基于Logistic回归模型分析解剖型锁定钢板治疗对肱骨近端骨折患者肩关节功能恢复的影响因素  

Analysis of the Influencing Factors of Shoulder Joint Function Recovery in Patients with Proximal Humeral Fractures Treated with Anatomical Locking Plate Based on Logistic Regression Model

作　　者：章其祥 张斌[2] ZHANG Qixiang;ZHANG Bin(Department of Orthopedics,Shuyang Mercy Hospital,Suqian 223600,China;Department of Orthopedics,Shuyang County Traditional Chinese Medicine Hospital,Suqian 223600,China)

机构地区：[1]沭阳仁慈医院骨科,江苏宿迁223600 [2]沭阳县中医院骨科,江苏宿迁223600

出　　处：《反射疗法与康复医学》2024年第19期121-124,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 分析解剖型锁定钢板(ALP)治疗对肱骨近端骨折(PHF)患者肩关节功能恢复的影响因素。方法 回顾性分析2021年6月—2023年6月沭阳县中医院收治的80例PHF患者的临床资料,根据患者术后肩关节功能恢复情况将其分为恢复良好组(n=65)和恢复不良组(n=15)。收集两组患者的各项资料,选择Logistic回归模型分析PHF患者术后肩关节功能恢复的影响因素。结果 Logistic回归分析显示,骨密度异常、术后首次功能锻炼时间偏长、肱骨颈干角度偏大、内翻角度偏大、肱骨大结节与钢板顶点间距偏长均是影响PHF患者术后肩关节功能恢复不良的危险因素(OR>1,P<0.05)。结论 采用ALP治疗PHF患者,其术后肩关节功能整体恢复情况良好,但骨密度异常、术后首次功能锻炼时间偏长、肱骨颈干角度偏大、内翻角度偏大、肱骨大结节与钢板顶点间距偏长均会增加PHF患者术后肩关节功能恢复不良的发生风险,临床需加强早期预防干预。Objective Analysis of the influencing factors of shoulder joint function recovery in patients with proximal humeral fracture(PHF) treated with anatomical locking plate(ALP).Methods A retrospective analysis of clinical data of 80PHF patients admitted to Shuyang County Trodditional Chinese Medicine Hospital from June 2021 to June 2023,according to the postoperative recovery of shoulder joint function,patients were divided into a good recovery group(n =65) and a poor recovery group(n=15).Collect various data from two groups of patients and select Logistic regression model to analyze the influencing factors of postoperative shoulder joint function recovery in PHF patients.Results Logistic regression analysis showed that abnormal bone density,prolonged first functional exercise time after surgery,large humeral neck shaft angle,large inversion angle,and long distance between the greater tuberosity of the humerus and the apex of the steel plate were all risk factors affecting poor shoulder joint function recovery in PHF patients after surgery(OR>1,P<0.05).Conclusion The overall recovery of shoulder joint function in PHF patients treated with ALP is good after surgery,but abnormal bone density,prolonged first functional exercise time after surgery,large humeral neck shaft angle,large inversion angle,and long distance between the greater tuberosity of the humerus and the apex of the steel plate all increase the risk of poor shoulder joint function recovery in PHF patients after surgery,early prevention and intervention are needed in clinical practice.

关 键 词：肱骨近端骨折 解剖型锁定钢板 肩关节功能 影响因素 

分 类 号：R683.41[医药卫生—骨科学]