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锁定加压钢板手术治疗四肢骨折患者的效果观察

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目的 分析锁定加压钢板手术治疗四肢骨折患者的效果。方法 将商丘市中心医院四肢骨折患者(78 例)设置为研究对象,样本纳入开始与截止时间分别为 2020 年 5 月、2022 年 12 月,按照随机单双数抽签法分组(抽到单数入对照组、抽到双数入研究组),各纳入 39 例,对照组行常规钢板内固定手术治疗,研究组行锁定加压钢板内固定手术治疗。比较两组手术指标、术后功能恢复优良率、围术期疼痛评分、术后并发症发生率及手术前后患者日常生活能力评分(ADL)。结果 研究组手术时间、住院时间、骨折愈合时间均短于对照组,术中出血量低于对照组,差异有统计学意义(P<0。05);研究组术后功能恢复优良率(94。87%)高于对照组(74。36%),差异有统计学意义(P<0。05);术后 5 d、术后 10 d、术后 15 d、术后 20 d研究组术肢疼痛评分与对照组相比较低,差异有统计学意义(P<0。05);研究组术后并发症发生率(5。13%)与对照组(20。51%)相比更低,差异有统计学意义(P<0。05);术前组间ADL评分对比差异无统计学意义(P>0。05),干预后两组ADL评分较干预前均升高,研究组高于对照组,差异有统计学意义(P<0。05)。结论 对比常规钢板内固定手术,四肢骨折采取锁定加压钢板内固定手术的治疗效果更佳,在并发症、手术创伤等方面均有优势,值得应用。
Observation on the Effect of locking Compression Plate Surgery on Patients with Limb Fractures
Objective To analyze the effect of locking compression plate surgery on patients with limb fractures.Methods A total of 78 patients with limb fractures at Shangqiu Central Hospital were selected as the study subjects.The start and end dates of sample enrollment were May 2020 and December 2022,respectively.They were randomly divided into two groups using a single or even number drawing method(with an odd number selected for the control group and an even number selected for the study group),with 39 patients included in each group.The control group received conventional steel plate internal fixation surgery,while the study group received locking compression steel plate internal fixation surgery.The operative indexes,the excellent and good rate of postoperative functional recovery,perioperative pain score,postoperative complication rate and ability of daily living score(ADL)were compared between the two groups.Results The surgery time,hospitalization time,and fracture healing time of the study group were shorter than those of the control group,and the amount of blooding during operation was lower than that of the control group,with statistical significance(P<0.05);The excellent rate of postoperative functional recovery in the study group(94.87%)was higher than that in the control group(74.36%),and the difference was statistically significant(P<0.05);The postoperative limb pain scores of the study group were lower than those of the control group at 5 days,10 days,15 days,and 20 days after surgery,and the difference was statistically significant(P<0.05);The incidence of postoperative complications in the study group(5.13%)was lower than that in the control group(20.51%),and the difference was statistically significant(P<0.05);There was no statistically significant difference in preoperative ADL scores between groups(P>0.05).After intervention,the ADL scores of both groups increased compared to before intervention,and the study group was higher than the control group,with a statistically significant difference(P<0.05).Conclusion Compared with conventional steel plate internal fixation surgery,the treatment effect of locking compression steel plate internal fixation surgery for limb fractures is better,with advantages in complications,surgical trauma,and other aspects,which is worthy of application.

locked compression steel platelimb fracturesconventional steel platecomplicationspostoperative pain score

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商丘市中心医院 骨科,河南 商丘 476000

锁定加压钢板 四肢骨折 常规钢板 并发症 术后疼痛评分

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(2)
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