桡骨远端骨折应用传统保守治疗与手术治疗的临床效果对比  

Comparison of Clinical Effects between Traditional Conservative Treatment and Surgical Treatment for Distal Radius Fractures

作　　者：王同 牛鸣 吴旭年 丁治中 赵毅 杜鑫 WANG Tong;NIU Ming;WU Xunian;DING Zhizhong;ZHAO Yi;DU Xin(不详;Zhangye Ganzhou District People's Hospital,Zhangye 734000,China)

机构地区：[1]张掖市甘州区人民医院,甘肃张掖734000

出　　处：《中外医学研究》2023年第10期31-34,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较桡骨远端骨折应用传统保守治疗与手术治疗的临床效果。方法:选取2019年6月—2021年12月张掖市甘州区人民医院76例桡骨远端骨折患者为研究对象。根据随机数表法将其分为对照组和研究组,各38例。对照组应用传统保守治疗,研究组应用手术治疗。比较两组腕关节功能,治疗前、治疗后3个月、治疗后6个月疼痛程度,治疗前、治疗后6个月生活质量及并发症。结果:研究组腕关节功能优良率为94.74%,高于对照组的76.32%,差异有统计学意义(P<0.05)。治疗后3个月、6个月,研究组腕关节尺侧、骨折部位视觉模拟疼痛量表(VAS)评分低于对照组,差异有统计学意义(P<0.05)。治疗后6个月,研究组生理功能、躯体疼痛、精神状态、总体健康评分均高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率为5.26%,明显低于对照组的21.05%,差异有统计学意义(P<0.05)。结论:同传统保守治疗效果相比,对桡骨远端骨折患者施以手术治疗具有更好的临床效果,患者并发症发生率更低,疼痛症状改善效果更优,生活质量更高。Objective:To compare the clinical effects between traditional conservative treatment and surgical treatment for distal radius fractures.Method:From June 2019 to December 2021,76 patients with distal radius of fracture in Zhangye Ganzhou District People's Hospital were selected as the research objects.According to the random number table method,they were divided into the control group and the study group,38 cases in each group.The control group was treated with traditional conservative treatment,and the study group was treated with surgery.The wrist joint function,pain degree before treatment,3 months after treatment and 6 months after treatment,quality of life before treatment and 6 months after treatment and complications were compared between the two groups.Result:The excellent and good rate of wrist joint function in the study group was 94.74%,which was higher than 76.32%in the control group,and the difference was statistically significant(P<0.05).At 3 months and 6 months after treatment,the visual analogue pain scale(VAS)scores of ulnar wrist joint and fracture site in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Six months after treatment,the scores of physiological function,physical pain,mental state and overall health in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 5.26%,which was significantly lower than 21.05%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Compared with the traditional conservative treatment effect,surgical treatment for patients with distal radius of fractures has better clinical efficacy,the patients have lower incidence of complications,better improvement effect in pain symptoms,and higher quality of life.

关 键 词：桡骨远端骨折 传统保守治疗 手术治疗 临床效果 

分 类 号：R687.3[医药卫生—骨科学]