Colles骨折手法整复后竹夹板固定与石膏固定的疗效比较

目的 通过随访对Colles骨折手法整复后竹夹板固定与石膏固定的疗效进行比较，确定Colles骨折手法整复后的有效治疗方案。方法 将120例Colles 骨折患者按随机数字表法随机分为竹夹板外固定组60例及石膏外固定组60例，骨折手法整复成功后，按照组别分别给予竹夹板固定及石膏固定治疗，外固定拆除后均给予中药熏洗1个月，6个月后进行随访，并按照Gartland and Werley 腕关节评分比较两组骨折患者的腕关节评分，以评价疗效。结果 竹夹板固定组优良率为83.3%，优于石膏固定组的56.7%（P<0.01）。结论 Colles骨折手法整复后竹夹板固定的疗效优于石膏固定。

Comparison of the Clinical Effects Between Bamboo Splint Fixation and Plaster Fixation after Manipulative Reduction in the Treatment of Colles Fractures

Objective To compare the clinical effects of bamboo splint fixation after manipulative reduction with plaster fixation in the treatment of Colles fractures through follow-up. Methods Totally 120 patients with Colles fractures were randomly divided into two groups according to the random number table, 60 patients in bamboo splint fixation group and 60 patients in plaster fixation group. After the success of manipulative reduction, patients were given bamboo splint and plaster fixation. After the removal of external fixation, all patients were given Chinese herbal fumigation for one month. Followed up the patients after 6 months, the therapeutic effects were evaluated according to Gartland-Werley wrist score. Results The excellent rate in bamboo splint fixation group 56.7% was was higher than the plaster fixation group 56.7% (P<0.01). Conclusion Bamboo splint fixation is more effective than plaster in treatment of Colles fractures after manipulative reduction.