酮咯酸氨丁三醇辅助钢板内固定术治疗锁骨骨折患者的效果及对术后愈合效果的影响  

Effect of Ketorolac Tromethamine Assisted Plate Internal Fixation in the Treatment of Patients with Clavicle Fracture and its Effect on Postoperative Healing

作　　者：李雪鹏 刘羽[1] LI Xuepeng;LIU Yu(The Second Ward of Orthopaedics Department,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院骨科二病区,河南南阳473000

出　　处：《中国药物滥用防治杂志》2024年第11期2101-2103,共3页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技公关联合共建项目(编号:LHGJ20221052)。

摘　　要：目的:探究酮咯酸氨丁三醇对锁骨骨折钢板内固定术患者愈合作用。方法:选取2022年6月—2024年6月我院接受治疗的78例锁骨骨折钢板内固定术患者,运用抽签法平均分为两组,每组39例。参照组应用锁骨骨折钢板内固定术治疗,研究组在参照组基础上加用酮咯酸氨丁三醇治疗。比较两组疼痛程度、异位骨化发生率、骨折愈合时间、骨折愈合优良率。结果:研究组术后36h、术后48h的VAS评分均低于参照组(P<0.05);研究组异位骨化发生率低于参照组(P<0.05);研究组骨折愈合时间与参照组比较,差异无统计学意义(P>0.05);两组治疗优良率比较,差异无统计学意义(P>0.05)。结论:酮咯酸氨丁三醇治疗能减轻锁骨骨折钢板内固定术患者术后疼痛,降低异位骨化发生率,且不影响骨折愈合,治疗效果显著。Objective:To explore the healing effect of ketorolac tromethamine on patients with clavicular fracture plate internal fixation.Methods:From June 2022 to June 2024,78 patients with clavicular fracture treated by plate internal fixation in our hospital were selected and divided into two groups by drawing lots,with 39 patients in each group.The reference group was treated with clavicular fracture plate internal fixation,and the study group was treated with ketorolac tromethamine on the basis of the reference group.The pain degree,incidence of heterotopic ossification,fracture healing time and excellent and good rate of fracture healing were compared between the two groups.Results:The VAS score of the study group at 36 h and 48 h after operation was lower than that of the reference group(P<0.05).The incidence of heterotopic ossification in the study group was lower than that in the reference group(P<0.05).There was no significant difference in fracture healing time between the study group and the reference group(P>0.05).There was no significant difference in the excellent and good rate between the two groups(P>0.05).Conclusion:Ketorolac tromethamine treatment can reduce postoperative pain and the incidence of heterotopic ossification in patients with clavicular fracture plate internal fixation,and does not affect fracture healing.The treatment effect is significant.

关 键 词：酮咯酸氨丁三醇 锁骨骨折钢板内固定术 愈合 异位骨化 疼痛 

分 类 号：R687.3[医药卫生—骨科学]