手法整复联合活血止痛汤治疗老年肱骨骨折疗效研究
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摘要
目的:深入探究在临床治疗老年肱骨骨折患者中施以手法整复+活血止痛汤联合治疗的施行疗效。方法:随机筛选于2016年1月—2018年1月入院接受诊治的86例老年肱骨骨折患者,平均分配为探析组与对照组,各为43例。对照组(n=43)施以手术复位内固定进行治疗;探析组(n=43)施以手法整复+活血止痛汤进行联合治疗。将两组的施行疗效、生活评分情况、骨折愈合时长进行分析与比较。结果:探析组的施行疗效显著优于对照组(P<0.05);相比于对照组,探析组的生活评分得到明显提升(P<0.05);两组骨折愈合时长比较差异较小,不存在统计学意义(P>0.05)。结论:在临床治疗老年肱骨骨折患者中施以手法整复+活血止痛汤联合治疗,疗效更为可观。相比于手术复位内固定进行治疗,手法整复+活血止痛汤进行联合治疗的骨折愈合时长短,可在最大限度上提高患者的日常生活质量。在临床中,医疗价值高。
Objective:To explore the curative effect of manipulative reduction combined with Huoxue Zhitong Decoction in the treatment of elderly patients with humeral fractures. Methods:86 cases of senile humeral fractures were randomly selected and treated in January 2016—January 2018. The average of the patients was divided into the analysis group and the control group,each of which was 43 cases. The control group(n=43) was treated by surgical reduction and internal fixation,and the analysis group(n=43)was treated by manipulative reduction combined with Huoxue Zhitong Decoction. The efficacy,life score and duration of fracture healing were analyzed and compared between the 2 groups. Results:The efficacy of the analysis group was significantly better than that of the control group(P<0.05). Compared with the control group,the life score of the analysis group was significantly improved(P<0.05);the 2 groups were less different in length of fracture healing,and there was no statistical significance(P>0.05). Conclusion:In clinical treatment of elderly patients with humeral fractures,the use of manipulative reduction combined with Huoxue Zhitong Decoction combined treatment,the effect is even more impressive. Compared with the treatment of surgical reduction and internal fixation,manual treatment and Huoxue Zhitong Decoction can improve the quality of daily life of the patient to the maximum. In clinical,medical value is high.
Objective:To explore the curative effect of manipulative reduction combined with Huoxue Zhitong Decoction in the treatment of elderly patients with humeral fractures. Methods:86 cases of senile humeral fractures were randomly selected and treated in January 2016—January 2018. The average of the patients was divided into the analysis group and the control group,each of which was 43 cases. The control group(n=43) was treated by surgical reduction and internal fixation,and the analysis group(n=43)was treated by manipulative reduction combined with Huoxue Zhitong Decoction. The efficacy,life score and duration of fracture healing were analyzed and compared between the 2 groups. Results:The efficacy of the analysis group was significantly better than that of the control group(P<0.05). Compared with the control group,the life score of the analysis group was significantly improved(P<0.05);the 2 groups were less different in length of fracture healing,and there was no statistical significance(P>0.05). Conclusion:In clinical treatment of elderly patients with humeral fractures,the use of manipulative reduction combined with Huoxue Zhitong Decoction combined treatment,the effect is even more impressive. Compared with the treatment of surgical reduction and internal fixation,manual treatment and Huoxue Zhitong Decoction can improve the quality of daily life of the patient to the maximum. In clinical,medical value is high.
引文
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[17]陈冠华,唐上德,秦德芳.手法复位夹板外固定治疗肱骨近端骨折的临床疗效分析[J].齐齐哈尔医学院学报,2014,35(9):1306-1307.
[18]张守军.手法复位夹板外固定与切开复位内固定治疗肱骨近端骨折的价值探讨[J].医学理论与实践,2015,28(9):1215-1217.
[19]黄光勇.麻醉下行手法复位,小夹板外固定在肱骨近端骨折中的应用体会[J].临床心身疾病杂志,2016,22(z1):76.
[20]蔡敏,余征,许振波.手法复位弹性钉髓内固定治疗儿童肱骨近端骨折[J].实用中西医结合临床,2016,16(3):53-55.
[2]卓卫民.分步手法复位肘关节外翻位固定联合外用中药治疗婴幼儿肱骨髁上骨折疗效观察[J].现代中西医结合杂志,2016,25(4):428-430.
[3]段学明,黄绍亮,童旌峰,等.分步手法复位肘关节外翻位固定联合自制骨伤1号方外敷治疗儿童肱骨髁上骨折临床疗效观察[J].四川中医,2016(7):160-162.
[4]任伟亮,朱艳风,韩昆,等.骨愈复原汤联合手法整复后小夹板外固定治疗老年Colles骨折的疗效观察[J].现代中西医结合杂志,2016,25(19):2098-2100.
[5]刘铀宁.益气活血汤联合手法复位外固定对老年骨折术后康复的影响[J].三峡大学学报(自然科学版),2017(S1):186-188.
[6]粱强.手法复位联合小夹板外固定治疗肱骨外科颈骨折临床疗效分析[J].河北医学,2013,19(11):1691-1694.
[7]唐骅,李其庆.手法复位联合小夹板外固定治疗肱骨外科颈骨析临床效果观察[J].创伤外科杂志,2014,16(2):162.
[8]冯献礼,赵景才,高彤.手法复位联合PKP治疗老年骨质疏松性椎体骨折效果分析[J].山东医药,2016,56(14):93-94.
[9]王殿琪,刘晗,孙旭明,等.骨康方联合手法复位治疗老年肱骨外科颈骨折的疗效观察[J].医学信息,2016,29(30):71-72.
[10]聂团元.手法复位联合中药汤剂治疗小儿肱骨髁上骨折疗效分析[J].心理医生,2015,21(22):96-97.
[11]周青.桃红四物汤联合手法复位治疗肱骨髁上骨折的效果观察[J].内蒙古中医药,2017,36(10):18.
[12]杨洪起,郝同玉.正骨手法联合经皮锁定钢板固定治疗老年肱骨近端骨折患者的临床效果[J].医疗装备,2017,30(3):3-4.
[13]王卫刚.肱骨颈骨折的支架外固定联合手法整复治疗的效果观察[J].医药前沿,2012,2(1):221.
[14]孙健.支架外固定联合手法整复治疗肱骨颈骨折的疗效观察[J].临床医药文献电子杂志,2017,4(47):9191.
[15]刘洪.手法复位联合外固定治疗肱骨近端骨折48例[J].光明中医,2017,32(6):848-849.
[16]黄炜,颜冰.手法复位夹板外固定与切开复位内固定治疗肱骨近端骨折的疗效比较[J].中国基层医药,2014(19):2971-2972.
[17]陈冠华,唐上德,秦德芳.手法复位夹板外固定治疗肱骨近端骨折的临床疗效分析[J].齐齐哈尔医学院学报,2014,35(9):1306-1307.
[18]张守军.手法复位夹板外固定与切开复位内固定治疗肱骨近端骨折的价值探讨[J].医学理论与实践,2015,28(9):1215-1217.
[19]黄光勇.麻醉下行手法复位,小夹板外固定在肱骨近端骨折中的应用体会[J].临床心身疾病杂志,2016,22(z1):76.
[20]蔡敏,余征,许振波.手法复位弹性钉髓内固定治疗儿童肱骨近端骨折[J].实用中西医结合临床,2016,16(3):53-55.