动态监测骨保护素和脂联素对预测桡骨远端C型骨折患者术后远期功能的价值被引量：1

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摘要目的探讨联合动态检测血清骨保护素和脂联素对桡骨远端C型骨折(TCDRF)患者术后远期功能的价值。方法选取TCDRF患者48例,对照组为健康体检者30例。ELISA法动态检测TCDRF组及对照组血清骨保护素和脂联素水平。根据Garland and Werley评分标准将TCDRF患者分为桡骨远期功能良好及功能不良。评价联合动态检测血清骨保护素和脂联素对TCDRF患者术后远期功能的价值。结果 48例患者中,远期疗效良好37例,不良11例。TCDRF组术前血清骨保护素浓度高于对照组(P<0.05),脂联素浓度低于对照组(P<0.05)。动态监测结果显示,TCDRF远期疗效良好者术后1、2周,血清骨保护素浓度逐渐升高,脂联素浓度逐渐降低(P<0.05);TCDRF远期疗效不良者术后血清骨保护素、脂联素浓度无明显变化。与远期疗效不良者比较,远期疗效良好者骨保护素升高(P<0.05),脂联素浓度降低(P<0.05)。结论联合检测血清骨保护素和脂联素可预测TCDRF患者术后远期功能。

作者董克成黄金叶董锐刘先春谢辉叶青青史磊

机构地区皖北煤电集团总医院骨科连云港市赣榆区人民医院

出处《江苏医药》 CAS 2016年第16期1832-1833,共2页 Jiangsu Medical Journal

关键词桡骨远端C型骨折骨保护素脂联素

分类号 R687 [医药卫生—骨科学]

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