桡骨远端骨折不同治疗方法临床疗效分析

Analysis of clinical efficacy of different treatment methods for distal radius fracture

目的分析不同治疗方法对桡骨远端骨折的疗效,为桡骨远端骨折的临床治疗提供参考方案。方法选取2019年1—12月聊城市茌平区人民医院收治的桡骨远端骨折共76例患者为研究对象,依据随机数字表法分成对照组和观察组各38例,对照组给予切开复位内固定,观察组给予手法复位夹板外固定。统计并比较两组的功能恢复优良率、治疗前后桡骨高度、掌倾角、尺偏角和周围神经损伤、二次移位、不良愈合、感染以及不愈合等并发症发生率。结果观察组功能恢复优良率为63.16%,与对照组的68.42%对比,差异无统计学意义(P>0.05)。治疗后,两组桡骨高度、掌倾角及尺偏角均优于治疗前,差异均有统计学意义(P<0.05);观察组与对照组桡骨高度、掌倾角及尺偏角比较,差异无统计学意义(P>0.05)。观察组并发症发生率为7.89%,低于对照组的26.32%,差异有统计学意义(P<0.05)。结论桡骨远端骨折患者采用手法复位夹板外固定的疗效和切开复位内固定相当,但能降低并发症发生率,值得临床推广应用。

Objective To analyze the curative effect of different treatment methods on distal radius fracture,so as to provide a reference scheme for the clinical treatment of distal radius fracture. Methods A total of76 patients with distal radius fractures in Liaocheng Chiping District People Hospital from January to December 2019 were selected as the research objects. According to the random number table method, they were divided into the control group and the observation group with 38 cases in each group. The control group was given open reduction and internal fixation, and the observation group was given manual reduction and splint external fixation. The excellent and good rate of functional recovery, radial height, palm inclination angle and ulnar deviation angle before and after treatment, and the incidence of complications, which include peripheral nerve injury, secondary displacement, poor healing, infection and nonunion, were counted and compared between the two groups. Results The excellent and good rate of functional recovery in the observation group was 63.16%, which was compared with 68.42% in the control group, and the difference was not statistically significant(P >0.05). After treatment, the radial height, palm inclination angle and ulnar deviation angle of the two groups were better than those before treatment, and the differences were statistically significant(P<0.05);there were no significant differences in radial height, palm inclination angle and ulnar deviation angle between the observation group and the control group(P>0.05). The incidence of complications in the observation group was 7.89%, which was lower than 26.32% in the control group, and the difference was statistically significant(P<0.05). Conclusion The curative effect of manual reduction and splint external fixation in patients with distal radius fracture was equivalent to that of open reduction and internal fixation, but it could reduce the incidence of complications, which was worthy of clinical application.