中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2014年
24期
121-121,122
,共2页
镍钛记忆合金环抱器%钢板螺钉内固定%中药汤剂%锁骨骨折
鎳鈦記憶閤金環抱器%鋼闆螺釘內固定%中藥湯劑%鎖骨骨摺
얼태기억합금배포기%강판라정내고정%중약탕제%쇄골골절
nickel-titanium memory alloy embracing fixator%steel plate screw internal fixation%Chinese medicine decoction%clavicle fracture
目的：探讨镍钛记忆合金环抱器内固定术后联合中药治疗锁骨骨折患者的临床效果及安全性。方法将118例锁骨骨折患者随机分为对照组和观察组，各59例。对照组术中采用钢板螺钉内固定，观察组采用镍钛记忆合金环抱器，术后均内服中药汤剂进行治疗。观察患者的手术时间、术中出血量及愈合时间，分析临床疗效，记录术后并发症。结果观察组总有效率为96.61%，显著高于对照组的74.58%（ P﹤0.05）；观察组手术时间显著短于对照组（ P﹤0.05）；两组愈合时间及术中出血量无显著差异（ P﹥0.05）；观察组并发症发生率显著低于对照组（ P﹤0.05）。结论镍钛记忆合金环抱器内固定术后联合中药治疗锁骨骨折的临床疗效好，且手术时间短，并发症少，值得推广。
目的：探討鎳鈦記憶閤金環抱器內固定術後聯閤中藥治療鎖骨骨摺患者的臨床效果及安全性。方法將118例鎖骨骨摺患者隨機分為對照組和觀察組，各59例。對照組術中採用鋼闆螺釘內固定，觀察組採用鎳鈦記憶閤金環抱器，術後均內服中藥湯劑進行治療。觀察患者的手術時間、術中齣血量及愈閤時間，分析臨床療效，記錄術後併髮癥。結果觀察組總有效率為96.61%，顯著高于對照組的74.58%（ P﹤0.05）；觀察組手術時間顯著短于對照組（ P﹤0.05）；兩組愈閤時間及術中齣血量無顯著差異（ P﹥0.05）；觀察組併髮癥髮生率顯著低于對照組（ P﹤0.05）。結論鎳鈦記憶閤金環抱器內固定術後聯閤中藥治療鎖骨骨摺的臨床療效好，且手術時間短，併髮癥少，值得推廣。
목적：탐토얼태기억합금배포기내고정술후연합중약치료쇄골골절환자적림상효과급안전성。방법장118례쇄골골절환자수궤분위대조조화관찰조，각59례。대조조술중채용강판라정내고정，관찰조채용얼태기억합금배포기，술후균내복중약탕제진행치료。관찰환자적수술시간、술중출혈량급유합시간，분석림상료효，기록술후병발증。결과관찰조총유효솔위96.61%，현저고우대조조적74.58%（ P﹤0.05）；관찰조수술시간현저단우대조조（ P﹤0.05）；량조유합시간급술중출혈량무현저차이（ P﹥0.05）；관찰조병발증발생솔현저저우대조조（ P﹤0.05）。결론얼태기억합금배포기내고정술후연합중약치료쇄골골절적림상료효호，차수술시간단，병발증소，치득추엄。
Objective To investigate the clinical effect and safety of the internal fixation by the nickel-titanium memory alloy embrac-ing fixator combined Chinese medicines in treating clavicle fractures. Methods 118 patients with clavicle fractures were randomly divid-ed into the control group and the observation group according to the random number table,59 cases in each group. The control group intraoperatively adopted the steel plate screw for conducting the internal fixation,while the observation group adopted the nickel-titani-um memory alloy embracing fixator. The two groups were given oral Chinese medicine decoctions after operation. The operative time,in-traoperative bleeding amount and healing time were observed. The clinical effects were analyzed and postoperative complications were recorded. Results The total effective rate in the observation group was 96. 61%,which was significantly higher than 74. 58% in the control group( P ﹤ 0. 05);the operative time in the observation group was significantly shorter than that in the control group( P ﹤0. 05);but the healing time and intraoperative bleeding amount had no statistically significant difference between the two groups( P ﹥0. 05);the occurrence rate of complications in the observation group was significantly lower than that in the control group( P ﹤ 0. 05). Conclusion The internal fixation by the nickel-titanium memory alloy embracing fixator combined with Chinese medicine has better effect with shorter operative time and fewer complications for treating clavicle fractures,which is worthy of clinical promotion.
