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目的:探讨中药熏洗对老年人桡骨远端骨折手法复位并小夹板外固定后临床指标的影响。方法:选择2015年11月至2018年11月宁波市中医院收治的老年桡骨远端骨折患者180例，采用随机数字表法分为对照组和观察组，每组90例。两组患者均进行手法复位并小夹板固定治疗，观察组在对照组治疗基础上加用中药熏洗治疗。比较两组患者血浆黏度、血清肿瘤坏死因子α(TNF-α)、白细胞介素1(IL-1)、白细胞介素6(IL-6)水平、临床疗效和不良反应发生情况。结果:治疗前两组患者血浆黏度以及血液中相关炎性因子(TNF-α、IL-1、IL-6)指标差异均无统计学意义(n t＝－0.171、－0.126、0.483、0.459，均n P>0.05)；治疗后两组上述指标均较治疗前明显降低(观察组：n t＝38.970、14.684、72.258、53.612；对照组：n t＝20.098、19.045、33.962、34.822，均n P<0.05)，且观察组较对照组更低(n t＝－30.239、－7.043、－31.815、－10.359，均n P<0.05)。观察组总有效率为88.88%(80/90)，明显高于对照组的71.11%(64/90)，差异有统计学意义(χn 2＝8.889，n P0.05). After treatment, the above indicators in the two groups were significantly lower than those before treatment(observation group:n t=38.970, 14.684, 72.258, 53.612; control group: n t=20.098, 19.045, 33.962, 34.822, all n P<0.05), which in the observation group were lower than those in the control group (n t=-30.239, -7.043, -31.815, -10.359, all n P<0.05). The total effective rate of the observation group was 88.88%(80/90), which was higher than 71.11%(64/90) of the control group, the difference was statistically significant between the two groups(χ2=8.889,n P<0.05).n Conclusion:For the elderly patients with distal radius fracture, the combination of reduction and small splint fixation and fumigation with traditional Chinese medicine can significantly improve the hemorheology of the patients and reduce the contents of inflammatory factors in the body, with significant efficacy and no adverse reactions, which is worthy of clinical application.