国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
6期
807-811
,共5页
马冠华%纪少丰%吴楚升%陈卓宏
馬冠華%紀少豐%吳楚升%陳卓宏
마관화%기소봉%오초승%진탁굉
跨肩带小夹板%外固定%肱骨外科颈骨折
跨肩帶小夾闆%外固定%肱骨外科頸骨摺
과견대소협판%외고정%굉골외과경골절
Splint of the embedded cross shoulder strap%External fixation%Humerus surgical neck fractures
目的 探讨跨肩带小夹板治疗肱骨外科颈骨折的疗效.方法 对我院骨伤科的肱骨外科颈骨折患者手法复位后外固定随机分成跨肩带小夹板治疗组和常规治疗组,跨肩带小夹板治疗组59例患者,运用跨肩带小夹板进行外固定处理,常规治疗组59例患者采用教科书的四块小夹板外固定方法,对比分析两组患者的临床疗效.结果 治疗组与常规治疗组在小夹板松脱、骨折移位、畸形、治疗前后疼痛、肿胀症状减轻和骨折临床愈合的疗效、后期肩关节功能恢复随访三个月的疗效,前面各项比较差异有极显著性(P＜0.01).骨折愈合临床疗效,治疗组总有效率94.9％,对照组总有效率79.6％.治疗组显著优于对照组(P＜0.01).结论 运用跨肩带小夹板治疗肱骨外科颈骨折,能对骨折舒适又牢固外固定,避免和减少骨折的移位,早期症状疗效和临床疗效显著,提高患者满意度,值得临床推广.
目的 探討跨肩帶小夾闆治療肱骨外科頸骨摺的療效.方法 對我院骨傷科的肱骨外科頸骨摺患者手法複位後外固定隨機分成跨肩帶小夾闆治療組和常規治療組,跨肩帶小夾闆治療組59例患者,運用跨肩帶小夾闆進行外固定處理,常規治療組59例患者採用教科書的四塊小夾闆外固定方法,對比分析兩組患者的臨床療效.結果 治療組與常規治療組在小夾闆鬆脫、骨摺移位、畸形、治療前後疼痛、腫脹癥狀減輕和骨摺臨床愈閤的療效、後期肩關節功能恢複隨訪三箇月的療效,前麵各項比較差異有極顯著性(P＜0.01).骨摺愈閤臨床療效,治療組總有效率94.9％,對照組總有效率79.6％.治療組顯著優于對照組(P＜0.01).結論 運用跨肩帶小夾闆治療肱骨外科頸骨摺,能對骨摺舒適又牢固外固定,避免和減少骨摺的移位,早期癥狀療效和臨床療效顯著,提高患者滿意度,值得臨床推廣.
목적 탐토과견대소협판치료굉골외과경골절적료효.방법 대아원골상과적굉골외과경골절환자수법복위후외고정수궤분성과견대소협판치료조화상규치료조,과견대소협판치료조59례환자,운용과견대소협판진행외고정처리,상규치료조59례환자채용교과서적사괴소협판외고정방법,대비분석량조환자적림상료효.결과 치료조여상규치료조재소협판송탈、골절이위、기형、치료전후동통、종창증상감경화골절림상유합적료효、후기견관절공능회복수방삼개월적료효,전면각항비교차이유겁현저성(P＜0.01).골절유합림상료효,치료조총유효솔94.9％,대조조총유효솔79.6％.치료조현저우우대조조(P＜0.01).결론 운용과견대소협판치료굉골외과경골절,능대골절서괄우뢰고외고정,피면화감소골절적이위,조기증상료효화림상료효현저,제고환자만의도,치득림상추엄.
Objective To research the clinical effects of splint of the embedded cross shoulder strap for the treatment of humerus surgical neck fractures.Methods 118 patients in our hospital with orthopedic humerus surgical neck fracture by external fixation after manipulative reduction were randomly divided into the embedded cross shoulder strap splint for the treatment group and routine treatment group.The treatment group with 59 cases used the cross strap small splint external fixation treatment,the conventional treatment group with 59 patients used the textbook four block of small splint external fixation method of comparative analysis,clinical efficacy of two groups were analyzed and compared.Results Among treatment group and routine treatment group,the small splinting loose,fractures,deformities,pain,swelling and alleviate the symptoms before and after treatment and the clinical healing efficacy,late recovery of shoulder joint function were followed up for three months of treatment,showing significant difference (P＜0.01).Fracture healing clinical curative effect,the total effective rate of treatment group was 94.9％,the total efficiency in control group was 79.6％.The treatment group was better than control group (P＜0.01).Conclusions Application of the embedded cross shoulder strap splint for the treatment of humerus surgical neck fracture,can comfort and finn fixation,avoid and reduce the displacement of fractures,with better early symptoms efficacy and significant clinical effect,it can also improve patients' satisfaction,worthy of clinical application.
