CAJ | 학술논문

目的：探讨老年骨质疏松性桡骨远端骨折患者采用手法复位结合中西药治疗的效果。方法选择2004年10月~2013年10月来我院治疗骨质疏松性桡骨远端骨折的老年患者58例，随机分成两组，给予全部患者手法整复夹板外固定疗法，治疗组加用中药治疗，对照组加用西药治疗，对两组患者的临床疗效进行比较。结果两组患者住院用时基本相同（P＞0.05）；治疗组患者无论是骨折愈合用时、骨折愈合程度，还是治疗半年后骨密度值均明显优于对照组（P＜0.05）。结论对于骨质疏松性桡骨远端骨折老年患者而言，由于患者年龄过大采取保守治疗效果最佳，手术治疗风险较大。西药治疗虽药效快，但患者的远期疗效不是十分理想，中药治疗治标治本，不但近期疗效理想，远期疗效更加显著。
목적：탐토노년골질소송성뇨골원단골절환자채용수법복위결합중서약치료적효과。방법선택2004년10월~2013년10월래아원치료골질소송성뇨골원단골절적노년환자58례，수궤분성량조，급여전부환자수법정복협판외고정요법，치료조가용중약치료，대조조가용서약치료，대량조환자적림상료효진행비교。결과량조환자주원용시기본상동（P＞0.05）；치료조환자무론시골절유합용시、골절유합정도，환시치료반년후골밀도치균명현우우대조조（P＜0.05）。결론대우골질소송성뇨골원단골절노년환자이언，유우환자년령과대채취보수치료효과최가，수술치료풍험교대。서약치료수약효쾌，단환자적원기료효불시십분이상，중약치료치표치본，불단근기료효이상，원기료효경가현저。
Objective Discussion for the elderly osteoporotic distal radius fractures with manual reduction combined with western medicine in the treatment of curative effect. Methods 58 elderly patients during 2004 October to 2013 October selected to come to our hospital for treatment of osteoporotic distal radius fracture cases, random divided into two groups, given all the patients manipulative reduction and splint external fixation therapy, treatment group was added with traditional Chinese medicine treatment, the control group with western medicine treatment,to compare the clinical efficacy of two groups of patients. Results Two groups of patients hospitalized with basically the same(P>0.05); the patients in the treatment group were both the degree of fracture healing fracture healingin combination, or half a year after treatment, the bone density was significantly better than the control group ( P < 0.05). Conclusion For osteoporotic distal radius fractures in elderly patients, the age is too large to conservative treatment, operation treatment of high risk. Although the effect of Western medicine in the treatment of fast, but the long-term efficacy is not ideal, traditional Chinese medicine in the treatment of cure the symptoms, not only short-term effect ideal, more significant long-term effect.