中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
7期
19-20
,共2页
外固定架%创伤骨科%临床治疗%应用
外固定架%創傷骨科%臨床治療%應用
외고정가%창상골과%림상치료%응용
External fixation%Trauma department of orthopedics%Clinical treatment%Application
目的 研究在创伤骨科患者治疗中应用外固定架的临床价值.方法 选取驻马店市159医院2012年11月至2014年1月124例创伤骨折患者为研究对象,以抽签法随机分为观察组与对照组,每组62例,观察组采取外固定架手术治疗,对照组采取内固定治疗,对比两组患者临床疗效及手术各项指标.结果 观察组治疗总有效率为91.64％,显著高于对照组的77.42％,差异有统计学意义(P＜0.05),观察组手术时间(58.14±4.55)min、住院时间(61.54±10.06)d、术中失血量(44.61±15.49) ml、骨折愈合时间(18.44±4.31)周、切口长度(1.54±0.34)cm,均显著低于对照组[(129.55±5.68) min、(94.11±20.64)d、(63.11±44.65) ml、(29.17±11.80)周、(6.84±2.90) cm],差异有统计学意义(P＜0.05).结论 在创伤骨科患者治疗中应用外固定架技术可缩短手术、住院及骨折愈合时间,降低手术出血量,切口长度短,具有较高的临床推广价值.
目的 研究在創傷骨科患者治療中應用外固定架的臨床價值.方法 選取駐馬店市159醫院2012年11月至2014年1月124例創傷骨摺患者為研究對象,以抽籤法隨機分為觀察組與對照組,每組62例,觀察組採取外固定架手術治療,對照組採取內固定治療,對比兩組患者臨床療效及手術各項指標.結果 觀察組治療總有效率為91.64％,顯著高于對照組的77.42％,差異有統計學意義(P＜0.05),觀察組手術時間(58.14±4.55)min、住院時間(61.54±10.06)d、術中失血量(44.61±15.49) ml、骨摺愈閤時間(18.44±4.31)週、切口長度(1.54±0.34)cm,均顯著低于對照組[(129.55±5.68) min、(94.11±20.64)d、(63.11±44.65) ml、(29.17±11.80)週、(6.84±2.90) cm],差異有統計學意義(P＜0.05).結論 在創傷骨科患者治療中應用外固定架技術可縮短手術、住院及骨摺愈閤時間,降低手術齣血量,切口長度短,具有較高的臨床推廣價值.
목적 연구재창상골과환자치료중응용외고정가적림상개치.방법 선취주마점시159의원2012년11월지2014년1월124례창상골절환자위연구대상,이추첨법수궤분위관찰조여대조조,매조62례,관찰조채취외고정가수술치료,대조조채취내고정치료,대비량조환자림상료효급수술각항지표.결과 관찰조치료총유효솔위91.64％,현저고우대조조적77.42％,차이유통계학의의(P＜0.05),관찰조수술시간(58.14±4.55)min、주원시간(61.54±10.06)d、술중실혈량(44.61±15.49) ml、골절유합시간(18.44±4.31)주、절구장도(1.54±0.34)cm,균현저저우대조조[(129.55±5.68) min、(94.11±20.64)d、(63.11±44.65) ml、(29.17±11.80)주、(6.84±2.90) cm],차이유통계학의의(P＜0.05).결론 재창상골과환자치료중응용외고정가기술가축단수술、주원급골절유합시간,강저수술출혈량,절구장도단,구유교고적림상추엄개치.
Objective To study the clinical application value of external fixator on trauma patients in the department of orthopedics.Methods The 124 cases of traumatic fracture patients were selected as the research objects in our hospital from November 2012 to January 2014.All the patients were randomly divided into observation group and control group,with 62 cases in each group.The observation group adopted external fixation,and the control group took the internal fixation;the indicators were compared with clinical curative effect and surgical operation.Results The total effective rate was 91.64％ in the observation group,which was significantly higher than that of the control group (77.42％),and the difference was statistically significant (P ＜ 0.05).In the observation group,the operation time was (58.14 ±4.55) min,the hospitalization time (61.54 ± 10.06) d,intraoperative blood loss(44.61 ± 15.49) ml,the healing time (18.44 ± 4.31) weeks,the length of incision (1.54 ± 0.34) cm,which were significantly lower than those of control group [(129.55 ± 5.68) min,(94.11 ± 20.64) d,(63.11 ± 44.65) ml,(29.17 ± 11.80),(6.84 ± 2.90) cm],the differences between the two groups were statistically significant (P ＜ 0.05).Conclusions External fixation can shorten the operation,hospitalization and fracture healing time in the treatment of patients with trauma department of orthopedics,and can reduce operative blood loss,incision length is short,so it has high clinical value.
