不同频次驳骨油纱外敷治疗C olles骨折肿胀临床研究
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Clinical Study on External Application of Split-bone Gauze of Different Frequencies for Swelling after Colles Fracture
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    摘要:

    目的:探讨驳骨油纱外敷消除Colles骨折肿胀的最佳使用频次。方法:选取Colles骨折患者60例,随机分为2组,2组均使用手法复位夹板固定加驳骨油纱外敷治疗,实验1组每2天加入驳骨油并每周更换1次驳骨油纱;实验2组每周更换1次驳骨油纱,期间不加入驳骨油。2组均治疗4周,分别于治疗前、治疗1周、治疗2周以及治疗4周测量健侧及患侧手掌周径并记录健患侧周径差值。结果:所有病例均在6~8周内达到骨折临床愈合标准。治疗前,2组手掌周径差比较,差异无统计学意义(P>0.05);治疗后,2组多个观察时点周径比较采用重复测量方差分析,各观察时点组内比较,差异均有统计学意义(P<0.01);组间比较,差异有统计学意义(P<0.01);提示2组手掌周径差均随着治疗时间的增加而变小,且实验1组优于实验2组。结论:使用夹板内固定配合驳骨油纱外敷治疗Colles骨折时,每2天滴入1次驳骨油,会比每周更换1次驳骨油纱期间不滴入驳骨油消肿效果更为明显。

    Abstract:

    Objective:To discuss the optimal frequency of external application of split-bone ga uze for relieving swelling after Colles fracture.Methods:Selected 60 case of patients with Colles fracture,and divided them into two groups randomly.Both groups receivedmanual reduction combined with splint fixation and external application of split-bone gauze.The experiment group 1 received the instillment of split-bone gauze every two days and the replacement of split-bone gauze once a week,while the experiment group 2 received the replacement of split-bone gauze once a week without the instillment of split-bone gauze during the treatment.Both groups received treatment for 4 weeks.Measured the palm circumference at the healthy and affected side and recorded the differences of the palm circumference at normal and lesion side.Results:All the cases reached the clinical healing standard of fracture within 6 to 8 weeks.Before treatment,the palm circumferences in both groups were compared,difference being not significant(P > 0.05);after treatment,adopted repeated measures analysis of variance to compare the palm circumferences at various observation time points,and the intragroup comparison at each observation time point was made,differences being significant(P< 0.01);in comparison between two groups,differences showed significant(P< 0.01),which indicated the differences of palm circumferences in both groups were decreased as the treatment time increased,and the experiment group 1 was better than the experiment group 2.Conclusion:When Colles fracture is treated with manual reduction combined with splint fixation and external application of split-bone gauze,it is of more significant effect to instil split-bone gauze once in two days than replace split-bone gauze once a week without the instillment of split-bone gauze in the duration so as to relieve swelling.

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张迪晖,林韵颖,陈光熙.不同频次驳骨油纱外敷治疗C olles骨折肿胀临床研究[J].新中医,2018,50(1):71-73

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  • 在线发布日期: 2018-01-05
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