交锁髓内钉与钢板内固定治疗糖尿病患者股骨干骨折的对比研究

Research on Comparison of Interlocking Intramedullary Nail and Plate Internal Fixation in Treatment of Fracture of Femoral Shaft of Diabetes Patients

目的探讨交锁髓内钉与钢板内固定治疗糖尿病患者股骨干骨折的效果。方法选取该科2017年5月—2018年5月收治的股骨干骨折合并糖尿病患者34例,随机分为两组各17例,观察组给予交锁髓内钉治疗,对照组给予钢板内固定治疗,比较效果。结果观察组出血量、手术时间、住院时间、FPG均明显优于对照组(P<0.05);观察组优良率为94.1%,明显优于对照组76.5%(P<0.05)。结论交锁髓内钉治疗糖尿病患者股骨干骨折效果显著,能有效缩短手术时间,促进患者肢体功能恢复。

Objective To study the comparison of interlocking intramedullary nail and plate internal fixation in treatment of fracture of femoral shaft of diabetes patients. Methods 34 cases of patients with fracture of femoral shaft combined with di- abetes admitted and treated in our hospital from May 2017 to May 2018 were selected and randomly divided into two groups with 17 cases in each, the observation group and the control group were respectively treated with interlocking intramedullary nail and plate internal fixation, and the effect was compared between the two groups. Results The bleeding volume, opera- tion time, length of stay, and FPG in the observation group were obviously better than those in the control group （P〈0.05）, and the excellent and good rate ill the observation group was obviously better than that in the control group 94.1% vs 76.5% （P〈0.05）. Conclusion The effect of interlocking intramedullat7 nail in treatment of fracture of femoral shaft of diabetes pa- tients is obvious, which can effectively shorten the operation time and promote the limb function recovery of patients.