[摘要] 目的 探討手法復(fù)位石膏托外固定與康復(fù)鍛煉聯(lián)合應(yīng)用于老年橈骨遠(yuǎn)端骨折患者治療中的效果。方法 方便選擇2015年7月—2016年7月期間在該院進(jìn)行治療的80例橈骨遠(yuǎn)端骨折老年患者隨機(jī)分為觀察組與對(duì)照組，每組40例。觀察組采用手法復(fù)位石膏托外固定與康復(fù)鍛煉聯(lián)合治療，對(duì)照組則單獨(dú)實(shí)施手法復(fù)位石膏托外固定治療，對(duì)比兩組患者相關(guān)指標(biāo)。結(jié)果 經(jīng)過治療之后，觀察組患者骨折復(fù)位優(yōu)良率明顯高于對(duì)照組，骨折愈合時(shí)間明顯短于對(duì)照組，愈合時(shí)的掌傾角和尺偏角明顯小于對(duì)照組，且并發(fā)癥發(fā)生率明顯低于對(duì)照組，兩組間各項(xiàng)數(shù)據(jù)對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 手法復(fù)位石膏托外固定與康復(fù)鍛煉聯(lián)合應(yīng)用于老年橈骨遠(yuǎn)端骨折患者治療中的效果較為顯著，可推廣進(jìn)行使用。
　　[關(guān)鍵詞] 手法復(fù)位石膏托外固定；老年橈骨遠(yuǎn)端骨折；康復(fù)鍛煉
　　[中圖分類號(hào)] R687 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2018）01（c）-0055-03
　　[Abstract] Objective This paper tries to investigate the effect of combination of technique and rehabilitation exercise on the treatment of distal radius fractures. Methods Convenient selection 80 patients with distal radial fractures treated in the hospital from July 2015 to July 2016 were randomly divided into observation group and control group， with 40 cases in each group. In the observation group， the combined treatment of external fixation and rehabilitation exercise was performed using the method of manipulation， while the control group was treated separately in the treatment of the external fixation of the gypsum， the related indicators of the two groups were compared. Results After treatment， the observation group was significantly higher than control group in patients with fracture， fracture healing time was shorter than the control group obviously， the palm and the feet inclination angle was less than the control group obviously， and complication rates were significantly lower than the control group， the data contrast had significant differences between the two groups（P<0.05）. Conclusion The combined application of external fixation and rehabilitation exercise for the treatment of distal radius fractures is more effective and is worth of application and promotion.
　　[Key words] Manipulation of plaster to external fixation； Distal radius fracture of distal radius； Rehabilitation exercise
　　橈骨遠(yuǎn)端骨折是指橈骨下端的骨松質(zhì)骨折，一般發(fā)生于橈骨下端2～3 cm范圍內(nèi)的骨松質(zhì)部位[1]。臨床上常采用手法復(fù)位石膏托外固定法對(duì)于橈骨遠(yuǎn)端骨折患者進(jìn)行治療，能夠改善患者的相關(guān)癥狀，幫助患者進(jìn)行復(fù)位，但是效果不佳，為提高治療效果，通常結(jié)合康復(fù)鍛煉進(jìn)行治療[2]。為此，該研究探討了手法復(fù)位石膏托外固定與康復(fù)鍛煉聯(lián)合應(yīng)用于老年橈骨遠(yuǎn)端骨折患者治療中的效果，現(xiàn)報(bào)道如下。
　　1 資料與方法
　　1.1 一般資料
　　方便選擇在該院進(jìn)行治療的80例橈骨遠(yuǎn)端骨折老年患者分為觀察組和對(duì)照組，各40例。觀察組患者男女例數(shù)分別為19例和21例；平均年齡為（67.75±2.75）歲；按照Frykman分型法對(duì)于患者進(jìn)行分型，Ⅰ型為5例，Ⅱ型為6例，Ⅲ型為4例，Ⅳ型為6例，Ⅴ型為7例，Ⅵ型為5例，Ⅶ型為4例，Ⅷ型為3例。對(duì)照組患者男女例數(shù)分別為18例和22例；平均年齡為（67.26±2.18）歲；按照Frykman分型法對(duì)于患者進(jìn)行分型，Ⅰ型為6例，Ⅱ型為5例，Ⅲ型為4例，Ⅳ型為7例，Ⅴ型為6例，Ⅵ型為4例，Ⅶ型為5例，Ⅷ型為3例。兩組患者性別、年齡以及骨折分型等一般資料差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。
　　1.2 治療方法
　　所有患者均采用手法復(fù)位石膏托外固定治療法，在患者進(jìn)行手術(shù)之前，先對(duì)患者實(shí)施臂叢神經(jīng)阻滯麻醉，待麻醉發(fā)揮藥效之后，便可從患者患肢遠(yuǎn)端沿縱軸對(duì)于移位骨實(shí)施牽引，從而達(dá)到矯正的效果，然后采用反折手法對(duì)于骨折部分進(jìn)行復(fù)位。在達(dá)到較好的復(fù)位效果之后，采用石膏托于患者腕關(guān)節(jié)進(jìn)行固定。在1～2周之后對(duì)于患者的復(fù)位情況進(jìn)行觀察，判斷是否存在石膏松動(dòng)、移位等問題，如有異常應(yīng)立即重新固定。在3～4周之后，對(duì)患者進(jìn)行X線拍片檢查，觀察患者愈合情況。在患者采用石膏托進(jìn)行固定期間，應(yīng)該將患者患肢抬高，并隨時(shí)檢查患者患肢末端的血運(yùn)情況。

相關(guān)熱詞搜索：橈骨 復(fù)位 石膏 骨折 療效