不同体位在肱骨近端骨折复位内固定术中的应用效果

Application effect of different body position on the proximal humeral fractures reduction internal fixation

目的:探讨不同体位在肱骨近端骨折复位内固定术中的应用效果。方法:选择在我院行全麻下肱骨近端骨折复位内固定术的患者50例为研究对象,随机等分为试验组和对照组,试验组术中采用沙滩椅斜行45°,对照组术中采用常规沙滩椅位。比较两组患者影像结果重影次数、透视机移动次数及体位摆放完成时间。结果:两组在体位摆放完成时间、透视次数、透视影像结果重影次数方面差异有统计学意义(P<0.05)。结论:肱骨近端骨折术中采用沙滩椅斜行45°较常规体位有明显优势,值得推广。

Objective To investigate the application effect of different body position on the proximal humeral fractures reduction internal fixation. Methods ： Selected 50 cases of patients with general anesthesia proximal humeral fractures reduction internal fixation cured at our hospital as study objects and randomly divided them into experimental group and control group equally. For experimental group, we made the beach chair sloping45° and for control group, the beach chair was in its normal position. According to image results, we compared the ghosting times, the movement times of X - ray perspective apparatus and time for completing body position place. Results ： The two groups had differences in time for completing body position place, ghosting times, and the movement times of X - ray perspective apparatus and the differences had statistical significances （P 〈 0. 05 ）. Conclusion ： Compared with normal position, the beach chair sloping 45° in proximal humeral fractures reduction internal fixation has obvious advantage and it is worth promoting.