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目的观察比较小儿桡骨小头半脱位采取旋前复位法与常规旋后复位法治疗的效果。方法选择医院接诊的小儿桡骨小头半脱位患儿80例作为研究对象,家属均签署知情同意书,随机分为观察组和对照组,每组40例。对照组采取常规旋后复位法治疗,观察组采取旋前复位法治疗,观察记录2组患儿一次复位成功率、Mayo肘关节功能评分(MEPS)效果,及患儿家属对治疗满意率。结果观察组一次复位成功率为95.0%,高于对照组的85.0%(P<0.05);观察组复位后MEPS评定肘关节功能优良率为95.0%,显著高于对照组的75.0%(P<0.01);观察组患儿家属对治疗总满意率为97.5%,高于对照组的85.0%(P<0.05)。结论小儿桡骨小头半脱位采取旋前复位法治疗一次复位成功率高,肘关节功能优良率高,疼痛轻,且家属对治疗满意程度也高,值得借鉴。
Objective To compare the effect of pediatric radial head subluxation with pre-rotation and posterior rotation reduction. Methods Eighty children with radial head subluxation in children admitted to hospital were enrolled in this study. All relatives signed informed consent and were randomly divided into observation group and control group, 40 cases in each group. The control group was treated with conventional posterior rotation reduction. The observation group was treated with pronation reduction. The success rate of one-time reduction, Mayo elbow joint function score (MEPS) and the satisfaction rate of the family members to the treatment were recorded and recorded. Results The success rate of one-time reduction in the observation group was 95.0%, which was significantly higher than that in the control group (85.0%, P <0.05). The excellent and satisfactory rate of MEPS in evaluating elbow joint function was 95.0% in the observation group and 75.0% in the control group (P < 0.01). The total satisfaction rate of family members in the observation group was 97.5%, which was higher than that in the control group (85.0%, P <0.05). Conclusion The subluxation of the small head of the radial head in children treated by pre-rotation reduction has a high success rate of one-time reduction, high elbow joint function and good pain rate, and the family members are also satisfied with the treatment. It is worth learning from.