| 超短波和磁疗仪早期介入治疗桡骨远端骨折的临床对照研究 |
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Received:March 22, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王关杰 |
WANG Guan-jie |
自贡市第一人民医院,四川 自贡 643000 |
Department of Rehabilitation,No.1 People's Hospital of Zigong City,Zigong 643000,Sichuan,China |
373797531@qq.com |
| 刘佳 |
LIU Jia |
自贡市第一人民医院,四川 自贡 643000 |
Department of Rehabilitation,No.1 People's Hospital of Zigong City,Zigong 643000,Sichuan,China |
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| 期刊信息：《中国骨伤》2012年25卷，第7期，第572-575页 |
| DOI：10.3969/j.issn.1003-0034.2012.07.011 |
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目的：探讨早期采取超短波、磁疗仪治疗对桡骨远端骨折小夹板固定后肿胀消退情况的影响。
方法：自2007年3月至2010年5月,采用手法复位、小夹板外固定治疗桡骨远端骨折患者90例,按照患者就诊序号随机将患者分为电物理治疗组、西药组及对照组,每组30例。对照组：男9例,女21例;年龄(61.29±1.97)岁;仅抬高患肢,进行患肢手指屈伸锻炼,此治疗同样在其他2组进行。电物理治疗组：男9例,女21例;年龄(62.37±2.48)岁;予超短波、磁疗仪早期进行治疗,每日1次,5 d为1个疗程,治疗3个疗程。西药组：男8例,女22例;年龄(60.12±2.87)岁;予20 mg β-七叶皂甙钠针静脉输入,每日1次,连续5 d,5 d后改用20 ml丹参注射液静脉输入,每日1次,连续10 d治疗。手法复位、小夹板固定后20 d内每日1次对患肢肿胀情况进行评定。
结果：电物理治疗组、西药组、对照组肿胀消退时间分别为(9.62±3.32)、(10.05±3.05)、(14.57±2.93) d,电物理治疗组和西药组肿胀消退时间均短于对照组(P<0.05),电物理治疗组与西药组相比,差异无统计学意义(P>0.05).电物理治疗组、西药组、对照组肿胀消退有效率分别为86.67%、80.00%、46.66%,电物理治疗组、西药组总体疗效无明显差异,均优于对照组。
结论：桡骨远端移位骨折患者复位后,早期运用超短波、磁疗仪治疗患肢肿胀,和静脉滴注β-七叶皂甙钠注射液、丹参注射液疗效相似,能明显促进患肢肿胀的消退。 |
| [关键词]:桡骨骨折 小夹板固定 物理治疗技术 临床对照研究 |
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| Clinical randomized controlled trial on ultrashort wave and magnetic therapy for the treatment of early stage distal radius fractures |
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Abstract:
Objective: To explore the effect of application of ultrashort wave and magnetic therapy instrument on the swelling regression in distal radius fractures treated by splint external fixation in initial stage.
Methods:From March 2007 to May 2010,90 patients with distal radial fracture were treated by manual reduction and splint external fixation. After manual reduction and small splints external fixation,these patients were randomly divided into electrical physical therapy group,western medicine group and the control group by the order of calling number,with 30 cases each group. In control group,there were 9 males and 21 females with an average age of(61.29±1.97) years,the patients raised and exercise the limb and fingers only. The other two groups also carried out this treatment. In electrical physical therapy group,there were 9 males and 21 females with an average age of (62.37±2.48) years,the patients were treated with ultrashort wave and magnetic therapy instrument for early intervention,once a day,5 days for a course of treatment and three cycle were operated. In western medicine group,there were 8 males and 22 females with an average age of (60.12±2.87) years,the patients were injected with β-aescin (20 mg,intravenous injection,once a day) for 5 days,followed by Danshen injection(20 ml,intravenous injection,once a day) for 10 days. The limb swelling of patients were assessed every day for 20 days after manual reduction and small splints external fixation.
Results:The time of swelling regression in electrical physical therapy group,western medicine group and the control group were respectively (9.62±3.32),(10.05±3.05) and (14.57±2.93) days. Both of that in electrical physical therapy group and western medicine group were shorter than that in the control group (P<0.05),then there were not statistical difference between electrical physical therapy group and western medicine group (P>0.05). The effective rate of swelling regression in electrical physical therapy group,western medicine group and the control group were 86.67%,80.00%,46.66% respectively. There was no significant differences between electrical physical therapy group and western medicine group in the curative effect,but both of them had advantage over the control group.
Conclusion:Application of ultrashort wave and magnetic therapy instrument for treatment of distal radial fractures in initial stage can promote the regression of limb swelling evidently,which is similar to the intravenous infusion of β-aescin injection and Danshen injection in curative effect. |
| KEYWORDS:Radius fractures Small splint fixation Physical therapy techniques Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王关杰,刘佳.超短波和磁疗仪早期介入治疗桡骨远端骨折的临床对照研究[J].中国骨伤,2012,25(7):572~575 |
| 英文格式: | WANG Guan-jie,LIU Jia.Clinical randomized controlled trial on ultrashort wave and magnetic therapy for the treatment of early stage distal radius fractures[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(7):572~575 |
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