采用随机奇数偶数法将患者分为对照组和观察组,每组42例。对照组患者治疗模式为常规正骨复位,观察组另外采用外敷自制骨伤一号膏与小夹板外固定相结合的治疗方法。对比两组治疗疗效、并发症、骨折复位情况等相关指标。结果观察组治疗总有效率高于对照组,差异有统计学意义（P<0.05）。观察组总并发症发生率低于对照组,差异有统计学意义（P<0.05）。治疗后3个月,观察组尺桡骨高度差、桡骨尺偏角高于对照组,桡骨掌倾角低于对照组,差异有统计学意义（P<0.05）。治疗后3个月,观察组生活质量评分较对照组更高,差异有统计学意义（P<0.05）。治疗后3个月,观察组血小板计数、凝血酶时间、凝血酶原时间、桡骨骨密度、骨源性碱性磷酸酶、Ⅰ型前胶原羟基端前胎、骨钙素指标高于对照组,差异有统计学意义（P<0.05）。结论针对老年桡骨远端骨折的治疗,自制骨伤一号膏联合小夹板外固定可提高患者的临床治疗效果、减少并发症、提高生活质量,改善尺桡骨高度差、桡骨尺偏角、桡骨掌倾角及血小板计数、凝血酶时间等相关治疗指标,值得临床应用。

关键词: 桡骨远端骨折, 自制骨伤一号膏, 小夹板外固定, 临床效果

Abstract: Objective To evaluate and systematically analyze the practical effect of self-made Gushang No.1 ointment combined with small splint external fixation in the treatment of elderly patients with distal radius fractures, so as to guide clinical practice. Methods From January 2019 to January 2020, there were 84 patients with distal radius fractures in Zhanjiang Second Hospital of Traditional Chinese Medicine. The patients were divided into two groups with 42 cases in each group by random odd and even number method. The treatment mode of the control group was routine bonesetting reduction, while the observation group was treated with the combination of self-made Gushang No.1 ointment and small splint external fixation. The curative effect, complications, fracture reduction and other related indexes were compared between the two groups. Results The total effective rate of treatment in the observation group was higher than that in the control group, with significant difference (P<0.05). The total complication rate of the observation group was lower than that of the control group (P<0.05). After 3 months of treatment, the difference of ulnar and radial height and the angle of radius ulnar deviation in the observation group were higher than those in the control group, but the angle of radial palm inclination was lower than that in the control group, with significant difference (P<0.05). After 3 months of treatment, the quality of life score in the observation group was higher than that in the control group, and the data difference was significant(P<0.05). After 3 months of treatment, platelet count, thrombin time, prothrombin time, bone mineral density of radius, bone-derived alkaline phosphatase, type Ⅰ procollagen hydroxyl end anterior fetus and osteocalcin in the observation group were significantly higher than those in the control group (P<0.05). Conclusion For the treatment of distal radius fractures in the elderly, the self-made Gushang No.1 ointment combined with small splint external fixation in our hospital can improve the clinical treatment effect, reduce complications, improve the quality of life, improve the height difference between ulna and radius, the ulnar deviation angle of radius, the inclination angle of radius palm, platelet count, thrombin time and other related treatment indexes. It is worthy of clinical application.

Key words: sistal radius fracture, self-made Gushang No.1 ointment, small splint external fixation, clinical effect

中图分类号:

周龙清, 招仕富, 朱一文. 自制骨伤一号膏联合小夹板外固定治疗老年桡骨远端骨折的临床观察[J]. 中华养生保健, 2022, 40(17): 11-13.

ZHOU Long-qing, ZHAO Shi-fu, ZHU Yi-wen. Clinical Observation on the Treatment of Distal Radius Fracture in the Elderly with Self-made Gushang No.1 Ointment Combined with Small Splint External Fixation[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(17): 11-13.

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