手术和非手术治疗老年桡骨远端骨折的近远期效果比较  

Comparison of short-term and long-term effects of surgical and non-surgical treatment of senile distal radius fractures

作　　者：贾洪颖 JIA Hongying(First People’s Hospital of Heishan County,Heishan 121400 Liaoning,China)

机构地区：[1]黑山县第一人民医院

出　　处：《中国民康医学》2019年第20期22-24,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较手术和非手术治疗老年桡骨远端骨折的近远期效果。方法:选取120例老年桡骨远端骨折患者作为研究对象,按随机数字表法将其分为对照组和观察组各60例,对照组实施手法复位及石膏外固定,观察组实施手术内固定治疗,比较两组早期复位、远近期腕关节功能恢复及并发症发生情况。结果:观察组住院时间明显长于对照组,住院费用明显高于对照组,差异均有统计学意义(P<0.05);治疗后两组桡骨尺偏角、掌倾角均明显大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05);治疗1年后两组Cooney评分中疼痛、功能状态、活动度、握力评分均高于治疗前,差异有统计学意义(P<0.05),治疗1年后两组Cooney评分中疼痛、功能状态、活动度、握力评分比较,差异无统计学意义(P>0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:老年桡骨远端骨折行手术治疗时的近期复位效果更好,但其住院时间长,治疗费用高,且远期并发症及疗效与非手术治疗相当。Objective:To compare short-term and long-term effects of surgical and non-surgical treatment on senile distal radius fractures.Methods:120 senile patients with distal radius fractures were selected as the study subjects.They were divided into control group(n=60)and observation group(n=60)according to the random number table method.The control group was treated with manual reduction and external plaster fixation,while the observation group was treated with internal fixation.The early reduction,the recoveries of short-term and long-term wrist function,and the occurrence of long-term complications were compared between the two groups.Results:The hospital stay in the observation group was significantly longer than that in the control group,and the difference was statistically significant(P<0.05).The hospitalization expense in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).After the treatment,the ulnar inclination angle and palm tilt angle in the observation group were significantly greater than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the scores of the pain,functional status,range of motion,and grip strength of Cooney score between the two groups 1 year after the treatment(P>0.05).Further,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:For the senile distal radius fractures,the surgical treatment has better short-term reduction effects.However,it has longer hospital stay,higher treatment cost,and long-term complication incidence comparable to the non-surgical treatments.

关 键 词：老年桡骨远端骨折 手术 非手术 腕关节功能 

分 类 号：R274.9[医药卫生—中西医结合]