手法复位加石膏固定治疗桡骨远端骨折的临床疗效观察

目的探讨手法复位联合石膏固定治疗桡骨远端骨折的临床疗效。方法收集我院2009年11月至2011年11月收治的桡骨远端骨折患者128名，随机分为试验组和对照组，每组64名。两组入院后均予行相关检查，明确诊断后给予手法复位，其中试验组加用石膏固定治疗，对两组患者的临床疗效等相关指标进行比较分析。结果试验组的临床疗效明显优于对照组，两组的总体有效率、优等愈合率和差等愈合率分别为：96．87％、84．38％、3．13％和78．12％、45．31％、21．88％，差异具有统计学意义（P〈0．05）。而且试验组患者的临床愈合时间较对照组明显缩短，差异具有统计学意义（P〈0．05）。结论手法复位联合石膏固定治疗桡骨远端骨折具有临床治疗效果显著，操作简单，骨折愈合时间缩短等优点，能减轻患者的精神和经济负担，是较为理想的桡骨远端骨折治疗方法。

Observation on the clinical effect of the manipulative reduction combined with cast immobilization in the treatment of distal radius fractures

Objective To observe the clinical effect of the combination therapy on the distal radius fractures with manipulative reduction and cast immobilization. Methods 128 cases of distal radius fractures in our hospital from November 2009 to November 2011 were collected and randomly divided into experimental group and control group （64 cases each group）. Manipulative reduction was given to all the cases after confirmed the diagnosis by relative examinations, and experimental group was given cast immobilization. Evaluated and analyzed the clinical effect. Results The clinical efficacy of the experimental group was significantly better than that of the control group. The overall efficiency, excellent healing rate and poor healing rate of the two groups were as follows： 96.87%, 84.38% , 3.13% and 78.12%, 45.31% , 21.88% , the difference was statistically significance （ P 〈 0.05 ）. The healing time of the experimental group was significantly shorter than the control group, the difference was statistically significance （ P 〈 0.05 ）. Conclusion The clinical effect of manipulative reduction combined cast immobilization for the treatment of distal radius fracture was significant. It is the idea treatment of the distal radius fracture for its advantages such as simple to operate, shorten the healing time and reduce mental and financial burden of patients.