老年骨质疏松性桡骨远端骨折的治疗体会-论文.pdf

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1、2014年6月第4卷第12期·临床研究·老年骨质疏松性桡骨远端骨折的治疗体会罗伟民冷楠1．广东省阳山县中医院，广东阳山513100；2．暨南大学附属第一医院广州华侨医院胃肠外科，广东广州510630【摘要】目的探讨老年骨质疏松性桡骨远端骨折患者采用手法复位结合中西药治疗的效果。方法选择2004年10月2013年10月来我院治疗骨质疏松性桡骨远端骨折的老年患者58例，随机分成两组，给予全部患者手法整复夹板外固定疗法，治疗组加用中药治疗，对照组加用西药治疗，对两组患者的临床疗效进行比较。结果两组患者住院用时基本相同(P>0．05)；治疗

2、组患者无论是骨折愈合用时、骨折愈合程度，还是治疗半年后骨密度值均明显优于对照组(P<0．05o结论对于骨质疏松性桡骨远端骨折老年患者而言，由于患者年龄过大采取保守治疗效果最佳，手术治疗风险较大。西药治疗虽药效快，但患者的远期疗效不是十分理想，中药治疗治标治本，不但近期疗效理想，远期疗效更加显著。【关键词】老年骨质疏松性桡骨远端骨折；手法整复夹板外固定【中图分类号】R683．41【文献标识码1B【文章编号】2095—0616(2014)12—225—03Experienceofthetreatmentofsenileosteoporo

3、ticdistalradiusfracturesLUOWeLENGN覆1．YangshanCountyHospitalofTraditionalChineseMedicine，Yangshan513100，China；2．DepartmentofGastrointestinalSurgery，theFirstAfiliatedHospitalofGuangzhouOverseasChineseHospitalofJinanUniversity，Guangzhou510630，China【Abstract】ObjectiveDiscu

4、ssionfortheelderlyosteoporoticdistalradiusfractureswithmanualreductioncombinedwithwesternmedicineinthetreatmentofcurativeefect．Methods58elderlypatientsduring2004Octoberto2013Octoberselectedtocometoourhospitalfortreatmentofosteoporoticdistalradiusfracturecases，randomdiv

5、idedintotwogroups，givenallthepatientsmanipulativereductionandsplintexternalfixationtherapy，treatmentgroupwasaddedwithtraditionalChinesemedicinetreatment，thecontrolgroupwithwesternmedicinetreatment，tocomparetheclinicalefficacyoftwogroupsofpatients．ResultsTwogroupsofpati

6、entshospitalizedwithbasicallythesame>O．05)；thepatientsinthetreatmentgroupwereboththedegreeoffracturehealingfracturehealingincombination，orhalfayearaftertreatment，thebonedensitywassignificantlybetterthanthecontrolgroup(P<0．05)．ConclusionForosteoporoticdistalradiusfractu

7、resinelderlypatients，theageistoolargetoconservativetreatment。operationtreatmentofhighrisk．AlthoughtheeffeetofWesternmedicineinthetreatmentoffast，butthelong-termeficacyisnotideal，traditionalChinesemedicineinthetreatmentofcurethesymptoms，notonlyshort-termeffectideal，more

8、significantlong-termeffect．【Keywords1Osteoporoticdistalradiusfracture；Manipulativereductionandsplintexternalfixation临