医学专业毕业论文10.doc

提 要 目的：确定手法整复小夹板外固定治疗Colles骨折的临床疗效，明确夹板的材质、形状和固定时限，并对扎带的拉力进行量化，以及骨折整复后患肢功能锻炼的方式和次数进行细化、量化，从而优化Colles骨折手法整复、固定及功能锻炼的治疗方案。方法：通过单盲、随机对照的方法，将40例Colles骨折患者分为治疗组、对照组，分别给予小夹板外固定和石膏外固定治疗，以症状体征计分作为主要观察指标，观察疼痛、活动、握力、畸形、放射学等指标，分别记录骨折整复前后、整复后半月、一月、三月的症状、体征并计分。结果：两组病例治疗前各随机因素无明显差异,骨折整复前后两组病例无明显差异（P0.05），整复后半月及一月，治疗组优于对照组（P0.05），整复后三月两组病例无明显差异（P0.05）。结论：手法整复小夹板外固定治疗Colles骨折疗效确切，配合规范的功能锻炼能有效促进骨折愈合及患肢功能康复。 关键词 Colles骨折；手法整复；小夹板；功能锻炼 The Clinical Research of Traditional Chinese Medical Treatme-nt and Rehabilitation Specifications on the Colles Fracture Speciality: Orthopaedics of TCM Author: Wang Wenbin Tutor: Prof. Zhang Junzhong Abstract Objective: To determinate the clinical curative effect of Colles fracture with manipulation and small splint external fixation; clear plate material, shapes, and fixed time limit, quantitate binding tapes tension; refine and quantify the way and frequency of affected limb functional exercises after treatment and optimize the treatment of Colles fracture with manual reductoin and fixation and functional exercise. Method: Divide 40 cases of patients with Colles fracture into control group and treatment group single-blind and randomly, which respectively treat for small splint external fixation and gypsum external fixation; judge symptoms and signs points as main outcome measures, and observe the index of pain, activities, gripping power, deformity, radiology , record score of before and after manipulation, a half months, a month and three months. Results: The two groups have no random factors differences before treatment, and no significant difference before and after manipulation（P0.05）. A half months and a month after the treatment, the treatment group than the control group（P0.05）, and three months the two groups have no significant difference（P0.05）.Conclusion: Manipulation and small splint external fixation in treating Colles fracture have efficacy. Combining the specifications of functional exercise have effective in promoting fracture