中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
9期
16-17
,共2页
桡骨远端粉碎性骨折%钢板内固定术%夹板外固定术%腕关节功能
橈骨遠耑粉碎性骨摺%鋼闆內固定術%夾闆外固定術%腕關節功能
뇨골원단분쇄성골절%강판내고정술%협판외고정술%완관절공능
Comminuted distal radius fracture%Plate internal fixation%Splint external fixation%Wrist joint function
目的：研究桡骨远端粉碎性骨折钢板内固定与夹板外固定术后半年内功能恢复情况。方法100例桡骨远端粉碎性骨折患者,随机分为A组和B组,各50例。A组给予钢板内固定术治疗；B组采用夹板外固定术治疗。所有患者随访6个月,定期检查腕关节功能并指导康复训练,观察两组患者临床疗效与治疗2、4、6个月后的腕关节功能恢复情况并评估。结果 B组的临床疗效优于A组,两组相比差异有统计学意义(U=4.0549, P=0.0001)。治疗2个月后, B组的腕关节功能评分低于A组,两组比较差异有统计学意义(t=2.2611, P=0.0260)；治疗4、6个月后, B组的腕关节功能评分高于A组,两组比较差异有统计学意义(P<0.05)。结论采用钢板内固定治疗桡骨远端粉碎性骨折术后2个月内腕关节功能恢复情况优于夹板外固定治疗,但夹板外固定术后4、6个月的关节功能恢复情况较好,治疗远期效果更佳。
目的：研究橈骨遠耑粉碎性骨摺鋼闆內固定與夾闆外固定術後半年內功能恢複情況。方法100例橈骨遠耑粉碎性骨摺患者,隨機分為A組和B組,各50例。A組給予鋼闆內固定術治療；B組採用夾闆外固定術治療。所有患者隨訪6箇月,定期檢查腕關節功能併指導康複訓練,觀察兩組患者臨床療效與治療2、4、6箇月後的腕關節功能恢複情況併評估。結果 B組的臨床療效優于A組,兩組相比差異有統計學意義(U=4.0549, P=0.0001)。治療2箇月後, B組的腕關節功能評分低于A組,兩組比較差異有統計學意義(t=2.2611, P=0.0260)；治療4、6箇月後, B組的腕關節功能評分高于A組,兩組比較差異有統計學意義(P<0.05)。結論採用鋼闆內固定治療橈骨遠耑粉碎性骨摺術後2箇月內腕關節功能恢複情況優于夾闆外固定治療,但夾闆外固定術後4、6箇月的關節功能恢複情況較好,治療遠期效果更佳。
목적：연구뇨골원단분쇄성골절강판내고정여협판외고정술후반년내공능회복정황。방법100례뇨골원단분쇄성골절환자,수궤분위A조화B조,각50례。A조급여강판내고정술치료；B조채용협판외고정술치료。소유환자수방6개월,정기검사완관절공능병지도강복훈련,관찰량조환자림상료효여치료2、4、6개월후적완관절공능회복정황병평고。결과 B조적림상료효우우A조,량조상비차이유통계학의의(U=4.0549, P=0.0001)。치료2개월후, B조적완관절공능평분저우A조,량조비교차이유통계학의의(t=2.2611, P=0.0260)；치료4、6개월후, B조적완관절공능평분고우A조,량조비교차이유통계학의의(P<0.05)。결론채용강판내고정치료뇨골원단분쇄성골절술후2개월내완관절공능회복정황우우협판외고정치료,단협판외고정술후4、6개월적관절공능회복정황교호,치료원기효과경가。
Objective To research the function recovery of plate internal fixation and splint external fixation for comminuted distal radius fracture. Methods A total of 100 patients with comminuted distal radius fracture were randomly divided into group A and group B, with 50 cases in each group. Group A received plate internal fixation for treatment, and group B was treated by splint external fixation. Follow-up lasted for 6 months, and regular examination was taken for wrist joint function and rehabilitation exercise. Recovery of wrist joint function after 2, 4, 6 months of treatment and the curative effects of the two groups were observed and evaluated. Results The group B had better clinical effect than group A, and the difference had statistical significance (U=4.0549, P=0.0001). After 2 months of treatment, group B had lower wrist joint function score than group A, and the difference between the two groups had statistical significance (t=2.2611, P=0.0260). After 4 and 6 months of treatment, group B had higher wrist joint function score than group A, and the difference was statistically significant (P<0.05). Conclusion Implement of plate internal fixation for comminuted distal radius fracture provides better wrist joint recovery situation than splint external fixation within 2 months after treatment, while splint external fixation provides better function recovery in 4 and 6 months after treatment with good long-term curative effect.
