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彭氏正骨手法整复桡骨远端伸直型骨折的生物力学分析及疗效观察
引用本文:肖林伟,刘斌,王永胜,赵振山,彭美忠.彭氏正骨手法整复桡骨远端伸直型骨折的生物力学分析及疗效观察[J].湖南中医药大学学报,2016(8):55-58.
作者姓名:肖林伟  刘斌  王永胜  赵振山  彭美忠
作者单位:湖南省邵阳市中西医结合医院骨伤科,湖南 邵阳,422000
基金项目:湖南省中医药科研计划项目(201369)。
摘    要:目的:通过观察彭氏正骨复位Colles骨折的临床效果,探讨分析其生物力学特点。方法2013年6月-2014年6月选择76例老年桡骨远端骨折(Colles)患者,并随机分为2组,治疗组38例,采用彭氏正骨手法,对照组38例采用教科书传统正骨手法,观察功能复位、生物力学及复位影像学三组综合指标,加以生物力学分析评价。结果通过对上述三组综合观察指标进行统计学分析,两组差异均具有统计学意义(P<0.05)。结论采用彭氏正骨复位Colles骨折技术,于术者能做到“省力、简、便、快”,更能减轻患者痛苦,提高患者生活质量,值得临床推广。

关 键 词:彭氏正骨手法  桡骨远端骨折  生物力学分析  功能疗效评价  复位影像学

Clinical Observation and Biomechanical Analysis of Bone Setting Manipulation Peng's Extension Type Distal Radius Fracture
Abstract:Objective To investigate the biomechanical characteristics of Peng's bonesetting reduction of Colles fracture through observing its clinical effect. Methods Seventy-six cases of senile fracture of the distal radius (Colles) patients in June 2013 - June 2014 were selected, and randomly divided into two groups, the treatment group with 38 cases, using the Peng's manipulation, the control group with 38 cases using the traditional textbooks of manipulation. The reset function, biomechanics and reset imaging indexes were observed and their biomechanics were evaluated. Results The above indexes of three groups were statistically analyzed, the difference is statistically significant (P<0.05). Conclusion Fracture technique using Peng's bonesetting reduction in Colles was "labor-saving, simple, convenient, fast", which can reduce the suffering of patients, improve the quality of life of patients. It is worthy of clinical promotion.
Keywords:Peng's bone setting manipulation  distal radius fracture  biomechanical analysis  functional evaluation  reset imaging
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