手法复位治疗小儿桡骨小头半脱位60例

目的：探索小儿桡骨小头半脱位的诊断、治疗，减少误诊、漏诊，提高复位成功率。方法：通过细致诊断，明确后手洁复位。结果：全部患儿桡骨小头半脱位复位成功。结论：耐心诊断，轻巧的手法复位是诊治的关键。     

螺钉滑丝处理分析

钉板内固定中钉帽凹槽在被螺丝刀旋转中容易发生槽壁破坏滑丝，如何处理值得探索。本院自1990年至2007年手术中发生螺钉帽破坏92例，取出87例．5例在取出困难下经患者要求放弃取出。现报告如下。     

DCS治疗A3型股骨近端骨折

股骨粗隆部骨折是常见骨折．特别是老年人．对于有移位的不稳定性骨折手术复位内固定已成为公认的首选治疗方案，可明显减少由于长期卧床所致的各种并发症。目前手术治疗内固定材料及方法较多，但临床应用最常见的还是动力髋螺钉（DHS）、动力髁螺钉（DCS）、     

经伤椎椎弓根螺钉系统内固定治疗胸腰椎爆裂性骨折

目的 探讨经伤椎椎弓根螺钉系统内固定治疗胸腰椎爆裂性骨折的可能性.方法 采用经伤椎椎弓根螺钉系统内固定治疗64例单节段胸腰椎爆裂性骨折患者,其中T_(11)5例,T_(12)20例,L_1 22例,L_2 11例,L_36例.结果 伤椎高度恢复至正常的95.6%,后凸角矫正至4.08°±0.11°.椎管骨块占位程度由术前的43.1%,减少至术后的8.9%,伤椎椎体愈合满意,不完全神经损伤患者术后脊髓神经功能有1～2级的恢复.无神经损伤加重等并发症.结论 经伤椎椎弓根螺钉系统内固定是治疗胸腰椎爆裂性骨折安全有效的方法.     

Clinical observation of auricular acupoint therapy for pain in early-stage extremity trauma

Objective

To observe the efficacy of auricular acupoint sticking based on conventional treatment in treating pain in early-stage extremity trauma.

Methods

A hundred eligible patients with acute soft tissue injury or acute closed fracture were randomized into an observation group and a control group by their admission sequence, 50 cases in each group. The two groups both received routine management including routine checking, external fixing, traction, raising up the affected limb, etc., as well as cold compress with Chinese medication (Xiao Zhong Zhi Tong Powder). In addition to the routine management, the control group was given oral administration of amidopyrine and phenacetin compound tablet, 1 tablet per dose, twice a day, which was then taken only when necessary or terminated after pain subsided. The observation group was given auricular acupoint sticking in addition to the routine management. The two groups were compared in terms of numerical rating scale (NRS) score, therapeutic efficacy and adverse reactions after pain was relieved.

Results

After the intervention, the NRS scores dropped significantly in both groups (P<0.01); the NRS score in the observation group was significantly lower than that in the control group (P<0.05). The total effective rate in the observation group was superior to that in the control group (P<0.05). There were no severe adverse reactions in the two groups.

Conclusion

Based on routine management, auricular acupoint sticking can produce a more significant efficacy in treating pain in early-stage extremity trauma compared to amidopyrine and phenacetin compound tablet; it can effectively reduce pain of the affected limb and prevent complications; it’s easy-to-operate and safe; patients can learn and understand it easily; its efficacy is confirmed; it enhances the satisfaction degree of the inpatients. Therefore, this method is worth promoting in clinic.