【目的】观察正骨十四法复位小夹板固定联合骨八方 （由生地黄、丹参、桃仁、木通、红花、延胡索、三七等中药组 成） 对桡骨远端骨折的治疗效果。 【方法】回顾性分析2021年9月至2023年9月佛山市中医院骨科门诊采用正骨十四法复位小 夹板固定治疗的124例桡骨远端骨折患者临床资料，按照是否服用骨八方治疗将患者分为观察组63例和对照组61例。对照 组单纯给予正骨十四法复位小夹板外固定治疗，观察组给予正骨十四法复位小夹板外固定联合骨八方治疗，疗程为1个月并 随访6个月以上。观察2组患者治疗前和治疗3个月后腕关节旋前、旋后、掌屈活动度的变化情况，比较2组患者的腕关节 功能锻炼开始时间、伤肢肿胀消退时间、骨折愈合时间，并评价2组患者治疗6个月后的腕关节功能改善疗效。 【结果】 （1） 治疗后，观察组患者的腕关节功能锻炼开始时间、伤肢肿胀消退时间、骨折愈合时间均较对照组明显缩短，组间比较， 差异均有统计学意义 （P＜0.01） 。 （2） 治疗3个月后，2组患者的腕关节旋前、旋后、掌屈活动度均较治疗前明显改善 （P＜ 0.05） ，且观察组对腕关节旋前、旋后、掌屈活动度的改善幅度均明显优于对照组，差异均有统计学意义 （P＜0.01） 。 （3） 治疗 6个月后，对2组患者的腕关节功能进行评估，观察组的优良率为55.56% （35/63） ，对照组为45.90% （28/61） ；2组患者的腕 关节功能改善疗效比较，差异无统计学意义 （Z = 1.075，P = 0.282） 。 【结论】两种方式治疗桡骨远端骨折均可获得满意疗效， 患者的腕关节功能均得到有效恢复，而采用正骨十四法复位小夹板固定联合骨八方治疗可显著缩短伤肢肿胀消退时间，促 进骨折愈合与再生，改善腕关节功能，降低患者痛苦。

Objective To observe the therapeutic effect of fourteen bone-setting manipulations and small splint fixation combined with No. 8 Orthopedics Prescription （mainly composed of Rehmanniae Radix， Salviae Miltiorrhizae Radix et Rhizoma，Persicae Semen，Caulis Akebiae，Carthami Flos，Corydalis Rhizoma，and Notoginseng Radix et Rhizoma） on distal radius fracture. Methods A retrospective study was carried out in the analysis of the clinical data of 124 patients with distal radius fractures treated by fourteen bone-setting manipulations and small splint fixation in the Department of Orthopedics，Foshan Hospital of Traditional Chinese Medicine from September 2021 to September 2023. The patients were divided into an observation group （63 cases） and a control group （61 cases） depending on the medication of No.8 Orthopedics Prescription or not. The control group was treated with fourteen bone-setting manipulations and small splint fixation，while the observation group was treated with fourteen bone-setting manipulations and small splint fixation combined with No. 8 Orthopedics Prescription. The two groups were treated for s one month and then were followed up for more than six months. The changes in the range of motion （ROM） of wrist pronation and supination and palmar flexion in the two groups were observed before treatment and three months after treatment. The time for starting wrist function exercise，time for subsiding swelling of the affected limb and fracture healing time were compared between the two groups. After six months of treatment，the wrist function improvement effect of the two groups was evaluated. Results （1） After treatment，the time for starting wrist joint functional exercise，time for subsiding swelling of the affected limb and the time for fracture healing in the observation group were significantly shortened compared with those in the control group，and the differences were statistically significant between the two groups （P＜0.01） . （2） After three months of treatment，the ROM of wrist pronation and supination and palmar flexion in the two groups were significantly improved compared with those before treatment（P＜0.05），and the improvement of ROM of wrist pronation and supination and palmar flexion in the observation group was significantly superior to that in the control group，the differences being statistically significant （P＜0.01） . （3） After six months of treatment，the evaluation of the wrist joint function of the two groups showed that the excellent and good rate of the observation group was 55.56% （35/63）， and that of the control group was 45.90%（28/61） . There was no significant difference in the improvement of wrist function between the two groups （Z = 1.075，P = 0.282） . Conclusion Both methods can achieve satisfactory efficacy in the treatment of distal radius fracture，and the wrist function of the patients has been effectively restored. The treatment of fourteen bone-setting manipulations and small splint fixation combined with No.8 Orthopedics Prescription can significantly shorten the time for subsiding swelling of the affected limb， promote fracture healing and bone regeneration improve wrist function and relieve the pain of patients.

R274.11

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