价临床治疗股骨骨折应用微创经皮锁定钢板这一方案所能够获得的效果。方法:2019年2月至2023年1月期间,我院骨科收治的患者中共有46例患者符合本课题的研究对象选入标准,被选入到课题研究中,并被随机分入试验组和对照组,试验组的治疗方...价临床治疗股骨骨折应用微创经皮锁定钢板这一方案所能够获得的效果。方法:2019年2月至2023年1月期间,我院骨科收治的患者中共有46例患者符合本课题的研究对象选入标准,被选入到课题研究中,并被随机分入试验组和对照组,试验组的治疗方案为微创经皮锁定钢板治疗,另一组作为对照的治疗方案为空心螺钉内固定,选取多个角度的观察指标,进行两组比较,以保证所得结论的客观性。结果 术后并发症这一指标方面,首先进行并发症类型的统计,显示试验组为1种,对照组为3种,进行发生率的两组统计和比较,显示对照组为21.74%,试验组为4.35%,两组比较x2=3.860,P<0.05。于术后3个月进行骨折愈合效果的比较,参照事先指定的标准进行评价和统计,显示试验组的骨折愈合优良率更高,与对照组比较差异较大(86.96% VS 60.87%),x2=3.912,P<0.05。另统计两组的术后下床活动时间、术后负重锻炼时间、术后完全负重时间,结果显示三个时间性指标均为试验组早于对照组,统计学检验,t值分别为3.961、5.001、4.882,P均<0.05。最后,进行两组下肢运动功能(下肢Fugl-Meyer评分)的对比,该指标的评价时间点为2个,一个为术后3个月,一个为术后6个月,统计结果显示,这两个时间点,试验组的下肢Fugl-Meyer评分均更高一些,与对照组比较的差异经统计学检验t值分别为4.570、4.113,P均<0.05。结论 创经皮锁定钢板用于治疗股骨骨折,术后并发症少,能够早期下床活动,骨折愈合效果好,利于患者下肢运动功能早日恢复。展开更多
OBJECTIVE:To objectively evaluate the clinically curative effect of sidong wubu method on closed fracture of upper limbs.METHODS:A single-blind randomized controlled trial was used to divide 654 patients with closed f...OBJECTIVE:To objectively evaluate the clinically curative effect of sidong wubu method on closed fracture of upper limbs.METHODS:A single-blind randomized controlled trial was used to divide 654 patients with closed fracture of upper limbs at early stage into two groups.298 patients in the surgical group were treated with open reduction and internal fixation and 356 patients in the treatment group with sidong wubu method for 6 months as a course of treatment.RESULTS:As for short-term curative effect(after 6 courses of treatment),the total effective rate was 97.7% in the treatment group and 92.9% in the control group,and the excellent and good rate was 83.7% and 76.5% respectively.Fracture-healing time,treatment cost,function-recovering time,scores of symptoms and signs obviously declined in both groups with remarkable difference between the two groups.As to long-term curative effect(after follow-up visit for one year to 5 years and 2 months),there was still noticeable difference(χ 2 = 7.536,P<0.05) in total curative effect and in excellent and good rate between the two groups.CONCLUSION:With low cost,short treatment course,good function and other advantages,sidong wubu method can be first used to treat closed fracture of upper limbs.展开更多
文摘价临床治疗股骨骨折应用微创经皮锁定钢板这一方案所能够获得的效果。方法:2019年2月至2023年1月期间,我院骨科收治的患者中共有46例患者符合本课题的研究对象选入标准,被选入到课题研究中,并被随机分入试验组和对照组,试验组的治疗方案为微创经皮锁定钢板治疗,另一组作为对照的治疗方案为空心螺钉内固定,选取多个角度的观察指标,进行两组比较,以保证所得结论的客观性。结果 术后并发症这一指标方面,首先进行并发症类型的统计,显示试验组为1种,对照组为3种,进行发生率的两组统计和比较,显示对照组为21.74%,试验组为4.35%,两组比较x2=3.860,P<0.05。于术后3个月进行骨折愈合效果的比较,参照事先指定的标准进行评价和统计,显示试验组的骨折愈合优良率更高,与对照组比较差异较大(86.96% VS 60.87%),x2=3.912,P<0.05。另统计两组的术后下床活动时间、术后负重锻炼时间、术后完全负重时间,结果显示三个时间性指标均为试验组早于对照组,统计学检验,t值分别为3.961、5.001、4.882,P均<0.05。最后,进行两组下肢运动功能(下肢Fugl-Meyer评分)的对比,该指标的评价时间点为2个,一个为术后3个月,一个为术后6个月,统计结果显示,这两个时间点,试验组的下肢Fugl-Meyer评分均更高一些,与对照组比较的差异经统计学检验t值分别为4.570、4.113,P均<0.05。结论 创经皮锁定钢板用于治疗股骨骨折,术后并发症少,能够早期下床活动,骨折愈合效果好,利于患者下肢运动功能早日恢复。
基金Supported by key disciplines of Shaanxi provincial educational departmentspecial fund for national clinical key specialties of Health Ministry
文摘OBJECTIVE:To objectively evaluate the clinically curative effect of sidong wubu method on closed fracture of upper limbs.METHODS:A single-blind randomized controlled trial was used to divide 654 patients with closed fracture of upper limbs at early stage into two groups.298 patients in the surgical group were treated with open reduction and internal fixation and 356 patients in the treatment group with sidong wubu method for 6 months as a course of treatment.RESULTS:As for short-term curative effect(after 6 courses of treatment),the total effective rate was 97.7% in the treatment group and 92.9% in the control group,and the excellent and good rate was 83.7% and 76.5% respectively.Fracture-healing time,treatment cost,function-recovering time,scores of symptoms and signs obviously declined in both groups with remarkable difference between the two groups.As to long-term curative effect(after follow-up visit for one year to 5 years and 2 months),there was still noticeable difference(χ 2 = 7.536,P<0.05) in total curative effect and in excellent and good rate between the two groups.CONCLUSION:With low cost,short treatment course,good function and other advantages,sidong wubu method can be first used to treat closed fracture of upper limbs.
