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目的:观察中医整骨法治疗儿童尺桡骨双骨折的临床疗效。方法:将92例尺桡骨双骨折患儿随机分为对照组和观察组各46例。对照组采用传统手术对骨折进行复位治疗,观察组采用整骨法进行治疗。随访1年,观察患者前臂旋转功能、骨折对位情况、骨折愈合情况及腕关节功能情况。结果:观察组骨折对位情况与对照组相当;治疗后6月,观察组前臂旋转功能恢复优于对照组(P<0.05);观察组腕关节功能恢复优于对照组(P<0.05);观察组骨折平均愈合时间为(51.3±9.1)天,短于对照组的(57.5±10.2)天(P<0.01);观察组综合疗效与对照组相当(P>0.05)。结论:采用中医整骨法加固定治疗儿童尺桡骨双骨折,骨折愈合时间比手术治疗短,前臂旋转功能和腕关节功能恢复均优于传统手术方案。
Objective: To observe the clinical effect of traditional Chinese medicine for the treatment of ulna and radius double fractures in children. Methods: A total of 92 children with ulna and radius fractures were randomly divided into control group and observation group with 46 cases each. The control group was treated by traditional surgery for the reduction of fractures, while the observation group was treated by the osteopathic method. The patients were followed up for 1 year to observe forearm rotation, fracture alignment, fracture healing and wrist joint function. Results: The position of the fracture in the observation group was comparable to that in the control group. The recovery of forearm rotation function in the observation group was better than that in the control group (P <0.05) at 6 months after treatment. The functional recovery in the observation group was better than that in the control group (P <0.05). The average healing time of observation group was (51.3 ± 9.1) days, which was shorter than that of control group (57.5 ± 10.2) days (P <0.01). The curative effect in observation group was similar to that in control group (P> 0.05). CONCLUSION: The treatment of ulnar and radial fractures in children with Chinese orthopedic method can shorten the healing time of the fractures, and the recovery of forearm rotation function and wrist function are superior to the traditional surgical methods.