CAJ | 학술논문

目的：探讨手部骨折患者实施微型钢板治疗对其手功能康复状况及愈合时间的影响，并为这类患者临床治疗方案的合理选择提供数据支撑。方法选取2010年7月至2014年3月收治的86例手部骨折患者，采用随机数字表法进行分组，分别设为研究组和对照组，每组43例。其中对照组实施克氏针内固定处理，研究组实施微型钢板内固定处理。记录两组患者手术基本情况、病情预后状况及手功能恢复优良率及术后并发症发生率。结果研究组患者术中出血量少于对照组（ P ﹤0.05），手术时间及住院时间均短于对照组（ P ﹤0.05），骨折愈合时间及重返工作岗位时间均早于对照组（ P ﹤0.05）。研究组手功能恢复优良率为93.0%（40/43），明显高于对照组的79.1%（34/43），差异有统计学意义（ P ﹤0.05）。研究组患者术后并发症发生率为11.6%（5/43），明显低于对照组的32.6%（14/43），差异有统计学意义（ P ﹤0.05）。结论微型钢板内固定方案应用于手部骨折患者，能缩短骨折愈合时间，有利于患者早期开展手功能锻炼，且能降低术后并发症发生率，取得较为可观的临床效益，值得进一步推广。
목적：탐토수부골절환자실시미형강판치료대기수공능강복상황급유합시간적영향，병위저류환자림상치료방안적합리선택제공수거지탱。방법선취2010년7월지2014년3월수치적86례수부골절환자，채용수궤수자표법진행분조，분별설위연구조화대조조，매조43례。기중대조조실시극씨침내고정처리，연구조실시미형강판내고정처리。기록량조환자수술기본정황、병정예후상황급수공능회복우량솔급술후병발증발생솔。결과연구조환자술중출혈량소우대조조（ P ﹤0.05），수술시간급주원시간균단우대조조（ P ﹤0.05），골절유합시간급중반공작강위시간균조우대조조（ P ﹤0.05）。연구조수공능회복우량솔위93.0%（40/43），명현고우대조조적79.1%（34/43），차이유통계학의의（ P ﹤0.05）。연구조환자술후병발증발생솔위11.6%（5/43），명현저우대조조적32.6%（14/43），차이유통계학의의（ P ﹤0.05）。결론미형강판내고정방안응용우수부골절환자，능축단골절유합시간，유리우환자조기개전수공능단련，차능강저술후병발증발생솔，취득교위가관적림상효익，치득진일보추엄。
Objective To explore the influence on rehabilitation of status of hand function and healing time by implementation of mini plate internal fixation in treatment of patients with hand fractures,and to provide data for rational selection of clinical treatment for this kind of pa-tients. Methods A total of 86 cases of hand fractures inthis hospital during July 2010 to March 2014 were divided into study group and control group according to random grouping,and 43 cases in each group. Patients in control group were applied with implementation of internal fixationby Kirschnerˊs wire,and patients in study group received mini plate internal fixation for treatment. The rate of excellent and good recovery in patients of these two groups,the basic situation of operation,the status and function of hands and their prognosis were recorded and compared,and postop-erative complication rate. Results The amount of intraoperative bleeding in patients ofstudy group was less than that of patients in control group( P ﹤ 0. 05),operating time and hospitalization time were shorter than those of patients in control group( P ﹤ 0. 05),duration of healing of frac-tures and time for returning to work were shorter than those of patients in control group( P ﹤ 0. 05). The excellent and good rate of recovery of hand function in patients of study group was 93. 0%(40 / 43),it was significantly higher than that[79. 1%(34 / 43)]ofpatients in control group,and the difference was statistically significant( P ﹤ 0. 05). Study groups of patients with postoperative complication rate was 11. 6%(5 /43),significantly lower than the control group of 32. 6%(14 / 43),the difference is statistically significant( P ﹤ 0. 05). Conclusion The appli-cation of mini plate internal fixation in treatment of patients with hand fractures can shorten the duration for healing of fractures,andit is beneficial for patients with early functional exercise of hands,can reduce the incidence of postoperative complications,and the clinical benefits are fruitful, hence it isworthy to be applied for further promotion.