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目的：探讨老年人桡骨远端骨质疏松性骨折采用保守方案治疗临床效果。方法选取100例老年桡骨远端骨质疏松性骨折患者，均为我院骨科2010年5月~2013年5月收治，采用数字表抽取法随机分组，就石膏固定治疗(对照组，n=50)与中药外敷加小夹板外固定治疗(观察组，n=50)效果展开对比。结果两组第1d疼痛评分无差异(>0.05)，第7 d、14 d、28 d、6 w均低于对照组，有统计学差异(<0.05)。观察组骨折愈合时间为(30.58±4.36)d，明显少于对照组(46.71±7.85)d，有统计学差异(<0.05)。观察组腕关节功能恢复优良率为92%，明显高于对照组74%，有统计学差异(0.05, 28d, 6 weeks were lower than those in the control group, with statistically significant difference ( <0.05). The fracture healing time of the observation group was (30.58±4.36) d, significantly less than that of the control group (46.71±7.85) d, and there were significant differences ( <0.05). The recovery of wrist joint function in observation group was 74%, which was significantly higher than that of the control group ( <0.05), which was significantly higher than that of the control group . Conclusion according to clinical admitted elderly osteoporotic distal radial fracture patients, in small splint fixation and external application of Chinese medicine combined with conservative treatment, can significantly shorten the healing time, improve the function of wrist joint, reduce pain.