CAJ | 학술논문

目的：研究中医正骨手法在胫腓骨骨折闭合复位微创内固定治疗中的应用效果。方法：选择2009年12月-2012年12月在我院治疗的胫腓骨骨折患者64例，随机分为观察组与对照组，每组32例，观察组接受中医正骨手法治疗＋骨折闭合复位微创内固定；对照组接受一般骨牵引治疗＋骨折闭合复位微创内固定，比较两组患者的临床疗效及不良反应。结果：观察组治愈29例，有效3例，无效0例，总有效率为100.0%；对照组治愈17例，有效7例，无效8例，总有效率为75.0%，组间差异具统计学意义（P<0.05）；两组患者均未发生感染。结论：在胫腓骨骨折闭合复位微创内固定治疗中应用中医正骨手法能有效提高治疗效果，加快骨折愈合，值得临床推广。
목적：연구중의정골수법재경비골골절폐합복위미창내고정치료중적응용효과。방법：선택2009년12월-2012년12월재아원치료적경비골골절환자64례，수궤분위관찰조여대조조，매조32례，관찰조접수중의정골수법치료＋골절폐합복위미창내고정；대조조접수일반골견인치료＋골절폐합복위미창내고정，비교량조환자적림상료효급불량반응。결과：관찰조치유29례，유효3례，무효0례，총유효솔위100.0%；대조조치유17례，유효7례，무효8례，총유효솔위75.0%，조간차이구통계학의의（P<0.05）；량조환자균미발생감염。결론：재경비골골절폐합복위미창내고정치료중응용중의정골수법능유효제고치료효과，가쾌골절유합，치득림상추엄。
Objective: To investigate clinical effects of TCM manipulation on tibiafibula. Methods: 64 patients were randomly divided into two groups, the observation group was given TCM manipulation+close reduction and internal fixation, and the control group was given general skeletal traction therapy + close reduction and internal fixation. Results: In the observation, 29 cases were cured, effective in 3 cases, 0 case of invalid; in the control, 17 cases were cured, effective in 7 cases, 8 cases of invalid, the difference was significant (P<0.05); there was no infections occurred in both groups. Conclusion: Applied TCM manipulation in treating tibiafibula fracture can obviously improve the therapeutic effects, accelerate fracture healing, and is worthy of clinical promotion.