手法复位在创伤性桡骨远端骨折患者中的应用及对应激反应的影响研究

Application of Manual Reduction in Patients with Traumatic Distal Radius Fractures and Its Impact on Stress Response

目的:探讨手法复位在创伤性桡骨远端骨折患者中的应用效果及对应激反应的影响。方法:选择2018年6月-2019年6月于本院就诊的60例创伤性桡骨远端骨折患者作为对象,按照随机数字表法分为对照组和观察组,各30例。对照组采用石膏外固定治疗,观察组采用手法复位治疗,两组术后均进行6个月随访。比较两组骨折线消失、外生骨痂出现时间、骨密度、血清骨碱性磷酸酶(BALP)、应激反应及术后并发症发生情况。结果:术后,观察组骨折线消失、外生骨痂出现时间均短于对照组,术后6个月,BALP水平低于对照组,骨密度水平高于对照组,差异均有统计学意义(P<0.05)。术后6个月,观察组应激反应NO、Cor水平均低于对照组,SOD水平高于对照组,差异均有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:手法复位用于创伤性桡骨远端骨折患者中能缩短骨折愈合时间,改善其骨密度、BALP水平,降低术后应激反应,手术安全性较高,值得推广应用。

Objective:To explore the effect of manipulative reduction in patients with traumatic distal radius fracture and its effect on stress response.Method:A total of 60 patients with traumatic distal radius fracture admitted to our hospital from June 2018 to June 2019 were selected as subjects,they were divided into control group and observation group according to random number table method,30 cases in each group.The control group was treated with plaster external fixation,the observation group was treated with manual reduction,the two groups were followed up for 6 months.The fracture line disappeared,the appearance time of external callus,bone mineral density,serum bone alkaline phosphatase(BALP),stress reaction and the incidence of postoperative complications were compared between the two groups.Result:After surgery,the fracture line disappeared and the exogenous callus appeared in the observation group were shorter than those in the control group,6 months after surgery,the BALP level was lower than that in the control group,the bone mineral density level was higher than that in the control group,the differences were statistically significant(P<0.05).6 months after surgery,the levels of NO and Cor in the observation group were lower than those in the control group,the levels of SOD in the observation group were higher than those in the control group,the differences were statistical significance(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Manual reduction can shorten the time of fracture healing,improve the bone density and BALP level,reduce the stress response after operation,surgical safety is high,it is worth popularizing.