中药内服联合中医手法复位治疗 闭合性前臂骨折的临床疗效

Clinical Efficacy of Traditional Chinese Medicine Oral Administration Combined with Traditional Chinese Medicine Manual Reduction in the Treatment of Closed Forearm Fractures

摘要:

〔摘 要〕 目的：观察中药内服联合中医手法复位治疗闭合性前臂骨折的临床疗效。 方法：选取漳州市漳浦中医院 2022 年 1 月至 2022 年 12 月收治的 66 例闭合性前臂骨折患者，按照是否实施中药内服联合中医手法复位治疗将患者分为 对照组（中医手法复位治疗）与观察组（中药内服联合中医手法复位治疗），每组 33 例，比较两组患者治疗效果。 结果：观察组患者治疗后 3 d、7 d、14 d 的视觉模拟评分法（VAS）评分低于对照组，差异具有统计学意义（P ＜ 0.05）；观察组 患者并发症总发生率低于对照组，差异具有统计学意义（P ＜ 0.05）；治疗 3 个月后，观察组患者尺偏角、掌倾角、前臂旋前、 前臂旋后度均高于对照组，差异具有统计学意义（P ＜ 0.05）；观察组患者总有效率高于对照组，差异具有统计学意义 （P ＜ 0.05）。 结论：闭合性前臂骨折患者中药内服联合中医手法复位治疗效果优于单一中医手法复位治疗。

Abstract:

〔Abstract〕 Objective To observe the clinical efficacy of traditional Chinese medicine oral administration combined with traditional Chinese medicine manual reduction in the treatment of closed forearm fractures. Methods A total of 66 patients with closed forearm fracture admitted to Zhangzhou Zhangpu Hospital of Traditional Chinese Medicine from January 2022 to December 2022 were selected. The patients were divided into a control group (traditional Chinese medicine manual reduction treatment) and an observation group (traditional Chinese medicine oral administration combined with traditional Chinese medicine manual reduction treatment) according to whether the treatment was implemented, with 33 cases in each group. The treatment effects of the two groups were compared. Results The visual analogue scales (VAS) scores of the observation group were lower than those of the control group at 3, 7 and 14 days after treatment, the differences were statistically significant (P < 0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). After 3 months of treatment, the ulnar declination, palmar inclination, forearm pronation and forearm pronation in the observation group were higher than those in the control group, the differences were statistically significant (P < 0.05). The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion The therapeutic effect of traditional Chinese medicine oral administration combined with traditional Chinese medicine manual reduction is better than that of single traditional Chinese medicine manual reduction for closed forearm fracture.