首页|急诊外固定架用于胫骨中下段开放性骨折患者临床治疗中的效果分析

急诊外固定架用于胫骨中下段开放性骨折患者临床治疗中的效果分析

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目的 探究急诊外固定架用于胫骨中下段开放性骨折患者临床治疗中的效果。方法 选择2021年2月—2023年5月本院收治的胫骨中下段开放性骨折患者60例为研究对象,并随机分为观察组(急诊外固定架治疗)和对照组(钢板内固定治疗),每组30例。比较分析手术情况指标、生活能力评分、疾病疗效、并发症等。结果 观察组术中、术后各项指标均优于对照组(P<0。05);两组干预前生活能力评分无差异,治疗后观察组高于对照组(P<0。05);观察组总有效率高于对照组(P<0。05);观察组并发症发生率低于对照组;差异有统计学意义(P<0。05)。结论 针对胫骨中下段开放性骨折患者,通过采用急诊外固定架治疗,可促进患者骨折早期愈合,手术创伤更小,减少术中及术后出血量,防止并发症的发生,提升生活能力水平和疾病疗效,适合应用于临床推广。
Effect Analysis of Emergency External Fixation in Clinical Treatment of Patients with Open Fractures of Middle and Lower Tibia
Objective To explore clinical effect of emergency external fixation in treatment of patients with open fractures of middle and lower tibia.Methods The paper chose 60 patients with open fractures of middle and lower tibia from February 2021 to May 2023,and divided them into observation group(treated with emergency external fixation),control group(with steel plate internal fixation)randomly,with 30 cases in each group.Surgical performance indicators,life ability scores,disease Effect,complications,etc were compared and analyzed.Results Intraoperative and postoperative indicators of observation group were lower than control group(P<0.05).There was no difference in life ability scores between two groups before intervention,and after treatment,those of observation group were higher than control group(P<0.05).Total effective rate in observation group was 96.67%(29 cases),higher than 66.67%(20 cases)in control group(P<0.05).There was 1 case(3.33%)of traumatic arthritis,nerve irritation,and incision infection in observation group,lower than seven cases(23.33%)in control group,difference was statistically significant(P<0.05).Conclusion Emergency external fixation can promote early fracture healing,minimize surgical trauma,reduce intraoperative and postoperative bleeding,reduce incidence of complications,improve living ability and disease effect of patients with open fractures of middle and lower tibia,which is suitable for clinical promotion.

Open fracture of middle and lower tibiaEmergency external fixation frameComplicationsEffect evaluation

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南京市江宁医院 急诊科,江苏 南京 210000

胫骨中下段开放性骨折 急诊外固定架 并发症 疗效评估

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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