髓内钉内固定技术在上肢长管骨骨折患者中的应用效果

Effectiveness of Intramedullary Nailing Fixation Technique in Patients with Long Bone Fractures of the Upper Limb

目的评估上肢长管骨创伤骨折患者采用髓内钉内固定技术(INR)治疗的效果。方法选取清镇市第一人民医院2020年1月至2023年12月收治的上肢长管骨骨折患者76例,按照奇偶数字法随机分为观察组(38例)和对照组(38例),对照组行锁定加压钢板内固定(LCP)治疗,观察组行INR治疗。比较两组手术指标、疼痛程度、肢体功能(FMA)、日常生活活动功能(ADL)改善效果及并发症情况。结果观察组手术时间、下床活动时间、住院用时均显著低于对照组(P<0.05),观察组术中出血量显著低于对照组(P<0.05);术后2 h、12 h、24 h、72 h VAS评分观察组低于对照组(P<0.05);治疗后FMA、ADL评分两组均改善,组间比较观察组改善更显著(P<0.05);两组患者并发症比较观察组显著低于照组(P<0.05)。结论INR治疗上肢长管骨创伤骨折,有利于缓解疼痛,提升肢体功能、日常生活活动能力,减少并发症。

Objective To evaluate the effect of intramedullary nailing fixation technology(INR)in the treatment of upper limb long bone traumatic fractures.Methods 76 patients with upper limb long bone fractures admitted to the First People's Hospital of Qingzhen City from January 2020 to December 2023 were randomly divided into theobservation group(38 cases)and the control group(38 cases)according to the odd even number method.The control group received treatment with locking compression plate internal fixation(LCP),while the observation group received INR treatment.The surgical indicators,pain level,limb function(FMA),improvement in activities of daily living(ADL),and complications were compared between the two groups.Results The operation time,time to get out of bed,and length of hospital stay in the observation group were significantly lower than those in the control group(P<0.05).The intraoperative blood loss in the observation group was significantly lower than that in the control group(P<0.05).The VAS scores at 2 h,12 h,24 h,and 72 h postoperatively in the observation group were lower than those in the control group(P<0.05).The FMA and ADL scores improved after treatmentin both groups,with a more significant improvement in the observat ion group compared to the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion INR treatment for upper limb long bone traumatic fractures helps to alleviate pain,improve limb function,daily activities,and reduce complications.