不同外固定支架治疗方案治疗胫腓骨开放性骨折的临床效果研究  

Study on the clinical effect of different treatment schemes of external fixator in the treatment of open fractures of tibia and fibula

作　　者：郭洪伟 GUO Hong-wei(Central Hospital of Faku County,Shenyang 110400,China)

机构地区：[1]辽宁省沈阳市法库县中心医院,110400

出　　处：《中国现代药物应用》2021年第20期1-3,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察不同外固定支架治疗方案治疗胫腓骨开放性骨折的效果。方法66例胫腓骨开放性骨折患者,通过自愿原则分为观察组和对照组,各33例。对照组通过单臂式外固定支架治疗,观察组通过组合式外固定支架治疗。比较两组康复效果、膝关节功能评分及疼痛评分。结果观察组患者的康复优良率96.97%高于对照组的66.67%,差异有统计学意义(P<0.05)。治疗后,观察组患者的膝关节功能评分(88.64±10.33)分明显高于对照组的(82.45±10.03)分,疼痛评分(0.34±0.30)分明显低于对照组的(1.25±0.89)分,差异有统计学意义(P<0.05)。结论通过组合式外固定支架方案治疗胫腓骨开放性骨折能提升患者骨折恢复的优良率,改善患者的膝关节功能和疼痛程度,值得推荐。Objective To discuss the effect of different treatment schemes of external fixator in the treatment of open fractures of tibia and fibula.Methods A total of 66 patients with open fractures of tibia and fibula were divided into observation group and control group according to the voluntary principle,with 33 cases in each group.The control group was treated with single-arm external fixator,while the observation group was treated with combined external fixator.The rehabilitation effect,knee function score and pain score were compared between the two groups.Results The excellent recovery rate of patients in the observation group was 96.97%,which was higher than 66.67%in the control group,and the difference was statistically significant(P<0.05).After treatment,the knee function score(88.64±10.33)points of patients in the observation group was significantly higher than(82.45±10.03)points of the control group,and the pain score(0.34±0.30)points was significantly lower than(1.25±0.89)points of the control group.All the differences were statistically significant(P<0.05).Conclusion The combined external fixator for open tibiofibular fracture can improve the excellent rate of fracture recovery,knee function and pain of patients,which is worthy of recommendation.

关 键 词：外固定支架 胫腓骨开放性骨折 内固定 疼痛 

分 类 号：R687.3[医药卫生—骨科学]