CAJ | 학술논문

目的：评价社区中医康复路径对老年人桡骨远端骨折的疗效。方法：将111例桡骨远端骨折患者分为研究组66例和对照组45例，在复位、中药和外固定基础上，分别采用康复路径和传统方法治疗。采用改良 Gartland 和Werley 评分系统评估腕部功能。结果：69.4%的患者（77/111）达到优，24.3%（27/111）达到良。研究组治疗1个月和6个月的优、良疗效比例均高于对照组(P<0.05)。结论：社区中医康复路径对老年人桡骨远端骨折有增加疗效的作用，可在基层推广。
목적：평개사구중의강복로경대노년인뇨골원단골절적료효。방법：장111례뇨골원단골절환자분위연구조66례화대조조45례，재복위、중약화외고정기출상，분별채용강복로경화전통방법치료。채용개량 Gartland 화Werley 평분계통평고완부공능。결과：69.4%적환자（77/111）체도우，24.3%（27/111）체도량。연구조치료1개월화6개월적우、량료효비례균고우대조조(P<0.05)。결론：사구중의강복로경대노년인뇨골원단골절유증가료효적작용，가재기층추엄。
Objective: To evaluate the effect of the community rehabilitation approach of traditional Chinese medicine on the elderly patients with distal radial fracture. Methods: One hundred and eleven cases with distal radial fractures were divided into a study group(n=66)and a control one(n=45). Based on reduction, traditional Chinese medicine and external fixation, the rehabilitation approach and traditional method were performed respectively. The modified Gartland and Werley scoring system was used to assess the wrist function. Results: The excellent and good effects achieved accounted for 69.4%(77/111) and 24.3%(27/111), respectively. The proportions of excellent and good effects in the study group were more than in the control group after a month and six months treatment (P<0.05). Conclusion: The community rehabilitation approach of traditional Chinese medicine has the role of increasing the effect for the elderly patients with distal radius fracture, which can be recommended in the community health service centers.