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[1]孫曉,張玉柱,王國平,等.手法復(fù)位杉樹皮夾板固定治療肱骨近端骨折的 臨床療效觀察[J].中醫(yī)正骨,2012,24(07):13-16.
　SUN Xiao*,ZHANG Yu-zhu,WANG Guo-ping,et al.Observation on the clinical curative effect of manipulative reduction combined with Chinese fir-bark splint fixation in the treatment of proximal humeral fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(07):13-16.
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手法復(fù)位杉樹皮夾板固定治療肱骨近端骨折的 臨床療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年07期
頁碼:
13-16
欄目:
臨床研究
出版日期:
2012-07-30

文章信息/Info

Title:
Observation on the clinical curative effect of manipulative reduction combined with Chinese fir-bark splint fixation in the treatment of proximal humeral fracture
作者:
孫曉1; 張玉柱1; 王國平1; 周輝2; 王蕾3; 張劍英1; 張 姚萍1; 劉劍斌1; 李振1
1.浙江省富陽市中醫(yī)骨傷醫(yī)院,浙江 富陽 311400;
2.浙江省杭州市中醫(yī)院, 浙江 杭州 310000;
3.上海交通大學(xué)醫(yī)學(xué)院附屬瑞金醫(yī)院,上海 200025
Author(s):
SUN Xiao*; ZHANG Yu-zhu; WANG Guo-ping; ZHOU Hui; WANG Lei; ZHANG Jian-ying; ZHANG Yao-ping; LIU Jian-bin; LI Zhen.*
TCM Orthopaedics Hospital of Fuyang City,Fuyang 311400,Zhejiang,China
關(guān)鍵詞:
肩骨折 肱骨骨折 小夾板固定 治療; 臨床研究性
Keywords:
Shoulder fractures;  Humeral fractures;  Small splint fixation;  Therapies; investigational
摘要:
目的:觀察手法復(fù)位杉樹皮夾板固定治療肱骨近端骨折的臨床療效。方法:將60例肱骨近端骨折患者分成外固定組和內(nèi)固 定組,每組30例。外固定組患者采用富陽張氏手法復(fù)位配合杉樹皮夾板固定治療,內(nèi)固定組患者采用切開復(fù)位鋼板內(nèi)固定治療。 治療后分別從復(fù)位情況、骨折愈合時間、Constant-Murley評分及患者滿意度4個方面評價(jià)2組患者的臨床療效。結(jié)果:①骨折復(fù) 位情況。內(nèi)固定組骨折復(fù)位情況優(yōu)于外固定組(Z=-3.850,P=0.000)。②骨折愈合時間。外固定組所有患者骨折均愈合,內(nèi)固定組 1例未愈合,繼發(fā)肱骨頭壞死。外固定組骨折愈合時間比內(nèi)固定組短(t=0.872,P=0.018)。③肩關(guān)節(jié)功能。2組患者疼痛、日常生 活能力、肩關(guān)節(jié)活動度、肌力及Constant-Murley總分比較,差異均無統(tǒng)計(jì)學(xué)意義(t=1.091,P=0.081; t=0.982,P=0.166; t=1.542,P=0.098; t=2.146,P=0.541; t=3.466,P=0.167)。④患者滿意度。外固定組患者滿意度高于內(nèi)固定組(Z=- 4.452,P=0.000)。結(jié)論:采用手法復(fù)位杉樹皮夾板固定治療肱骨近端骨折可以獲得與鋼板內(nèi)固定治療相當(dāng)?shù)寞熜?而且骨折愈合 時間短、患者滿意度更高,值得在臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effect of manipulative reduction combined with Chinese fir-bark splint fixation in the treatment of proximal humeral fracture(PHF).Methods:Sixty PHF patients were divided into external fixation group and internal fixation group,30 cases in each group.Patients in the external fixation group were administrated with Fuyang Zhang's manipulative reduction combined with Chinese fir-bark splint fixation,while the others in the internal fixation group were administrated with open reduction and internal fixation.After the treatment,the clinical curative effects of the patients in the 2 groups were evaluated from the 4 aspects as reduction state,fracture healing time,Constant-Murley scores and patient satisfaction respectively.Results:①Fracture reduction state of internal fixation group was better than that of external fixation group(Z=-3.850,P=0.000).②Fractures of all the patients in the external fixation group were all healed,while 1 case with unhealed fracture and secondary humeral head necrosis was found in internal fixation group.Fracture healing time of external fixation group was shorter than that of internal fixation group(t=0.872,P=0.018).③There was no statistical difference in the aspects of pain,daily living ability,shoulder joint motion,muscle strength and Constant-Murley total scores between the 2 groups (t=1.091,P=0.081; t=0.982,P=0.166; t=1.542,P=0.098; t=2.146,P=0.541; t=3.466,P=0.167).④Patient satisfaction of external fixation group was higher than that of internal fixation group(Z=-4.452,P=0.000).Conclusion:With shorter fracture healing time and higher patient satisfaction,manipulative reduction combined with Chinese fir-bark splint fixation has the similar curative effect to that of open reduction and internal fixation in PHF treatment,and it is worth popularizing in the clinics.

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備注/Memo

備注/Memo:
2011-12-14收稿 2012-05-29修回
基金項(xiàng)目:浙江省杭州市醫(yī)療科研及重點(diǎn)專病專科項(xiàng)目 (20091233B32)
通訊作者:孫曉 E-mail:[email protected]
更新日期/Last Update: 2012-07-30