手术结合药物及心理干预对桡骨远端骨折患者预后影响观察
Effect of surgery combined with drugs and psychological intervention on prognosis of patients with distal radius fracture
何妍 1全爱军1
作者信息
- 1. 建德市第一人民医院 骨一科,浙江 建德 311600
- 折叠
摘要
目的 研究手术结合药物及心理干预对桡骨远端骨折患者预后的影响.方法 选取2015年1月～2016年12月收治的100例桡骨远端骨折患者,随机分为对照组和试验试验组2组,每组50例.对照组患者仅进行手术治疗,试验试验组患者在手术治疗的基础上,给予云南白药胶囊并进行心理干预,增加与患者沟通交流的频率,消除患者内心的焦虑和不安等负面情绪,提高患者治疗依从性.比较试验组2组腕关节功能恢复情况.结果 试验组患者的腕关节功能优良率为94.0%,对照组患者腕关节功能优良率为84.0%.试验组患者的治疗优良率显著高于对照组患者,差异有统计学意义(P＜0.05).试验组试验组与对照组患者均未出现骨不连、感染、腕管综合症等并发症.试验组试验组患者骨折愈合时间为(5.9±1.2)周,对照组患者骨折愈合时间为(5.8±1.1)周,2组间差异无统计学意义.结论 手术结合药物及心理干预治疗能够提高桡骨远端骨折患者的临床疗效,具有临床应用价值.
Abstract
Objective To study the effect of surgery combined with drugs and psychological intervention on prognosis of patients with distal radius fractures.Methods 100 patients with distal radius fractures from January 2015 to December 2016 were selected as the research object in this study.They were randomly divided into the control group and the experimental group, 50 cases in each group.The control group were only treated with surgery, at the basis of surgical treatment, the experimental group were given Yunnan Baiyao capsule and psychological intervention.To increase the frequency of communication with patients, eliminate inner anxiety and other negative emotions, improve treatment compliance.The functional recovery of wrist joint in the two groups was compared and analyzed.Results The excellent rate of wrist in the experimental group was 94%, which was significantly higher than 84% in the control group(P<0.05).There were no complications such as nonunion, infection and carpal tunnel syndrome in the two groups.The fracture healing time in the experimental group was(5.9±1.2) weeks, and in the control group was(5.8±1.1) weeks.The difference in the two groups was no statistically significant.Conclusion Surgery combined with drug and psychological intervention can improve the prognosis and effect of patients with distal radius fracture,.It has clinical value.
关键词
心理干预/桡骨远端骨折/预后Key words
psychological intervention/distal radius fractures/prognosis引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据