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为对名中医张绍富的手法整复杉树皮外固定结合皮牵引治疗小儿股骨干骨折的经验进行临床观察与疗效评价,以规范操作,便于推广。将15 3例小儿股骨干骨折采用多中心(4家医院)双盲随机(DME) 〔1〕法,分为两组,治疗组10 2例采用手法整复杉树皮外固定结合皮牵引治疗,对照组5 1例,采用手法整复石膏外固定治疗,分别进行临床疗效与卫生经济学评定。经1～3.5年(平均1.8年)的随访。结果显示,治疗组较对照组肿胀消退快,并发症减少,疼痛积分减少2 .6 9分,临床愈合时间缩短5 .7天,骨性愈合时间提前7.4天,肢体功能恢复至正常时间提前7.3天,远期疗效无差异,治疗费用明显减少。表明手法整复杉树皮外固定结合皮牵引治疗小儿股骨干骨折,能减轻患儿痛苦,缩短病程,疗效优良。
For the name of traditional Chinese medicine Zhang Shaofu manipulation of the whole cedar bark external fixation combined with skin traction treatment of pediatric femoral shaft fractures clinical experience and efficacy evaluation to standardize operations and facilitate the promotion. Fifty-three pediatric femoral shaft fractures were divided into two groups by double-blind randomized multi-center (4 hospitals) DME method. One hundred and two cases in the treatment group were treated with external fixation of cedar bark and skin traction , Control group 51 cases, the use of manual repair plaster external fixation, respectively, clinical efficacy and health economics assessment. After 1 to 3.5 years (mean 1.8 years) follow-up. The results showed that the treatment group than the control group swelling subsided faster, complications reduced, the pain points decreased 2.6 points, the clinical healing time shortened 5.7 days, 7.4 days earlier bone healing, limb function returned to normal 7.3 hours ahead of time Days, no difference in long-term efficacy, treatment costs significantly reduced. It shows that the method of the whole cedar bark external fixation combined with skin traction treatment of pediatric femoral shaft fractures, can reduce the pain of children, shorten the course of the disease, the curative effect is excellent.