颌骨骨折后血清无机盐及碱性磷酸酶的变化及意义  

A Survey of the Changes of Serum Inorganic Salts and Alkaline Phosphatase after Jaw Fractures

作　　者：朱声荣[1] 王秀丽[2] 张延琳[1] 蔡卫[1] 冀予心 

机构地区：[1]同济医科大学附属同济医院口腔科,湖北430030 [2]湖北医科大学附属口腔医学院外科,湖北430070

出　　处：《上海口腔医学》2000年第4期203-204,209,共3页Shanghai Journal of Stomatology

摘　　要：目的　研究颌骨骨折后血清无机盐和碱性磷酸酶 (ALP)的变化和意义。方法　对 40例颌骨骨折患者和14例健康人进行血清钠、钾、氯、钙、磷、镁以及ALP含量的测定并作配对比较。结果　颌骨骨折组钠、钾、氯、钙含量与对照组无明显差异 ,磷、镁、ALP含量明显高于对照组 (P <0 .0 5 )。颌骨多线粉碎性骨折组的钙、磷、镁、ALP高于颌骨单、双线型骨折组 ,其中钙无明显差异 ,磷、镁、ALP有明显差异 (P <0 .0 5 )。单纯骨折组钙、磷、镁、ALP均低于骨折合并全身损伤组 (P >0 .0 5 )。骨折后即刻钙、磷、镁、ALP均高于骨折后 4周 ,其中钙、磷无明显差异 ,镁、ALP有显著差异 (P <0 .0 5 )。结论　颌骨骨折后血清无机盐和ALP含量增高 ,它可能在颌骨骨折的愈合与成骨过程中起着重要的调节作用。Objective To study the changes of serum salts and alkaline phosphatase in patients with jaw fractures and its roles.Methods The serum salts and alkaline phosphatase were determined in 40 cases of jaw fracture and 14 health persons. Results The results showed that there was no significant difference in Na +, K +, Cl , Ca 2+ contents between jaw fracture group and normal group ( P >0.05), but P 3 , Mg 2+ , ALP levels were higher in jaw fracture group than that in normal group ( P < 0.05). Futhermore the Ca 2+ , P 3 , Mg 2+ , ALP were higher in multiple or communition fracture of jaw than in single or double line fracture ( P < 0.05) except Ca content. The level of Ca 2+ was higher in single jaw fracture than in jaw damage with whole body injury ( P >0.05) but the levels of P 3- ,Mg 2+ , ALP were no difference ( P > 0.05) . As the same all the Ca 2+ , P 3 , Mg 2+ , ALP levels were higher in early stage of fracture than in 4 weeks after fracture ( P <0.05) . Conclusions The contents of Ca 2+ , P 3 , Mg 2+ , ALP were inereased after the maxilla mandible were fractured and it has an important regulation role in the activity of osteoblast and osteoclast in healing of fractured jaw. [

关 键 词：颌骨骨折 无机盐 碱性磷酸酶 

分 类 号：R782.4[医药卫生—口腔医学]