手术治疗对严重多发性骨关节创伤患者的临床效果分析

Analysis of the clinical effect of surgical treatment on patients with severe multiple trauma of bone and joint

目的分析手术治疗对严重多发性骨关节创伤患者的临床效果。方法68例严重多发性骨关节创伤患者,根据治疗方式不同分为对照组及观察组,各34例。对照组予以保守治疗,观察组予以手术治疗。比较两组下床活动时间、住院时间、疼痛程度、日常生活活动能力、术后并发症发生率。结果观察组下床活动时间(4.32±0.26)d、住院时间(10.11±1.13)d均短于对照组的(6.26±0.34)、(14.58±2.45)d,差异有统计学意义(P<0.05)。治疗后,两组视觉模拟评分法(VAS)评分低于本组治疗前、日常生活活动能力量表(ADL)评分高于本组治疗前,且观察组VAS评分(2.54±0.92)分低于对照组的(4.11±1.13)分、ADL评分(78.48±8.62)分高于对照组的(62.35±8.45)分,差异有统计学意义(P<0.05)。观察组并发症发生率8.82%低于对照组的29.41%,差异有统计学意义(P<0.05)。结论手术治疗严重多发性骨关节创伤患者的疗效显著,可减轻患者疼痛程度,改善日常生活活动能力,减少术后并发症,缩短治疗时间,加速康复。

Objective To analyze the clinical effect of surgical treatment on patients with severe multiple trauma of bone and joint.Methods A total of 68 patients with severe multiple trauma of bone and joint were divided into control group and observation group according to different treatment methods,with 34 cases in each group.The control group was treated conservatively,and the observation group was treated surgically.The off-bed activity time,hospitalization time,pain degree,activities of daily living,and postoperative complication rates were compared between the two groups.Results The off-bed activity time(4.32±0.26)d and hospitalization time(10.11±1.13)d in the observation group were shorter than(6.26±0.34)and(14.58±2.45)d in the control group,and the difference was statistically significant(P<0.05).After treatment,the visual analogue scale(VAS)score of the two groups were lower than those of this group before treatment,and the ADL scores were higher than those of this group before treatment;the VAS score(2.54±0.92)points of the observation group was lower than(4.11±1.13)points of the control group,and the ADL score(78.48±8.62)points was higher than(62.35±8.45)points of the control group;all the differences were statistically significant(P<0.05).The complication rate 8.82% in the observation group was lower than 29.41% in the control group,and the difference was statistically significant(P<0.05).Conclusion Surgical treatment of severe multiple trauma of bone and joint has a significant effect,which can reduce the degree of pain,improve activities of daily living,reduce postoperative complications,shorten the treatment time and accelerate the recovery of patients.