关键词: font-size:medium, ">桡骨远端骨折；可塑性支具；三色敷药；保守治疗

Abstract: Objective： To evaluate the clinical effect and safety of plastic wrist brace combined with Shi′s Sanse plaster in treating distal radius fracture. Methods： According to the random coding table， patients with type A and B distal radius fracture were randomly divided into 3 groups： plastic wrist brace combined with Shi′s Sanse plaster group， plastic wrist brace group and gypsum plaster group， with 60 cases in each group (180 cases in total). After manipulation， plastic wrist brace combined with Shi′s Sanse plaster， plastic wrist brace， gypsum plaster support were applied respectively in the three groups for fixation. The VAS pain scores， Cooney wrist function scores and adverse events of the three groups were recorded and compared before the treatment and 2， 4， 6 and 8 weeks after the treatment. Results： The VAS score in the brace with Shi′s Sanse group was superior to the brace group (t=3.151， P=0.002 1) and the gypsum group(t=3.393， P=0.000 9)， and there was no statistical difference between the latter two groups (t=0.498 4， P=0.619 1). 8 weeks after the treatment， the Cooney wrist function score of the brace with Shi′s Sanse group was superior to that of the brace group (t=2.184， P=0.030 9) and the gypsum group (t=2.67， P=0.008 7)， and there was no statistical difference between the latter two groups (t=0.6371， P=0.525 3). The Cooney functional score of patients with type A fracture was better than that of patients with type B fracture in the plastic wrist brace combined with Shi′s Sanse plaster group (t=4.216， P<0.000 1)， and there was no statistical difference in Cooney functional scores between type A fracture patients and type B fracture patients in the brace group and the plaster group (t=1.222， P=0.226 6； t=0.597， P=0.552 8). There was statistical difference in the incidence of tension blisters among the three groups (χ2=10.29， P=0.005 8)， and no statistical difference in the incidence of skin allergy and fracture redisplacement (χ2=0.774 6， P=0.678 9； χ2=2.019， P=0.364). Conclusion： For patients with distal radial fractures of type A and some type B patients， plastic wrist brace combined with Shi′s Sanse plaster can reduce wrist pain， promote functional recovery safely， which is worthy of clinical application. Contraindications such as allergies to the plaster should be paid attention in the clinical application.

Key words: font-size:medium, ">Distal radius fracture； Plastic wrist brace； Sanse plaster； Conservative treatment