手法复位配合中医分期辨证治疗老年肱骨外科颈骨折40例
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摘要
目的:观察中医手法复位结合分期辨证治疗老年肱骨外科颈骨折的临床疗效。方法:选取本院收治的80例老年肱骨外科颈骨折患者作为研究对象,随机分为治疗组与对照组各40例,对照组给予西医常规闭合复位外固定(石膏)治疗,治疗组给予中医手法复位结合分期辨证中药治疗,疗程为8周,随访6个月,比较两组患者骨折恢复情况。结果:两组患者治疗后各项Neer肩关节功能评分均较治疗前明显改善(P<0.05),但同期治疗组疼痛、功能及活动范围评分较对照组改善明显(P<0.05),随访6个月时治疗组优良率明显高于对照组(χ2=8.520,P=0.034)。结论:中医手法复位结合分期辨证治疗老年肱骨外科颈骨折疗效显著。
Objective: To observe the clinical effects of manual reduction combined with syndrome differentiation by TCM stages on senile fracture of surgical neck of humerus. Methods: Totally 80 patients with senile fracture of surgical neck of humerus were selected and randomly divided into treatment group and control group,with 40 cases in each group. Control group were given conventional western medicine treatment of external fixation with closed reduction( gypsum plaster) while treatment group were given manual reduction combined with syndrome differentiation by TCM stages,with 8 weeks as a treatment course and 6 months of follow up. The recovery of the fracture in both groups was observed. Results: The scores of various Neer shoulder function in both groups got apparent improvement compared with before the treatment( P < 0. 05),and the improvement of pain,function and activity range in treatment group was better than that in control group at the same stage( P < 0. 05). At the time of 6- month follow up,the excellent and good rate in treatment group was obviously higher than that in control group( χ2= 8. 520,P = 0. 034). Conclusion: TCM manual reduction combined with syndrome differentiation by TCM stages has remarkable therapeutic effects on senile fracture of surgical neck of humerus.
Objective: To observe the clinical effects of manual reduction combined with syndrome differentiation by TCM stages on senile fracture of surgical neck of humerus. Methods: Totally 80 patients with senile fracture of surgical neck of humerus were selected and randomly divided into treatment group and control group,with 40 cases in each group. Control group were given conventional western medicine treatment of external fixation with closed reduction( gypsum plaster) while treatment group were given manual reduction combined with syndrome differentiation by TCM stages,with 8 weeks as a treatment course and 6 months of follow up. The recovery of the fracture in both groups was observed. Results: The scores of various Neer shoulder function in both groups got apparent improvement compared with before the treatment( P < 0. 05),and the improvement of pain,function and activity range in treatment group was better than that in control group at the same stage( P < 0. 05). At the time of 6- month follow up,the excellent and good rate in treatment group was obviously higher than that in control group( χ2= 8. 520,P = 0. 034). Conclusion: TCM manual reduction combined with syndrome differentiation by TCM stages has remarkable therapeutic effects on senile fracture of surgical neck of humerus.
引文
[1]马远.闭合或有限切开复位交锁髓内钉治疗肱骨外科颈骨折[J].中国伤残医学,2015,23(2):79-80.
[2]胡锡其.手法复位治疗老年肱骨外科颈骨折疗效观察[J].按摩与康复医学,2015,6(2):82-84.
[3]陈丽冰,吴彩勤.肱骨外科颈骨折手法复位后联合小夹板外固定治疗的临床护理观察[J].吉林医学,2014,35(30):6838-6839.
[4]Neer CS 2nd.Displaced proximal humeral fractures.I.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089.
[5]马桥生,林彬.中西医结合治疗肱骨外科颈骨折临床疗效观察[J].亚太传统医药,2014,10(17):70-72.
[6]张坤和,黄黎,王理德.锁定钢板联合植骨治疗老年性肱骨外科颈骨折临床分析[J].首都医药,2014,14(24):65-67.
[7]肖斌,谢珊珊,谢宝辉.手法复位联合小夹板外固定治疗肱骨外科颈骨折的临床观察[J].中国中医药现代远程教育,2014,14(20):32-35.
[8]魏伟明,郑建河,叶握球,等.锁定钢板治疗肱骨外科颈骨折的临床效果[J].中国当代医药,2014,21(35):33-35.
[9]赖少华,姚富华,黄国财,等.肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的疗效比较[J].临床骨科杂志,2014,34(B11):240-243.
[10]欧洪欣.探究股骨粗隆间骨折内固定植骨与非植骨疗效的比较研究[J].河南中医,2014,34(6):709-710.
[11]陈建国,郭卫春.股骨近端抗旋髓内钉与股骨近端锁定钢板在治疗老年骨质疏松性股骨粗隆间骨折的疗效比较分析[J].中医学报,2014,34(3):474-476.
[12]古子文.不同手术方法治疗中老年肱骨外科颈骨折临床疗效对比[J].现代医药卫生,2014,30(14):2162-2165.
[2]胡锡其.手法复位治疗老年肱骨外科颈骨折疗效观察[J].按摩与康复医学,2015,6(2):82-84.
[3]陈丽冰,吴彩勤.肱骨外科颈骨折手法复位后联合小夹板外固定治疗的临床护理观察[J].吉林医学,2014,35(30):6838-6839.
[4]Neer CS 2nd.Displaced proximal humeral fractures.I.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089.
[5]马桥生,林彬.中西医结合治疗肱骨外科颈骨折临床疗效观察[J].亚太传统医药,2014,10(17):70-72.
[6]张坤和,黄黎,王理德.锁定钢板联合植骨治疗老年性肱骨外科颈骨折临床分析[J].首都医药,2014,14(24):65-67.
[7]肖斌,谢珊珊,谢宝辉.手法复位联合小夹板外固定治疗肱骨外科颈骨折的临床观察[J].中国中医药现代远程教育,2014,14(20):32-35.
[8]魏伟明,郑建河,叶握球,等.锁定钢板治疗肱骨外科颈骨折的临床效果[J].中国当代医药,2014,21(35):33-35.
[9]赖少华,姚富华,黄国财,等.肱骨近端锁定加压钢板与解剖钢板治疗老年肱骨外科颈骨折的疗效比较[J].临床骨科杂志,2014,34(B11):240-243.
[10]欧洪欣.探究股骨粗隆间骨折内固定植骨与非植骨疗效的比较研究[J].河南中医,2014,34(6):709-710.
[11]陈建国,郭卫春.股骨近端抗旋髓内钉与股骨近端锁定钢板在治疗老年骨质疏松性股骨粗隆间骨折的疗效比较分析[J].中医学报,2014,34(3):474-476.
[12]古子文.不同手术方法治疗中老年肱骨外科颈骨折临床疗效对比[J].现代医药卫生,2014,30(14):2162-2165.