[1]廖 恒 左德灵 廖宁罡.手法复位外固定联合中药熏药治疗肱骨干骨折[J].大众科技,2022,24(08):98-101.
 Manual Reduction and External Fixation with Chinese Medicine Fumigation for Treatment of Humeral Shaft Fracture[J].Popular Science & Technology,2022,24(08):98-101.
点击复制

手法复位外固定联合中药熏药治疗肱骨干骨折()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年08
页码:
98-101
栏目:
医药与卫生
出版日期:
2022-08-20

文章信息/Info

Title:
Manual Reduction and External Fixation with Chinese Medicine Fumigation for Treatment of Humeral Shaft Fracture
作者:
廖 恒 左德灵 廖宁罡 
(柳州市中医医院,广西 柳州 545000)
关键词:
肱骨干骨折手法复位U形石膏小夹板中药熏药
Keywords:
humeral shaft fracture manual reduction U-shaped plaster small splint Chinese medicine fumigation
文献标志码:
A
摘要:
目的:探讨采用手法复位U形石膏+小夹板固定联合中药熏药治疗肱骨干骨折的临床疗效,评价其对患者肩、肘关节功能恢复的影响。方法:将68例肱骨干骨折患者随机分为对照组与治疗组,每组34例。对照组采用手法复位U形石膏固定2周,2周后更换为小夹板固定至骨折临床愈合;治疗组基于此在治疗2周更换为小夹板固定后加用中药熏药治疗。比较两组治疗前和治疗2、12周后患者的肩关节功能评分(Constant-Murley)和肘关节功能评分(Mayo)。结果:两组患者治疗前和治疗2周后的Constant-Murley、Mayo评分差异无统计学意义(P>0.05);治疗12周后,治疗组的Constant-Murley、Mayo评分均优于对照组,差异均有统计学意义(P<0.05)。结论:采用手法复位U形石膏+小夹板固定联合中药熏药治疗肱骨干骨折创伤小,肩、肘关节功能恢复良好,治疗效果满意。
Abstract:
Objective: To explore the clinical curative effect of manual reduction with the external fixation of U-shaped plaster + small splint combined with Chinese medicine fumigation in the treatment of humeral shaft fracture, and evaluate the function recovery of shoulder and elbow joint. Methods: 68 cases of humeral shaft fracture were randomly divided into control group and treatment group according to the random number table method and 34 cases each group. The control group received the external fixation of U-shaped plaster with 2 weeks and small splint at 2 weeks later until bone union, the treatment group was given Chinese medicine fumigation when replaced with small splint after 2 weeks on this basis. The shoulder function score (Constant-Murley) and elbow function score (Mayo) were compared between the two groups before and after 2, and 12 weeks of treatment. Results: Before and after 2 weeks of treatment, there were no significant differences in the Constant-Murley scores and Mayo scores between the two groups (P>0.05). After 12 weeks of treatment, the Constant-Murley score and Mayo score in treatment group were higher than those in control group, with statistically significant differences (P<0.05). Conclusion: The treatment of humeral shaft fracture with manual reduction and U-shaped plaster + small splint fixation combined with traditional Chinese medicine fumigation has small trauma, good shoulder and elbow function recovery, and satisfactory treatment effect.

参考文献/References:

[1] Kuei L Y, Chen K L, Tai Y W, et al. Radial nerve recovery following closed nailing of humeral shaft fractures without radial nerve exploration: a retrospective study[J]. World Journal of Clinical Cases, 2021, 9(27): 8044-8050. [2] Updegrove G F, Mourad W, Abboud J A.Humeral shaft fractures[J].Journal of Shoulder and Elbow Surgery, 2018, 27(4): 87-97. [3] 张伯松,李文毅,刘兴华,等. 肱骨干骨折手术与非手术治疗的比较[J]. 北京大学学报(医学版),2017,49(5): 851-854. [4] Matsunaga F T, Tamaoki M J, Matsumoto M H, et al. Minimally invasive osteosynthesis with a bridge plate versus a functional brace for humeral shaft fractures: a randomized controlled trial[J]. Journal of Bone and Joint Surgery, 2017, 99(7): 583-592. [5] 镇万源. 当归活血酒联合切开复位内固定术对肱骨近端骨折临床疗效观察[J]. 湖北中医药大学学报,2018,20(3): 72-74. [6] Siu W S, Shiu H T, Shum W T, et al.Chinese topical herbal medicine gives additive effect on pharmaceutical agent on fracture healing[J]. Journal of Traditional Chinese Medicine, 2019, 39(6): 853-860. [7] Meinberg E G, Agel J, Roberts C S, et al. Fracture and dislocation classification compendium, 2018[J]. Journal of Orthopaedic Trauma, 2018, 32(Suppl 1): S1-S10. [8] 汤普逊,兹罗特劳. 石膏固定操作手册[M]. 张保中,译. 北京: 人民军医出版社,2013. [9] Kanto K, Lahdeoja T, Paavola M, et al. Minimal important difference and patient acceptable symptom state for pain, constant-murley score and simple shoulder test in patients with subacromial pain syndrome[J]. BMC Medical Research Methodology, 2021, 21(1): 45. [10] Raju V, Ishwar S K, Amit K A, et al. Is early exploration of secondary radial nerve injury in patients with humerus shaft fracture justified[J]. Journal of Clinical Orthopaedics and Trauma, 2019, 10(3): 535-540. [11] Altintas B, Anderson N L, Boykin R, et al. Operative treatment of torsional humeral shaft fractures in throwers leads to an earlier return to sport: a survey of expert shoulder and elbow surgeons[J]. Knee Surgery, Sports Traumatology, and Arthroscopy, 2019, 27(12): 4049-4054. [12] Yang J, Liu D, Zhang L, et al. Treatment of humeral shaft fractures: a new minimally-invasive plate osteosynthesis versus open reduction and internal fixation: A case control study[J]. BMC Surgery, 2021, 21(1): 349. [13] Smolle M A, Bosmuller S, Puchwein P, et al. Complications in humeral shaft fractures-non-union, iatrogenic radial nerve palsy, and postoperative infection: A systematic review and meta-analysis[J]. EFORT Open Reviews, 2022, 7(1): 195-108. [14] Daoub A, Ferreira P M O, Cheruvu S, et al. Humeral shaft fractures: A literature review on current treatment methods[J]. The Open Orthopaedics Journal, 2022, 16. [15] Harry W S, Luke F, Scott B, et al. Operative versus non-operative treatment of humeral shaft fractures: A systematic review[J]. Shoulder and Elbow, 2020, 12(4): 229-242. [16] 李强,钱萍,周燕,等. 中医综合非手术疗法治疗肱骨干骨折疗效观察[J]. 中医临床研究,2018,10(18): 142-144. [17] 崔运利,刘振东,田冠玉,等. 应用悬垂石膏结合石膏夹板治疗肱骨投弹骨折的疗效[J]. 第三军医大学学报,2018,40(3): 255-258. [18] Shields E, Sundem L, Childs S, et al. The impact of residual angulation on patient reported functional outcome scores after non-operative treatment for humeral shaft fractures[J]. Injury, 2016, 47(4): 914-918. [19] 方志远,李华,李运海,等. 肱骨干骨折小夹板外固定技术扎带相关生物力学测量研究[J]. 中华中医药杂志,2017,32(8): 3793-3796. [20] 文海峰. 观察手法复位联合小夹板固定治疗四肢骨折的效果[J]. 当代医学,2021,27(9): 115-117. [21] 唐浩琛,向明,陈杭,等. 手法复位小夹板外固定结合微动理念锻炼治疗肱骨干骨折[J]. 中国骨伤,2016,29(1): 82-86. [22] 陈剑磨,凌义龙,沈剑增. 中药熏洗促进肱骨干骨折术后骨折愈合的临床分析[J]. 中国中医药科技,2019,26(3): 427-428. [23] 程政,姚东,雷宗恒,等. 中药外治法治疗骨折研究进展[J]. 实用中医药杂志,2022,38(3): 518-520. [24] Macke C, Winkelmann M, Mommsen P, et al. Injuries to the upper extremities in polytrauma: limited effect on outcome more than ten years after injury-a cohort study in 629 patients[J]. The Bone and Joint Journal, 2017, 99B(2): 255-260. [25] 阳庆军,汪鑫. 水下牵伸、关节松动对膝关节僵硬的康复疗效观察[J]. 中国康复,2020,35(3): 147-149. [26] 刘念,陈颂,马民,等. 中药熏蒸结合静态进展性牵伸治疗上肢骨折术后肘关节功能障碍的效果[J]. 河南外科学杂志,2021,27(5): 56-58. [27] 林砚铭,黄勇,樊效鸿. 手法复位外固定治疗肱骨干骨折[J]. 时珍国医国药,2014,25(10): 2463-2464. [28] 王广伟,霍力为,贺华勇,等. 手法复位小夹板外固定配合垂直悬吊治疗肱骨干中上段不稳定骨折[J]. 中医正骨,2019,31(3): 63-65,69.

备注/Memo

备注/Memo:
【收稿日期】2022-05-30 【作者简介】廖恒(1988-),男(壮族),广西来宾人,柳州市中医医院主治医师,硕士,从事中医骨伤工作。
更新日期/Last Update: 2022-09-19