CAJ | 학술논문

目的总结分析51例精神病人合并骨折的治疗体会.方法回顾分析我院1997年至2007年51例发生骨折的住院精神病人进行分析及相应处理.结果合并精神障碍组骨折病人骨折延迟愈合率和不愈合率远高于无合并症的骨折病人.合并精神障碍的骨折病人组外固定及普通内固定的效果不良率远高于无合并症的骨折病人组.结论我们认为精神病人合并骨折的治疗应选用坚强的内固定或选用坚固有效的外固定,适时进行功能锻炼,并在精神科医生协助下合理用药,配合心理疏导,避免不良的精神刺激,对成功治愈疾病、预防并发症至关重要.
목적 총결분석51례정신병인합병골절적치료체회.방법 회고분석아원1997년지2007년51례발생골절적주원정신병인진행분석급상응처리.결과 합병정신장애조골절병인골절연지유합솔화불유합솔원고우무합병증적골절병인.합병정신장애적골절병인조외고정급보통내고정적효과불량솔원고우무합병증적골절병인조.결론 아문인위정신병인합병골절적치료응선용견강적내고정혹선용견고유효적외고정,괄시진행공능단련,병재정신과의생협조하합리용약,배합심리소도,피면불량적정신자격,대성공치유질병、예방병발증지관중요.
Objective To analyse the treatment of 51 psychinosis patients complicating with bone fracture. Methods Dis-cussed and analysed 51 cases of psychinosis complicating with bone fracture during 1997-2007 in our hospital, retrospectively.Results The rate of bone fracture patient without other complications of late healed and disunion were lower than the patients complicating with dysphrenia. The fail rate of the group of bone fracture patient complic with dysphrenia external fixation and in-ternal fixation were far higher than the group without complication. Conclusion We think that the therapy of psychinosis patient complicating with bone fracture must adopt the forcefulness internal fixation and robustness external fixation, at the right moment to do functional exercise, rational administration by the psychosis doctor, combination with psychotherapy, avoid infaust irrita-tion. All the above are important to treat the disease and prevent the complication success.