学术论文

      闭合与切开复位内固定治疗关节损伤的临床效果比较

      Comparison of the clinical effect of closed reduction internal fixation and open reduction internal fixation in the treatment of joint injury

      摘要:
      目的:比较闭合复位内固定与切开复位内固定两种方式在关节损伤治疗的临床效果。方法选择关节损伤患者84例,按照随机数字表法分为对照组和治疗组,每组42例。采用闭合复位内固定方式对对照组患者实施治疗;采用切开复位内固定方式对治疗组患者实施治疗。结果治疗组手术操作总时间、术后住院治疗总时间、术后关节功能恢复正常时间分别为(78.51±10.20)min、(13.35±2.46)d、(88.43±5.27)d,与对照组的(118.73±25.71)min、(19.72±3.57)d、(107.42±10.33)d 比较,差异均有统计学意义(t =9.424、9.522、10.613,P =0.000、0.000、0.000);治疗组优良率为90.48%,高于对照组的71.43%,差异有统计学意义(χ2=4.941,P =0.026);治疗组出现不良反应1例,对照组出现不良反应8例,组间差异有统计学意义(χ2=6.098,P =0.014);治疗后,治疗组 VAS 疼痛评分为(2.11±0.68)分,低于对照组的(4.98±1.35)分,差异有统计学意义(t =12.305,P =0.000)。结论应用切开复位内固定对关节损伤患者的治疗效果明显优于闭合复位内固定。
      Abstract:
      Objective To compare the clinical effect of two ways of the closed reduction internal fixation and open reduction internal fixation in the treatment of joint injury.Methods According to the digital table,84 patients with joint injury were randomly divided into control group and treatment group,42 cases in each group.The control group was given closed reduction and internal fixation,and the treatment group was given open reduction and internal fixation.Results The total time of operation,postoperative hospitalization time,postoperative joint function recovery time of the treatment group were (78.51 ±10.20)min,(13.35 ±2.46)d,(88.43 ±5.27)d,those of the control group were (118.73 ±25.71)min,(19.72 ±3.57)d,(107.42 ±10.33)d,the differences were statistically signifi-cant(t =9.424,9.522,10.613;P =0.000,0.000,0.000).The excellent and good rate of the treatment group was 90.48%,which was higher than 71.43% of the control group,the difference was statistically significant(χ2 =4.941, P =0.026).The treatment group had 1 case of adverse reaction,the control group had 8 cases of adverse reaction, there was statistically significant difference between the two groups(χ2 =6.098,P =0.014).After treatment,the VAS pain score in the treatment group was (2.11 ±0.68)points,which was lower than (4.98 ±1.35)points in the control group,the difference was statistically significant(t =12.305,P =0.000).Conclusion The application effect of closed reduction and internal fixation for patients with joint injury disease is very obvious.
      作者: 耿志勇 [1] 伍朝霞 [2]
      Author: Geng Zhiyong [1] Wu Zhaoxia [2]
      作者单位: 菏泽市定陶区中医院外科, 山东省菏泽,274199 菏泽市定陶区卫生监督所, 山东省菏泽,274199
      刊 名: 中国基层医药 ISTIC
      年,卷(期): 2017, 24(6)
      在线出版日期: 2017年3月29日