CAJ | 학술논문

目的探讨保守治疗桡骨远端骨折临床疗效的相关影响因素。方法回顾性分析2009年1月至2013年6月病历资料，按标准纳入177例保守治疗的桡骨远端骨折患者，采用单因素筛选和多因素Logistic回归对可能影响桡骨远端骨折治疗后腕关节功能的8个指标进行相关因素分析。结果单因素分析显示：年龄、骨折类型、骨质疏松情况、复位情况、有无骨折延迟愈合与腕关节功能优良率显著相关( P＜0.05)。经Logistic回归多因素分析，影响腕关节功能优良率的危险因素为：骨折类型、骨质疏松情况和复位情况。结论骨折类型、骨质疏松情况和复位情况是影响腕关节功能的因素，治疗时应在尽可能减小损伤的情况下恢复腕关节骨性结构的正常形态，患者可适当补充钙质。
목적탐토보수치료뇨골원단골절림상료효적상관영향인소。방법회고성분석2009년1월지2013년6월병력자료，안표준납입177례보수치료적뇨골원단골절환자，채용단인소사선화다인소Logistic회귀대가능영향뇨골원단골절치료후완관절공능적8개지표진행상관인소분석。결과단인소분석현시：년령、골절류형、골질소송정황、복위정황、유무골절연지유합여완관절공능우량솔현저상관( P＜0.05)。경Logistic회귀다인소분석，영향완관절공능우량솔적위험인소위：골절류형、골질소송정황화복위정황。결론골절류형、골질소송정황화복위정황시영향완관절공능적인소，치료시응재진가능감소손상적정황하회복완관절골성결구적정상형태，환자가괄당보충개질。
Objective To explore the related factors affecting the wrist joint functions so as to provide a guide for the further improvement in the conservative treatment of the distal radius fracture.Methods A total of 177 patients with distal radius fracture admitted from January 2009 to June 2013 were reviewed. Gartland-Werley wrist score was used to evaluate the functions of the wrist joint. According to the results, patients were divided into 2 groups. All the clinical parameters including age, sex, osteoporosis, classification, healing time, reduction of the fracture, healing results of the ulnar styloid fracture were compared between the 2 groups. Single factor screening and multiple factors LOGISTIC were applied to assess the 8 indexes that could affect the functions of the wrist joint.Results Single factor screening: age, sex, classiifcation, osteoporosis, reduction, healing time were signiifcantly related with the excellent and good rate of the wrist functions (P<0.05 ). Multiple factors LOGISTIC: classiifcation, osteoporosis, and reduction were risky factors that may affect the wrist functions.Conclusions Classiifcation, osteoporosis, and reduction were factors that may affect the wrist functions. During the treatment, it is important to minish the lesion and restore the normal morphology of the bony structure of the wrist joint as far as possible. Proper calcium supplement should be adopted.