CAJ | 학술논문

目的：观察中西结合治疗肱骨髁上骨折的临床疗效。方法：将72例肱骨髁上骨折患者随机分为观察组、对照组各36例，观察组采用中西结合治疗，对照组行常规手术治疗，比较2组临床愈合时间、影像学检查结果、肘关节活动范围和总治疗疗效。结果：临床愈合时间观察组为(23.8±2.9)天，对照组为（27.5±3.1)天，2组比较差异有统计学意义（P＜0.05）。携带角（CA 角）、肱骨外髁骺线角（BA 角）、肱骨髁部前倾角（TA 角）治疗后2组比较，差异均有统计学意义（P＜0.05）。治疗后肘关节曲、伸范围观察组分别为（139.70±4.85）度、（-5.16±1.08）度，对照组分别为（129.80±5.74）度、（-3.150±1.14）度。2组比较，差异有统计学意义（P＜0.05）。结论：中西结合治疗肱骨髁上骨折可缩短临床愈合时间，有助于肘关节功能恢复。
목적：관찰중서결합치료굉골과상골절적림상료효。방법：장72례굉골과상골절환자수궤분위관찰조、대조조각36례，관찰조채용중서결합치료，대조조행상규수술치료，비교2조림상유합시간、영상학검사결과、주관절활동범위화총치료료효。결과：림상유합시간관찰조위(23.8±2.9)천，대조조위（27.5±3.1)천，2조비교차이유통계학의의（P＜0.05）。휴대각（CA 각）、굉골외과후선각（BA 각）、굉골과부전경각（TA 각）치료후2조비교，차이균유통계학의의（P＜0.05）。치료후주관절곡、신범위관찰조분별위（139.70±4.85）도、（-5.16±1.08）도，대조조분별위（129.80±5.74）도、（-3.150±1.14）도。2조비교，차이유통계학의의（P＜0.05）。결론：중서결합치료굉골과상골절가축단림상유합시간，유조우주관절공능회복。
Objective: To observe clinical effects of integrative medicine in treating humeral supracondylar fracture. Methods: Seventy-two patients were randomized into the observation group and the control group, 36 cases each group, the observation group were treated by integrative medicine, the control group were performed with con-ventional surgery, to compared clinical healing time, imaging results, elbow range of motion (ROM) and total curative effects between both groups. Results: Clinical healing time of the observation group was (23.8±2.9) days, shorter than (27.5±3.1) days of the control group, the difference between both groups had statistical meaning (P<0.05). The differ-ence showed statistical meaning in the comparison between both groups in carrying angle (CA angle), Baum ann angle (BA angle) and Tilting angle (TA angle) after treating (P<0.05). After treating, the angles of elbow stretching and flex-ing in the observation group were (139.70±4.85) degree and (-5.16±1.08) degree, less than (129.80±5.74) degree and (-3.150±1.14) degree of the control group respectively, the difference had statistical meaning between both groups (P<0.05). Conclusion: Treating humeral supracondylar fracture by integrative medicine could shorten clinical healing time, which is helpful to the recovery of elbow function.