外固定架在骨科创伤治疗中的应用效果  

Application of External Fixation in Orthopedic Trauma

作　　者：曹磊[1] CAO Lei(Department of Orthopaedics,Central Hospital of Songjiang District,Shanghai,201600 China)

机构地区：[1]上海市松江区中心医院骨科,上海201600

出　　处：《系统医学》2020年第9期94-96,99,共4页Systems Medicine

摘　　要：目的探讨外固定架在骨科创伤治疗中的临床应用效果。方法选取该院在2018年3月-2019年6月期间收治的96例骨折患者为研究对象,按照随机数字表法划分为参照组和观察组,各48例,分别予以传统切开复位内固定治疗与外固定架治疗,比较两组患者治疗前后的ADL评分与VAS评分,对比两组患者的各项临床指标、并发症情况以及临床效果。结果治疗前,两组患者的ADL评分与VAS评分对比不具有统计学价值,差异无统计学意义(t=0.088,P=0.930;t=0.093,P=0.926);治疗后,观察组的ADL评分(45.67±3.82)分以及总有效率(91.67%)均高于参照组(38.98±3.15)分、(66.67%),差异有统计学意义(t=9.361,P=0.000;χ^2=9.095,P=0.003);且观察组的VAS评分(1.98±0.96)分以及并发症发生率(2.08%)均明显低于参照组(3.34±1.01)分、(12.50%),差异有统计学意义(t=6.762,P=0.000;χ^2=3.852,P=0.049);观察组的手术时间、骨折愈合时间以及住院时间依次为(26.90±4.05)min、(20.23±6.25)d、(16.68±2.92)d均短于参照组(45.79±4.28)min、(31.82±8.57)d、(23.55±3.01)d,差异有统计学意义(t=22.210,P=0.000;t=7.570,P=0.000;t=11.350,P=0.000);观察组的术中出血量(40.07±4.65)mL少于参照组(68.01±5.21)mL(t=27.720,P=0.000);其切口长度(2.11±1.55)cm也短于参照组(7.03±2.13)cm,差异有统计学意义(t=12.940,P=0.000)。结论对骨科创伤患者采用外固定架进行治疗,效果显著,可有效增强患者的日常生活能力,缓解其疼痛程度,改善其临床指标,降低并发症的产生,提升临床疗效。Objective To explore the clinical application of external fixation in orthopedic trauma treatment.Methods A total of 96 fracture patients who were treated in the hospital from March 2018 to June 2019 were selected as the research objects.According to the random number table method,they were divided into a reference group and an observation group,48 cases each,and were treated with traditional open reduction and internal fixation.Compared with external fixation therapy,the ADL score and VAS score of the two groups were compared before and after treatment,and the clinical indicators,complications and clinical effects of the two groups of patients were compared.Results Before treatment,the ADL score and VAS score of the two groups of patients were not statistically significant(t=0.088,P=0.930;t=0.093,P=0.926);after treatment,the ADL score of the observation group(45.67±3.82)points and the total effective rate(91.67%)was higher than the reference group(38.98±3.15)points,(66.67%),the difference was statistically significant(t=9.361,P=0.000;χ^2=9.095,P=0.003);and the VAS score of the observation group(1.98±0.96)points and the incidence of complications(2.08%)were significantly lower than those in the reference group(3.34±1.01)points,(12.50%),the difference was statistically significant(t=6.762,P=0.000;χ^2=3.852,P=0.049);the observation group of the operation time,fracture healing time and hospital stay were(26.90±4.05)min,(20.23±6.25)d,(16.68±2.92)d,all shorter than the reference group(45.79±4.28)min,(31.82±8.57)d,and(23.55±3.01)d,the difference was statistically significant(t=22.210,P=0.000;t=7.570,P=0.000;t=11.350,P=0.000);the intraoperative blood loss in the observation group(40.07±4.65)mL,less than the reference group(68.01±5.21)mL(t=27.720,P=0.000);the incision length(2.11±1.55)cm was also shorter than the reference group(7.03±2.13)cm,the difference was statistically significant(t=12.940,P=0.000).Conclusion The use of external fixation for the treatment of orthopedic trauma patients has significant

关 键 词：外固定架 骨科创伤 应用效果 

分 类 号：R687[医药卫生—骨科学]