中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
3期
371-373
,共3页
李亚非%杨传中%潘德锦%方崇瑞%李永%李东超%卫力晋%刘岩%王长军
李亞非%楊傳中%潘德錦%方崇瑞%李永%李東超%衛力晉%劉巖%王長軍
리아비%양전중%반덕금%방숭서%리영%리동초%위력진%류암%왕장군
胫骨骨折%超声电导%活性骨提取物%骨生长因子
脛骨骨摺%超聲電導%活性骨提取物%骨生長因子
경골골절%초성전도%활성골제취물%골생장인자
Tibial fracture%Electrophonophoresis%Bone bioactive extract%Bone growth factors
目的 评估超声电导活性骨提取物治疗高能量胫骨骨折的临床疗效.方法 将2007年1月至2012年3月60例采用切开复位内固定或使用带锁髓内钉内固定的胫骨骨折患者完全随机分为试验组和对照组,各30例.试验组采用超声电导活性骨提取物治疗:术后第7天起,每天治疗30 min,持续15 d,对照组术后予以不含活性骨提取物的超声电导治疗.观察2组治疗效果.结果 术后随访5 ～ 14个月.试验组胫骨骨折愈合时间为9 ～15周,平均(11±3)周,无延迟愈合和骨不连发生；对照组为13～36周,平均(18±4)周,延迟愈合3例(愈合时间为8～9个月).按Johner-Wruhs标准评估,术后12和26周,试验组优良率分别为93.3％ (28/30)和100.0％ (30/30),对照组为50.0％ (15/30)和86.7％ (26/30),2组间差异有统计学意义(P＜0.01).结论 超声电导活性骨提取物是一种促进骨折愈合的有效方法.
目的 評估超聲電導活性骨提取物治療高能量脛骨骨摺的臨床療效.方法 將2007年1月至2012年3月60例採用切開複位內固定或使用帶鎖髓內釘內固定的脛骨骨摺患者完全隨機分為試驗組和對照組,各30例.試驗組採用超聲電導活性骨提取物治療:術後第7天起,每天治療30 min,持續15 d,對照組術後予以不含活性骨提取物的超聲電導治療.觀察2組治療效果.結果 術後隨訪5 ～ 14箇月.試驗組脛骨骨摺愈閤時間為9 ～15週,平均(11±3)週,無延遲愈閤和骨不連髮生；對照組為13～36週,平均(18±4)週,延遲愈閤3例(愈閤時間為8～9箇月).按Johner-Wruhs標準評估,術後12和26週,試驗組優良率分彆為93.3％ (28/30)和100.0％ (30/30),對照組為50.0％ (15/30)和86.7％ (26/30),2組間差異有統計學意義(P＜0.01).結論 超聲電導活性骨提取物是一種促進骨摺愈閤的有效方法.
목적 평고초성전도활성골제취물치료고능량경골골절적림상료효.방법 장2007년1월지2012년3월60례채용절개복위내고정혹사용대쇄수내정내고정적경골골절환자완전수궤분위시험조화대조조,각30례.시험조채용초성전도활성골제취물치료:술후제7천기,매천치료30 min,지속15 d,대조조술후여이불함활성골제취물적초성전도치료.관찰2조치료효과.결과 술후수방5 ～ 14개월.시험조경골골절유합시간위9 ～15주,평균(11±3)주,무연지유합화골불련발생；대조조위13～36주,평균(18±4)주,연지유합3례(유합시간위8～9개월).안Johner-Wruhs표준평고,술후12화26주,시험조우량솔분별위93.3％ (28/30)화100.0％ (30/30),대조조위50.0％ (15/30)화86.7％ (26/30),2조간차이유통계학의의(P＜0.01).결론 초성전도활성골제취물시일충촉진골절유합적유효방법.
Objective To evaluate the clinical effect of bone bioactive extract by electrophonophoresis in treatment of tibial fracture.Methods From Jan.2007 to Mar.2012,sixty patients with tibial fracture were randomly assigned to the experimental group with bone bioactive extract of transported by electrophonophoresis (n =30) or the control group (n =30),whom had been immobilized by either internal or external fixations,were followed up.Patients in the experimental group were provided with bone bioactive extract by electrophonophoresis,30 min/ day for 15 days from the seventh days postoperation.Control group were not given special treatment.Results The cases were followed up from 5 months to 14 months,with an average of 10 months.The mean time to fracture healing was 11 weeks (9-15 weeks)in the experimental group and was 18 weeks (13-36 weeks) in the control group.In the experimental group,no delayed union or nonunion,while 3 cases(10％) delayed union healed from 8 and 9 months in the control group.According to the criteria of Johner-Wruhs,by week 12 and 26 postoperation,there were rate 93.3％ and 100.0％ in the experimental group,50.0％ and 86.7％ in the control group respectively,there was significant difference between the two groups (P ＜ 0.01).Conclusion Bone bioactive extract of transdermal transport by electrophonophoresis is an effective method treating tibial fracture.
