中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
14期
1650-1652
,共3页
凌艳燕%韦燕萍%刘艳%赵婷婷
凌豔燕%韋燕萍%劉豔%趙婷婷
릉염연%위연평%류염%조정정
康复%电话回访%桡骨远端骨折%保守治疗%复位丢失
康複%電話迴訪%橈骨遠耑骨摺%保守治療%複位丟失
강복%전화회방%뇨골원단골절%보수치료%복위주실
Rehabilitation%Telephone follow-up%Distal radius fracture%Conservative treatment%Loss of reduction
目的 通过对门诊手法复位小夹板或石膏固定治疗桡骨远端骨折患者进行电话回访监督,探讨电话回访对门诊保守治疗桡骨远端骨折患者的效果.方法 回顾分析2007年1月至2008年12月(非电话回访组,对照组64例)和2009年1月至2010年12月(电话回访组,观察组71例)在我院门诊采用闭合复位小夹板或石膏固定治疗桡骨远端骨折并获得随访资料患者的临床资料,制定电话随访表,第1周内每天随访,以后根据每个患者的具体情况定期随访,监督患者观察外固定的松紧度及指导功能康复训练.比较两组患者骨折愈合情况及Gartland-Werley腕关节评分.结果 两组患者术后均获随访,平均随访时间为19个月.对照组9例,观察组2例患者出现骨折复位丢失,两组比较,差异无统计学意义(x2 =5.688,P=0.017)；X线片示两组桡骨远端骨折均愈合,对照组愈合时间为(10.4±1.8)周,观察组为(10.9±2.3)周,两组比较,差异无统计学意义(t=1.396,P=0.165)；桡骨远端骨折愈合时观察组掌倾角、尺偏角及桡骨长度分别为(8.4±1.5)°,(20.1±2.0)°,(8.9±1.6)mm,均大于对照组的(7.5±1.7)°,(19.1±2.4)°,(8.2±1.4)mm,差异均有统计学意义(t分别为3.268,2.216,2.692;P＜0.05)；末次随访时观察组Gartland-Werley腕关节评分优于对照组,差异有统计学意义(Z=-1.994,P=0.046).结论 电话回访可监督桡骨远端骨折患者观察外固定的松紧度以防止复位丢失,指导患者功能康复训练,效果满意.
目的 通過對門診手法複位小夾闆或石膏固定治療橈骨遠耑骨摺患者進行電話迴訪鑑督,探討電話迴訪對門診保守治療橈骨遠耑骨摺患者的效果.方法 迴顧分析2007年1月至2008年12月(非電話迴訪組,對照組64例)和2009年1月至2010年12月(電話迴訪組,觀察組71例)在我院門診採用閉閤複位小夾闆或石膏固定治療橈骨遠耑骨摺併穫得隨訪資料患者的臨床資料,製定電話隨訪錶,第1週內每天隨訪,以後根據每箇患者的具體情況定期隨訪,鑑督患者觀察外固定的鬆緊度及指導功能康複訓練.比較兩組患者骨摺愈閤情況及Gartland-Werley腕關節評分.結果 兩組患者術後均穫隨訪,平均隨訪時間為19箇月.對照組9例,觀察組2例患者齣現骨摺複位丟失,兩組比較,差異無統計學意義(x2 =5.688,P=0.017)；X線片示兩組橈骨遠耑骨摺均愈閤,對照組愈閤時間為(10.4±1.8)週,觀察組為(10.9±2.3)週,兩組比較,差異無統計學意義(t=1.396,P=0.165)；橈骨遠耑骨摺愈閤時觀察組掌傾角、呎偏角及橈骨長度分彆為(8.4±1.5)°,(20.1±2.0)°,(8.9±1.6)mm,均大于對照組的(7.5±1.7)°,(19.1±2.4)°,(8.2±1.4)mm,差異均有統計學意義(t分彆為3.268,2.216,2.692;P＜0.05)；末次隨訪時觀察組Gartland-Werley腕關節評分優于對照組,差異有統計學意義(Z=-1.994,P=0.046).結論 電話迴訪可鑑督橈骨遠耑骨摺患者觀察外固定的鬆緊度以防止複位丟失,指導患者功能康複訓練,效果滿意.
목적 통과대문진수법복위소협판혹석고고정치료뇨골원단골절환자진행전화회방감독,탐토전화회방대문진보수치료뇨골원단골절환자적효과.방법 회고분석2007년1월지2008년12월(비전화회방조,대조조64례)화2009년1월지2010년12월(전화회방조,관찰조71례)재아원문진채용폐합복위소협판혹석고고정치료뇨골원단골절병획득수방자료환자적림상자료,제정전화수방표,제1주내매천수방,이후근거매개환자적구체정황정기수방,감독환자관찰외고정적송긴도급지도공능강복훈련.비교량조환자골절유합정황급Gartland-Werley완관절평분.결과 량조환자술후균획수방,평균수방시간위19개월.대조조9례,관찰조2례환자출현골절복위주실,량조비교,차이무통계학의의(x2 =5.688,P=0.017)；X선편시량조뇨골원단골절균유합,대조조유합시간위(10.4±1.8)주,관찰조위(10.9±2.3)주,량조비교,차이무통계학의의(t=1.396,P=0.165)；뇨골원단골절유합시관찰조장경각、척편각급뇨골장도분별위(8.4±1.5)°,(20.1±2.0)°,(8.9±1.6)mm,균대우대조조적(7.5±1.7)°,(19.1±2.4)°,(8.2±1.4)mm,차이균유통계학의의(t분별위3.268,2.216,2.692;P＜0.05)；말차수방시관찰조Gartland-Werley완관절평분우우대조조,차이유통계학의의(Z=-1.994,P=0.046).결론 전화회방가감독뇨골원단골절환자관찰외고정적송긴도이방지복위주실,지도환자공능강복훈련,효과만의.
Objective To investigate the effect of the telephone visit for conservative treatment of distal radius fracture.Methods The clinical data were retrospectively analyzed from the patients with distal radius fractures treating with manual reduction and plaster fixation or small splintfixation from January 2007 to December 2008 (No telephone follow-up,group A,n =64) and from January 2009 to December 2010 (Telephone follow-up,group B,n =71).And group B received the telephone follow-up during the first week after discharge,then,follow-up was taken by the condition of patients.Then,the fracture healing situation and Gartland-Werley wrist score were observed.Results All patients were followed up 19 months on average.There were 9 cases in group A and 2 cases in group B who had loss of fracture reduction,but showed no significant difference (x2 =5.688,P =0.017) between two groups in incidence.Fracture healing was achieved.There were no significant differences(t =1.396,P =0.165)in fracture healing time between group A [(10.4-± 1.8)weeks] and group B [(10.9 ±2.8) weeks].Significant differences was found in the palmar tilt angle,the radial inclination angle and the radial length between the two group (t =3.268,2.216,2.692,respectively;P ＜0.05).At last follow-up,According to the Gartland-Werley score,the results were excellent in group B than that in group A (Z =-1.994,P =0.046) between two groups.Conclusions Distal radial fracture patients by telephone follow-up can prevent loss of reduction and guide the rehabilitation training for patients with satisfactory results.
