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[1]陳延榮,孫長虹,梁學(xué)振,等.健康成人前臂小夾板固定時壓墊對腕關(guān)節(jié)局部壓力的影響[J].中醫(yī)正骨,2022,34(10):27-31.
　CHEN Yanrong,SUN Changhong,LIANG Xuezhen,et al.Effects of pressure pad on local wrist pressure when fixing forearm with small splints in healthy adults[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(10):27-31.
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健康成人前臂小夾板固定時壓墊對腕關(guān)節(jié)局部壓力的影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年10期
頁碼:
27-31
欄目:
臨床研究
出版日期:
2022-10-20

文章信息/Info

Title:
Effects of pressure pad on local wrist pressure when fixing forearm with small splints in healthy adults
作者:
陳延榮; 孫長虹; 梁學(xué)振; 邢海昌; 周斌; 王明喜; 劉傳強(qiáng)
(山東中醫(yī)藥大學(xué)附屬醫(yī)院,山東 濟(jì)南 250014)
Author(s):
CHEN Yanrong; SUN Changhong; LIANG Xuezhen; XING Haichang; ZHOU Bin; WANG Mingxi; LIU Chuanqiang
The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,Shandong,China
關(guān)鍵詞:
腕關(guān)節(jié);  健康志愿者;  小夾板固定術(shù);  Colles骨折;  壓墊
Keywords:
wrist joint;  healthy volunteers;  small splint fixation;  colles' fracture;  pressure pad
摘要:
目的:觀察健康成人前臂小夾板固定時壓墊對腕關(guān)節(jié)局部壓力的影響。方法:招募2021年6—7月在山東中醫(yī)藥大學(xué)附屬醫(yī)院體檢的健康成人,均按照Colles骨折小夾板固定法行前臂小夾板固定,采用微型薄膜壓力傳感系統(tǒng)測量未放置壓墊時(無壓墊組)和放置壓墊時(有壓墊組)腕關(guān)節(jié)休息位、伸直位、握拳位的橈骨莖突及Lister結(jié)節(jié)處壓力。結(jié)果:①一般結(jié)果。共招募40例健康成人,男32例、女8例。年齡23～41歲,中位數(shù)26歲。受試者前臂長度,尺側(cè)(23.6±3.4)cm、橈側(cè)(21.4±2.3)cm、背側(cè)(23.2±2.5)cm、掌側(cè)(22.6±2.1)cm。受試者腕部周長(16.5±1.8)cm。小夾板長度,尺側(cè)(18.5±2.1)cm、橈側(cè)(17.4±2.3)cm、背側(cè)(18.5±2.6)cm、掌側(cè)(17.1±2.0)cm。4塊小夾板寬度總和(12.9±1.1)cm。②橈骨莖突處壓力。腕關(guān)節(jié)休息位、伸直位、握拳位時,無壓墊組橈骨莖突處壓力均低于有壓墊組[(0.15±0.21)N,(0.34±0.33)N,t=3.868,P=0.001;(0.28±0.36)N,(0.61±0.40)N,t=2.581,P=0.015;(0.32±0.40)N,(0.53±0.50)N,t=3.306,P=0.003]。腕關(guān)節(jié)休息位、伸直位、握拳位橈骨莖突處壓力的差異無統(tǒng)計(jì)學(xué)意義(無壓墊組:F=1.342,P=0.267; 有壓墊組:F=1.497,P=0.229)。③Lister結(jié)節(jié)處壓力。腕關(guān)節(jié)休息位時,無壓墊組Lister結(jié)節(jié)處壓力低于有壓墊組[(0.13±0.17)N,(0.26±0.24)N,t=2.804,P=0.009]。腕關(guān)節(jié)伸直位、握拳位時,無壓墊組與有壓墊組Lister結(jié)節(jié)處壓力比較,組間差異均無統(tǒng)計(jì)學(xué)意義[(0.38±0.49)N,(0.39±0.36)N,t=-0.112,P=0.912;(0.32±0.49)N,(0.35±0.40)N,t=0.785,P=0.439]。腕關(guān)節(jié)休息位、伸直位、握拳位Lister結(jié)節(jié)處壓力的差異無統(tǒng)計(jì)學(xué)意義(無壓墊組:F=2.769,P=0.068; 有壓墊組:F=1.256,P=0.290)。結(jié)論:健康成人前臂小夾板固定時,壓墊可以增加橈骨莖突處壓力,可能對骨折端起到維持復(fù)位效果的作用。
Abstract:
Objective:To observe the effects of pressure pad on local wrist pressure when fixing forearm with small splints in healthy adults.Methods:The healthy adults who underwent medical examination in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from June 2021 to July 2021 were recruited,and their forearms were fixed with small splints according to the fixation method used for Colles' fracture.The pressures at radial styloid process and Lister's tubercle were measured in wrist resting,extending and clenching positions before(non-pressure pad group)and after placing the pressure pad(pressure pad group)by using miniature thin-film pressure sensing system.Results:①Forty healthy adults(32 males and 8 females)between the ages of 23 and 41(Median=26 yrs)were included in the study with the wrist circumference as 16.5±1.8 cm,and the forearm length as 23.6±3.4 cm,21.4±2.3 cm,23.2±2.5 cm and 22.6±2.1 cm in ulnar side,radial side,dorsal side and volar side respectively.The small splint length was 18.5±2.1 cm,17.4±2.3 cm,18.5±2.6 cm and 17.1±2.0 cm in ulnar side,radial side,dorsal side and volar side respectively with the total width as 12.9±1.1 cm.②The pressure at radial styloid process was lower in non-pressure pad group compared to pressure pad group in wrist resting,extending and clenching positions(0.15±0.21 vs 0.34±0.33 N,t=3.868,P=0.001; 0.28±0.36 vs 0.61±0.40 N,t=2.581,P=0.015; 0.32±0.40 vs 0.53±0.50 N,t=3.306,P=0.003).There was no statistical difference in the pressure at radial styloid process between the wrist positions of resting,extending and clenching(non-pressure pad group:F=1.342,P=0.267; pressure pad group:F=1.497,P=0.229).③The pressure at Lister's tubercle was lower in non-pressure pad group compared to pressure pad group in wrist resting position(0.13±0.17 vs 0.26±0.24 N,t=2.804,P=0.009).There was no statistical difference in the pressure at Lister's tubercle between non-pressure pad group and pressure pad group in wrist extending and clenching positions(0.38±0.49 vs 0.39±0.36 N,t=-0.112,P=0.912; 0.32±0.49 vs 0.35±0.40 N,t=0.785,P=0.439).There was no statistical difference in the pressure at Lister's tubercle between the wrist positions of resting,extending and clenching(non-pressure pad group:F=2.769,P=0.068; pressure pad group:F=1.256,P=0.290).Conclusion:The pressure pad can increase the pressure at radial styloid process and maintain reduction of the fractured end when fixing forearm with small splints in healthy adults.

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備注/Memo

備注/Memo:
基金項(xiàng)目:山東省名老中醫(yī)藥專家傳承工作室建設(shè)項(xiàng)目(魯衛(wèi)中發(fā)展字〔2018〕1號) 通訊作者:劉傳強(qiáng) E-mail:[email protected]
更新日期/Last Update: 1900-01-01