复方骨肽注射液联合闭合复位经皮克氏针固定治疗肱骨髁上骨折的疗效观察

Observation on Efficacy of Compound Ossotide Injection Combined with Closed Reduction and Percutaneous Kirschner Wire Fixation for Supracondylar Fracture of Humerus

目的:探讨复方骨肽注射液联合闭合复位经皮克氏针固定治疗肱骨髁上骨折的疗效。方法:回顾性选取2016—2017年湖北省谷城县人民医院收治的肱骨髁上骨折患者100例,根据治疗方案的不同分为观察组和对照组,每组50例。对照组患者仅接受闭合复位经皮克氏针固定治疗,观察组患者在对照组的基础上加用复方骨肽注射液。观察两组患者治疗前后肘关节功能、肘关节活动度及生活质量评分。结果:治疗后,观察组患者肘关节功能优良率为76.00%(38/50),明显高于对照组的56.00%(28/50),差异有统计学意义(P<0.05);治疗后,观察组患者肘关节旋前、旋后、背伸及屈曲的角度明显大于对照组,差异均有统计学意义(P<0.05);治疗后、治疗结束1个月后,两组患者生活质量评分明显高于治疗前,且观察组患者明显高于对照组,差异均有统计学意义(P<0.05)。结论:复方骨肽注射液联合闭合复位经皮克氏针固定治疗肱骨髁上骨折的疗效较好,能够加快患者恢复,提高术后生活质量。

OBJECTIVE:To probe into the efficacy of compound ossotide injection combined with closed reduction and percutaneous kirschner wire fixation for supracondylar fracture of humerus. METHODS:100 patients with supracondylar fracture of humerus admitted into Hubei Gucheng County People’s Hospital from 2016 to 2017 were retrospectively selected to be divided into observation group and control group via different treatment regimen, with 50 cases in each. Patients in the control group only received closed reduction and percutaneous Kirschner wire fixation, while the observation group were given compound ossotide injection on the basis of the control group. The elbow function, elbow mobility and quality of life scores of two groups were observed before and after treatment. RESULTS:After treatment, the excellent and good rate of elbow function of observation group was 76.00%(38/50), significantly higher than that of control group(56.00%, 28/50), the difference was statistically significant(P<0.05). After treatment, the angles of pre-rotation, supination, back extension and flexion of the elbow joint in observation group were significantly greater than those in control group, and the differences were statistically significant(P<0.05). After treatment and one month after treatment, the quality of life scores of two groups were significantly higher than before treatment, and the observation group was significantly higher than the control group, the differences were statistically significant(P<0.05). CONCLUSIONS:The efficacy of compound ossotide injection combined with closed reduction and percutaneous kirschner wire fixation for supracondylar fracture of humerus is significant, which can accelerate the recovery of patients and improve the quality of postoperative life.