CAJ | 학술논문

目的观察中医药治疗桡骨远端骨折的临床疗效。方法对我院3275例桡骨远端骨折患者，按照患者意愿选择不同的治疗方式分为两组进行治疗观察。其中观察组1693例，采用手法复位、卫生纸垫、小夹板外固定、外用口服中草药、功能锻炼等治疗。对照组1582例患者，采用手法复位方法整复后即用石膏外固定，待骨折达临床愈合后解除石膏用热水外洗伤肢并练功。对两组患者进行治疗效果比较并观察随访。结果观察组患者骨折愈合时间明显少于对照组，差异有统计学意义（P＜0.05）。两组患者术后患肢肿胀消退及疼痛改善均优于就诊时或复位结束后，观察组患者术后患肢肿胀消退及疼痛改善明显优于对照组，差异均有统计学意义（均P＜0.05）。观察组患者优良率达96.81%，对照组患者优良率为75.54%。观察组患者疗效明显优于对照组（P＜0.05）。结论中医药治疗桡骨远端骨折疗效显著，值得临床推广应用。
목적관찰중의약치료뇨골원단골절적림상료효。방법대아원3275례뇨골원단골절환자，안조환자의원선택불동적치료방식분위량조진행치료관찰。기중관찰조1693례，채용수법복위、위생지점、소협판외고정、외용구복중초약、공능단련등치료。대조조1582례환자，채용수법복위방법정복후즉용석고외고정，대골절체림상유합후해제석고용열수외세상지병련공。대량조환자진행치료효과비교병관찰수방。결과관찰조환자골절유합시간명현소우대조조，차이유통계학의의（P＜0.05）。량조환자술후환지종창소퇴급동통개선균우우취진시혹복위결속후，관찰조환자술후환지종창소퇴급동통개선명현우우대조조，차이균유통계학의의（균P＜0.05）。관찰조환자우량솔체96.81%，대조조환자우량솔위75.54%。관찰조환자료효명현우우대조조（P＜0.05）。결론중의약치료뇨골원단골절료효현저，치득림상추엄응용。
Objective To observe the clinical effect of barton fracture by traditional Chinese medicine therapy. Methods 3275 cases with barton fracture were divided into two groups according to the wishes of patients with different treatments.1693 cases of observation group were treated with manipulative reduction, toilet paper pad, external fixation of small splints,topical treatment such as oral Chinese herbal medicine, functional exercises,while 1582 cases of control group were treated with the plaster external fixation after manipulative reduction,then released the plaster after clinical healing of fracture and washed the wound limbs with hot water and practiced.The clinical effect of two groups were compared and observed with follow-up. Results The fracture healing time of observation group was less than that of control group,and the difference was statistically significant(P<0.05).The swelling subside and pain improvement of affected limb in patients of two groups after the operation were better than those on admission or at the end of manipulative reduction,and the swelling subside and pain improvement of affected limb in observation group were better than those in control group, and the differences were statistically significant(P<0.05).The excellent rate of observation group was 96.81%,while the excellent rate of control group was 75.54%,and the clinical effect of observation group was better than that of control group(P<0.05). Conclusion The clinical effect of barton fracture by traditional Chinese medicine therapy is significant and worthy of clinical application.