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手法复位夹板外固定治疗儿童桡骨远端骨折临床观察

Investigation of Therapeutic Effect of Manipulative Reduction with External Fixation of Small Splint in Treating Children with Distal Radial Fractures

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【作者】 沈钦荣张居适胡关彪毛小明凌义龙徐之江孟永久丁积勇吴明包敏

【Author】 SHEN Qin-rong,ZHANG Ju-shi,HU Guan-biao,MAO Xiao-ming,LING Yi-long,XU Zhi-jiang,MENG Yong-jiu,DING Ji-yong,WU Ming,BAO Min(Department of Orthopaedic,Shaoxing Hospital of TCM,Shaoxing 312000,Zhejiang,China)

【机构】 绍兴市中医院

【摘要】 目的:研究"压、端、牵"手法的要领;旋后背伸位与旋前掌屈位固定疗效比较。方法:选择观察组48例、对照组46例,加以比较。结果:94例疗效均获优。结论:"压、端、牵"手法操作简便,损伤小,其要领是术者必须定位准,并与助手相互协调;旋后背伸位与旋前掌屈位固定最后疗效无明显差别,但前者较后者消肿时间短,背伸、旋后功能恢复快。

【Abstract】 Objective:To study the main point of Manipulation of "Ya、Duan、Qian":to study the effect ot two methods of fixation(supinated fixation and pronated one) Methods:Ninty-four children with distal radial fractures were divided into 2 groups(Group A:48 children,treated by manipulative reduction with external fixation,supinated,Group B:46children,treated by manipulative reduction with extemal fixation,pronated),and the effect of two methods were studied.Result:We found all cases gaind good effect.Conclusion:Manipulation of "Ya,Duan,Qian" is convenient to do and the injury it brought is little.The main po int of it is that the actor should do correctly and in a coherent collaboration with his assitants.There Was no significant differences between the two methods(P < 0.05),and the former can lead to a quicker recover in function and make the swelling evade more quickly.

【基金】 浙江省中医药科技计划项目(2006C192)
  • 【文献出处】 中华中医药学刊 ,Chinese Archives of Traditional Chinese Medicine , 编辑部邮箱 ,2009年11期
  • 【分类号】R726.8
  • 【被引频次】2
  • 【下载频次】80
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