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桡骨远端骨折保守治疗与手术治疗疗效对比评价

Contrastive Evaluation of Conservative Treatment and Surgical Treatment of Distal Radius Fractures

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【作者】 张煜

【Author】 ZHANG Yu;Department of Orthopedics, Zouping People’s Hospital of Shandong Province Binzhou;

【机构】 山东省邹平市人民医院骨二科

【摘要】 目的对比分析桡骨远端骨折保守治疗与手术治疗疗效。方法在该院患者中随机选取2018年8月—2019年8月共100例桡骨远端骨折患者作为该次研究对象,以电脑随机的方法平均分为对照组和实验组。对照组采用保守治疗桡骨远端骨折,而实验组则采用手术治疗桡骨远端骨折。对患者治疗后的疗效,尺偏角、掌倾角、桡骨短缩和患者的生活质量、患者的满意度进行比较分析。结果实验组患者的疗效(94%)高于对照组(80%),差异有统计学意义(χ~2=4.33,P<0.05);实验组患者治疗后的尺偏角、掌倾角高于对照组患者,桡骨短缩低于对照组患者(t=15.61、13.23、32.00,P<0.05);实验组患者的生活质量均高于对照组(t=11.02、8.07、6.97、8.00, P<0.05);实验组患者的满意度(92%)高于对照组(78%)(χ~2=3.84,P<0.05)。结论对桡骨远端骨患者进行手术治疗可以有效提高患者疗效,提高患者的尺偏角、掌倾角、降低桡骨短缩,提高患者的生活质量和治疗满意度,手术治疗在临床对桡骨远端骨折患者的治疗中具有推广价值。

【Abstract】 Objective To analyze the curative effect of conservative treatment and surgical treatment of distal radius fractures. Methods A total of 100 patients with distal radius fractures in the hospital from August 2018 to August 2019 were randomly selected as the research object, and they were divided into a control group and an experimental group on average by computer random method. The control group used conservative treatment of distal radius fractures, while the experimental group used surgery to treat distal radius fractures. After the treatment, the curative effect, ulnar deviation angle, palm inclination angle, radial shortening, the patient’s quality of life and the patient’s satisfaction were compared and analyzed. Results The efficacy(94%) of the patients in the experimental group was higher than that of the control group(80%),the difference is statistically significant(χ~2=4.33, P <0.05); the ulnar angle and palmar inclination angle of the experimental group after treatment were higher than those of the control group, radius shrinkage was lower than that in the control group(t=15.61, 13.23, 32.00, P<0.05); the quality of life of the experimental group was higher than the control group(t=11.02, 8.07, 6.97, 8.00, P<0.05); the satisfaction of patients in the experimental group(92%) was higher than that of the control group(78%)(χ~2=3.84, P <0.05). Conclusion Surgical treatment of patients with distal radius bone can effectively improve the curative effect of patients, increase the ulnar angle, palmar inclination angle, reduce radial shortening, improve the quality of life and treatment satisfaction of patients. The treatment of patients with end fractures has the value of promotion.

  • 【文献出处】 中外医疗 ,China & Foreign Medical Treatment , 编辑部邮箱 ,2020年20期
  • 【分类号】R687.3
  • 【被引频次】2
  • 【下载频次】52
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