中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2014年
3期
5-7
,共3页
小儿肱骨髁上骨折%手法整复%夹板固定%疗效观察
小兒肱骨髁上骨摺%手法整複%夾闆固定%療效觀察
소인굉골과상골절%수법정복%협판고정%료효관찰
Humeral supracondylar fracture in children%Manipulative reduction%Splint ixation%Curative effect observation
目的：研究观察手法整复夹板固定在小儿肱骨髁上骨折中的临床应用价值。方法选择于2010年12月～2012年11月在我院接受治疗的肱骨髁上骨折患儿90例，随机分成对照组和观察组各45例，对照组患儿通过手法整复后应用石膏固定，观察组患儿通过手法整复后应用小夹板固定，治疗后随访观察两组患儿治疗的优良率与并发症的发生率。结果治疗后对患儿的随访显示观察组的治疗优良率为91.1%，显著高于对照组的77.8%，两组比较差异显著（P ＜0.05），具有统计学意义；同时观察组患肢肿胀、肌肉萎缩、肘内翻畸形等并发症的发生率为4.4%，大幅低于对照组的15.6%，比较差异显著（P ＜0.05），具有统计学意义。结论小儿肱骨髁上骨折通过手法整复夹板固定治疗疗效显著，能够促进患儿早期展开功能锻炼，降低并发症的发生率，同时具有容易换药的优点，值得临床推广使用。
目的：研究觀察手法整複夾闆固定在小兒肱骨髁上骨摺中的臨床應用價值。方法選擇于2010年12月～2012年11月在我院接受治療的肱骨髁上骨摺患兒90例，隨機分成對照組和觀察組各45例，對照組患兒通過手法整複後應用石膏固定，觀察組患兒通過手法整複後應用小夾闆固定，治療後隨訪觀察兩組患兒治療的優良率與併髮癥的髮生率。結果治療後對患兒的隨訪顯示觀察組的治療優良率為91.1%，顯著高于對照組的77.8%，兩組比較差異顯著（P ＜0.05），具有統計學意義；同時觀察組患肢腫脹、肌肉萎縮、肘內翻畸形等併髮癥的髮生率為4.4%，大幅低于對照組的15.6%，比較差異顯著（P ＜0.05），具有統計學意義。結論小兒肱骨髁上骨摺通過手法整複夾闆固定治療療效顯著，能夠促進患兒早期展開功能鍛煉，降低併髮癥的髮生率，同時具有容易換藥的優點，值得臨床推廣使用。
목적：연구관찰수법정복협판고정재소인굉골과상골절중적림상응용개치。방법선택우2010년12월～2012년11월재아원접수치료적굉골과상골절환인90례，수궤분성대조조화관찰조각45례，대조조환인통과수법정복후응용석고고정，관찰조환인통과수법정복후응용소협판고정，치료후수방관찰량조환인치료적우량솔여병발증적발생솔。결과치료후대환인적수방현시관찰조적치료우량솔위91.1%，현저고우대조조적77.8%，량조비교차이현저（P ＜0.05），구유통계학의의；동시관찰조환지종창、기육위축、주내번기형등병발증적발생솔위4.4%，대폭저우대조조적15.6%，비교차이현저（P ＜0.05），구유통계학의의。결론소인굉골과상골절통과수법정복협판고정치료료효현저，능구촉진환인조기전개공능단련，강저병발증적발생솔，동시구유용역환약적우점，치득림상추엄사용。
Objective To study the clinical application value of manipulative reduction and splint ixation for supracondylar fracture of humerus in children. Methods 90 cases of condyle humerus fractures in our hospital for treatment from December 2010 to November 2012 were randomly divided into control group and observation group, 45 cases in each group, the patients in the control group underwent manipulative reduction and plaster ixation, the observation group were applied technique with small splint ixation. Excellent good rate and complication incidence of treatment of the two groups were followed up after treatment. Results After treatment, the excellent and good rate was 91.1% in the observation group, which was signiicantly higher than the control group (77.8%), the difference between the two groups was signiicant (P<0.05), with statistical signiicance. At the same time,the limb swelling, muscle atrophy, cubitus varus deformity and the incidence of complications in observe group was 4.4%,which was signiicantly lower than the control group(15.6%), there was signiicant difference ( P<0.05). Conclusion Using manipulative reduction and splint ixation to treat supracondylar fracture of humerus in children has obvious curative effect, it can promote early expansionfunction exercise in children, reduce the incidence of complications, and has the advantages of easy dressing.
