内固定术联合外固定架治疗创伤性四肢骨折患者的效果及其对关节功能的影响  

Effect of Internal Fixation Combined with External Fixation Rack in Patients with Traumatic Limb Fractures and Its Effect on Joint Function

作　　者：牛树昂 王培安 NIU Shu'ang;WANG Pei'an(Department of Traumatic Surgery,Heze Mudan People's Hospital,Heze 274000,Shandong,China)

机构地区：[1]菏泽市牡丹人民医院创伤外科,山东菏泽274000

出　　处：《系统医学》2024年第22期141-144,共4页Systems Medicine

摘　　要：目的探究内固定术联合外固定架治疗创伤性四肢骨折患者的效果及其对生活质量的影响。方法非随机选取2021年1月—2023年1月菏泽市牡丹人民医院收治的86例创伤性四肢骨折患者为研究对象。根据治疗方式不同分为对照组、观察组,各43例。对照组采取内固定术治疗,观察组采取内固定术联合外固定架治疗。对比两组围术期情况、疼痛程度、炎性因子水平及关节功能。结果观察组围术期指标均优于对照组,差异有统计学意义(P均<0.05)。观察组术后第1天疼痛评分为(4.52±0.69)分、第3天疼痛评分为(1.64±0.47)分,均低于对照组的(5.69±0.74)分、(3.06±0.52)分,差异有统计学意义(t=7.583、13.285,P均<0.05)。治疗后观察组炎性因子水平均低于对照组,差异有统计学意义(P均<0.05)。治疗后观察组关节功能评分均优于对照组,差异有统计学意义(P均<0.05)。结论针对创伤性四肢骨折患者采取内固定术联合外固定架治疗效果较好,有助于降低疼痛程度和炎性因子水平,且明显提高患者关节功能。Objective To explore the effect of internal fixation combined with external fixator in the treatment of patients with traumatic limb fractures and its impact on quality of life.Methods A total of eighty-six patients with traumatic limb fractures admitted to Heze Mudan People's Hospital from January 2021 to January 2023 were non-randomly selected as the study subjects.According to different treatment methods,they were divided into control group and observation group,with forty-three cases in each group.The control group was treated with internal fixation,and the observation group was treated with internal fixation combined with external fixator.The perioperative conditions,pain degree,inflammatory factor levels and joint function were compared between the two groups.Results The perioperative indexes of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).The pain score of the observation group on the first day after operation was 4.52±0.69,and the pain score on the third day was 1.64±0.47,which were lower than 5.69±0.74,3.06±0.52 of the control group,the differences were statistically significant(t=7.583,13.285,both P<0.05).After treatment,the levels of inflammatory factors in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the joint function scores of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Internal fixation combined with external fixator is effective in the treatment of patients with traumatic limb fractures,which is helpful to reduce the degree of pain and the level of inflammatory factors,and significantly improve the joint function of patients.

关 键 词：创伤性四肢骨折 内固定术 外固定架 围术期指标 疼痛程度 炎性因子水平 关节功能 

分 类 号：R4[医药卫生—临床医学]