旋转配合推按手法治疗儿童桡骨颈骨折临床研究
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R726.8;R244.1

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Clinical Study on Rotating Manipulation Combined with Pushing and Pressing Manipulation for Radial Neck Fracture in Children
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    摘要:

    目的:评价旋转配合推按手法治疗儿童桡骨颈骨折的临床疗效。方法:选取儿童桡骨颈骨折患者 86 例,按随机数字表法分为对照组和观察组各 43 例。对照组采用撬拨复位经皮弹性钉内固定手术治疗,观察组采取旋转配合推按手法治疗。比较2 组临床疗效。结果:观察组优良率为 88.37%,对照组为 90.70%,2 组比较,差异无统计学意义 (P>0.05)。12 个月后随访, 2 组均未出现桡骨头过度生长、骺板早闭、桡骨头缺血性坏死等症状。结论:旋转配合推按手法治疗儿童桡骨颈骨折,临床疗效与手术治疗相当,可以免除患者手术之苦。

    Abstract:

    Abstract: Objective: To evaluate the clinical effect of rotating manipulation combined with pushing and pressing manipulation for radial neck fracture in children. Methods: A total of 86 cases of children with radial neck fracture were selected and divided into the control group and the observation group according to the random number table method , 43 cases in each group. The control group was given percutaneous poking reduction combined with internal fixation with elastic intramedullary pin,and the observation group was given rotating manipulation combined with pushing and pressing manipulation. The clinical effect was compared between the two groups. Results:The excellent and good rate was 88.37% in the observation group,and 90.70% in the control group;there was no significant difference being found in the comparison of the rate between the two groups(P>0.05). In the follow- up a year after surgery,no overgrowth and ischemic necrosis of radial head, premature closure of epiphyseal plate, or other symptoms occurred in the two groups. Conclusion: In the treatment of radial neck fracture in children,the clinical effect of rotating manipulation combined with pushing and pressing manipulation is equivalent to that of the surgery. Rotating manipulation combined with pushing and pressing manipulation can relieve pain induced by the surgery.

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霍力为,王广伟,许宜栋,戴戈荣,徐婉毅,指导:黄崇博.旋转配合推按手法治疗儿童桡骨颈骨折临床研究[J].新中医,2020,52(23):119-121

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  • 在线发布日期: 2020-12-09
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