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微创经皮钢板植入术治疗四肢骨折的效果分析

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目的 分析在四肢骨折患者治疗中应用微创经皮钢板植入术的临床效果。方法 70 例四肢骨折患者为研究样本,按随机数字表法分为常规组和研究组,每组 35 例。常规组患者采用传统切开复位内固定术治疗,研究组患者采用微创经皮钢板植入术治疗。对比两组患者并发症发生情况、手术指标、肢体功能评分、日常生活能力评分、生活质量评分。结果 研究组患者的并发症发生率为 5。71%,低于常规组的 25。71%(P<0。05)。研究组患者的手术时间、发热持续时间、骨折愈合时间、住院时间分别为(1。57±0。26)h、(8。27±1。33)h、(29。26±2。12)d、(14。93±1。23)d,均明显短于常规组的(2。18±0。28)h、(13。22±1。32)h、(43。48±2。16)d、(24。26±1。24)d(P<0。05)。研究组患者的下肢功能评分(30。21±1。21)分和上肢功能评分(47。47±1。21)分均显著高于常规组的(24。11±1。24)、(41。61±1。14)分(P<0。05)。研究组患者治疗后的步行活动、可控大小便、穿衣、修饰、洗浴、进食评分分别为(91。23±1。12)、(92。01±1。11)、(92。34±1。23)、(92。31±1。08)、(92。43±1。18)、(93。27±1。12)分,均显著高于常规组的(82。87±1。22)、(80。72±1。23)、(82。22±1。21)、(82。79±1。24)、(81。95±1。52)、(81。54±1。16)分(P<0。05)。研究组患者治疗后的躯体功能、心理功能、社会功能、睡眠质量评分分别为(65。56±1。52)、(55。34±1。22)、(64。32±1。25)、(62。14±1。25)分,均优于常规组的(38。76±1。44)、(39。25±1。13)、(41。23±1。21)、(43。64±1。24)分(P<0。05)。结论 对于四肢骨折患者来说,采用微创经皮钢板植入术进行治疗,可以有效改善患者肢体功能与手术指标,降低患者并发症发生率,提升患者日常生活能力与生活质量,应用效果十分显著。
Effect analysis of minimally invasive percutaneous plate implantation in the treatment of limb fractures
Objective To analyze the clinical effect of minimally invasive percutaneous plate implantation in the treatment of limb fractures.Methods 70 patients with limb fractures were set as study samples.They were divided into a conventional group and a study group according to the random number table method,with 35 cases in each group.The patients in the conventional group were treated with traditional open reduction and internal fixation,and the patients in the study group were treated with minimally invasive percutaneous plate implantation.The complications,surgical indicators,limb function score,activities of daily living score and quality of life of the two groups were compared between the two groups.Results The complication rate of the study group was 5.71%,which was lower than 25.71%of the conventional group(P<0.05).The operation time,fever duration,fracture healing time and hospital stay of the study group were(1.57±0.26)h,(8.27±1.33)h,(29.26±2.12)d and(14.93±1.23)d,which were significantly shorter than(2.18±0.28)h,(13.22±1.32)h,(43.48±2.16)d and(24.26±1.24)d in the conventional group(P<0.05).The study group had lower limb function score of(30.21±1.21)points and upper limb function score of(47.47±1.21)points,which were significantly higher than(24.11±1.24)and(41.61±1.14)points in the conventional group(P<0.05).After treatment,the scores of walking activity,controlled defecation,dressing,grooming,bathing and eating were(91.23±1.12),(92.01±1.11),(92.34±1.23),(92.31±1.08),(92.43±1.18)and(93.27±1.12)points,which were significantly higher than(82.87±1.22),(80.72±1.23),(82.22±1.21),(82.79±1.24),(81.95±1.52)and(81.54±1.16)points in the conventional group(P<0.05).After treatment,the scores of physical function,mental function,social function and sleep quality in the study group were(65.56±1.52),(55.34±1.22),(64.32±1.25)and(62.14±1.25)points,which were better than(38.76±1.44),(39.25±1.13),(41.23±1.21)and(43.64±1.24)points in the conventional group(P<0.05).Conclusion For patients with limb fractures,minimally invasive percutaneous plate implantation can effectively improve limb function and surgical indicators of patients,reduce the incidence of complications,and improve the activities of daily living and quality of life of patients.The application effect is very significant.

Limb fractureMinimally invasive percutaneous plate implantationLimb functionQuality of lifeActivities of daily living

张宗兴

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350800 福建省闽清县总医院

四肢骨折 微创经皮钢板植入术 肢体功能 生活质量 日常生活能力

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(6)
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