[1]李延国.接骨七厘片内服联合手法复位石膏夹板外固定治疗桡骨远端骨折的效果[J].医学信息,2025,38(07):120-124.[doi:10.3969/j.issn.1006-1959.2025.07.023]
　LI Yanguo.Effect of Jiegu Qili Tablets Combined with Manipulative Reduction and Plaster Splint External Fixation in the Treatment of Distal Radius Fracture[J].Journal of Medical Information,2025,38(07):120-124.[doi:10.3969/j.issn.1006-1959.2025.07.023]
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接骨七厘片内服联合手法复位石膏夹板外固定治疗桡骨远端骨折的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年07期
页码:
120-124
栏目:
论著
出版日期:
2025-04-01

文章信息/Info

Title:
Effect of Jiegu Qili Tablets Combined with Manipulative Reduction and Plaster Splint External Fixation in the Treatment of Distal Radius Fracture
文章编号:
1006-1959（2025）07-0120-05
作者:
李延国
芦溪县中医院骨伤科，江西 芦溪 337200
Author(s):
LI Yanguo
Department of Orthopedics and Traumatology, Luxi Hospital of Traditional Chinese Medicine, Luxi 337200, Jiangxi, China
关键词:
接骨七厘片; 手法复位; 石膏夹板外固定; 桡骨远端骨折
Keywords:
Jiegu Qili tablets;  Manual reduction;  Plaster splint external fixation;  Distal radius fractures
分类号:
R683
DOI:
10.3969/j.issn.1006-1959.2025.07.023
文献标志码:
A
摘要:
目的 评估内服接骨七厘片配合手法复位石膏夹板外固定治疗桡骨远端骨折的效果。方法 选取2022年9月-2023年11月芦溪县中医院收治的48例桡骨远端骨折患者，采用随机数字表法将患者分为对照组和研究组，每组24例。对照组仅给予接骨七厘片口服治疗，研究组在此基础上增加手法复位石膏夹板外固定治疗。比较两组临床效果、愈合情况（外生骨痂出现时间、骨折线消失时间、桡骨短缩）、腕关节功能（握力、活动范围、疼痛程度、功能障碍）、腕关节活动度（旋前度、旋后度、背伸度、掌屈度、偏挠度）、生活质量（社会功能、生理状态、情感角色、生活意志、心理状态）。结果 与对照组总有效率的70.83%比较，研究组总有效率更高，达95.83%（P＜0.05）；与对照组比较，研究组外生骨痂出现时间、骨折线消失时间更短、桡骨短缩更低（P＜0.05）；与治疗前比较，两组治疗后握力、活动范围、疼痛程度、功能障碍评分升高，且与对照组比较，研究组治疗后握力平均、活动范围、疼痛程度、功能障碍评分更高（P＜0.05）；与治疗前比较，两组治疗后旋前度、旋后度、背伸度、掌屈度、桡偏度升高，且与对照组比较，研究组治疗后旋前度、旋后度、背伸度、掌屈度、桡偏度更高（P＜0.05）；与治疗前比较，两组治疗后社会功能、生理状况、情感角色、生活意志、心理状态评分升高，且与对照组比较，研究组治疗后社会功能、生理状况、情感角色、生活意志、心理状态评分更高（P＜0.05）。结论 接骨七厘片内服联合手法复位石膏夹板外固定治疗桡骨远端骨折的效果良好，能加速骨折愈合，提升患者腕关节功能和生活质量，增加关节活动度。
Abstract:
Objective To evaluate the effect of oral Jiegu Qili tablets combined with manipulative reduction and plaster splint external fixation in the treatment of distal radius fractures. Methods Using the random number table method, totally 48 patients with distal radius fractures admitted to Luxi County Hospital of Traditional Chinese Medicine from September 2022 to November 2023 were divided into control group and study group, with 24 patients in each group. The control group was only given oral treatment of Jiegu Qili tablets, and the study group was treated with manual reduction and plaster splint external fixation on this basis. The clinical effects, healing (appearance time of exogenous callus, disappearance time of fracture line, radius shortening), wrist function (grip strength, range of motion, pain degree, dysfunction), wrist activity (pronation, supination, dorsiflexion, palmar flexion, deflection), quality of life (social function, physiological state, emotional role, life will, psychological state) were compared between the two groups. Results Compared with 70.83% of the total effective rate of the control group, the total effective rate of the study group was higher, reaching 95.83% (P<0.05). Compared with the control group, the appearance time of exogenous callus, the disappearance time of fracture line and the shortening of radius in the study group were shorter (P<0.05). Compared with before treatment, the scores of grip strength, range of motion, pain degree and dysfunction of the two groups increased after treatment, and compared with the control group, the average grip strength, range of motion, pain degree and dysfunction score of the study group were higher after treatment(P<0.05). Compared with before treatment, the pronation, supination, dorsiflexion, palmar flexion and radial deviation of the two groups increased after treatment, and compared with the control group, the pronation, supination, dorsiflexion, palmar flexion and radial deviation of the study group were higher after treatment(P<0.05). Compared with before treatment, the scores of social function, physiological status, emotional role, life will and psychological state of the two groups increased after treatment, and compared with the control group, the scores of social function, physiological status, emotional role, life will and psychological state of the study group were higher after treatment(P<0.05). Conclusion Jiegu Qili tablets combined with manipulative reduction and plaster splint external fixation is effective in the treatment of distal radius fractures, which can accelerate fracture healing, improve wrist function and quality of life, and increase joint mobility.

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更新日期/Last Update: 1900-01-01