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：崔玉杰 牛晶 江军 申力 CUI Yu-jie;NIU Jing;JIANG Jun(Beijing United Family Hospital,Beijing 100015,China)

机构地区：[1]北京和睦家医院,100015

出　　处：《中国实用医药》2025年第4期21-24,共4页China Practical Medicine

摘　　要：目的对比传统保守治疗与手术治疗对桡骨远端骨折患者的效果。方法以95例桡骨远端骨折患者为研究对象,对患者进行编号后采取随机抽取法分成对照组(49例)、观察组(46例)。对照组实施传统保守治疗,观察组实施手术治疗。对比两组并发症发生率,腕关节指标(掌倾角、尺偏角、桡骨短缩长度),腕关节活动情况(外展活动度、内收活动度、掌屈活动度、背伸活动度),生活质量,满意度。结果观察组治疗后并发症发生率2.17%(1/46)低于对照组的14.29%(7/49),有差异(P<0.05)。治疗后,观察组掌倾角(11.23±1.12)°、尺偏角(20.32±1.05)°、桡骨短缩长度(12.03±0.99)mm均大于对照组的(9.85±0.85)°、(17.04±0.47)°、(8.34±0.70)mm,有差异(P<0.05)。治疗后,观察组外展活动度(26.35±1.12)°、内收活动度(19.65±1.41)°、掌屈活动度(55.41±1.18)°、背伸活动度(49.25±1.12)°均大于对照组的(21.01±0.85)、(15.03±0.74)、(48.30±0.96)、(42.25±0.85)°,有差异(P<0.05)。治疗后,观察组生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康评分均高于对照组,有差异(P<0.05)。观察组治疗后总满意度97.83%(45/46)高于对照组的85.71%(42/49),有差异(P<0.05)。结论在临床中实施手术治疗方案,有利于改善桡骨远端骨折患者腕关节指标、腕关节活动情况、生活质量与满意度,降低并发症发生率。Objective To compare the effect between traditional conservative treatment and surgical treatment for distal radius fractures.Methods A total of 95 patients with distal radius fractures as study subjects.The patients were numbered and randomly assigned into a control group(49 cases)and an observation group(46 cases).The control group received traditional conservative treatment,and the observation group received surgical treatment.Both groups were compared in terms of incidence of complications,wrist joint indicators(palmar tilt angle,ulnar inclination angle,radial shortening length),wrist joint range of motion(abduction range of motion,adduction range of motion,palmar-flexion range of motion,dorsiflexion range of motion),quality of life,and satisfaction.Results The incidence of complications of the observation group was 2.17%(1/46)after treatment,which was lower than 14.29%(7/49)in the control group,and there was a difference(P<0.05).After treatment,the palmar tilt angle,ulnar inclination angle and radial shortening length were(11.23±1.12)°,(20.32±1.05)°and(12.03±0.99)mm in the observation group,which were greater than(9.85±0.85)°,(17.04±0.47)°and(8.34±0.70)mm in the observation group,and there were differences(P<0.05).After treatment,the abduction range of motion,adduction range of motion,palmar-flexion range of motion and dorsiflexion range of motion were(26.35±1.12),(19.65±1.41),(55.41±1.18)and(49.25±1.12)°,which were greater than(21.01±0.85),(15.03±0.74),(48.30±0.96)and(42.25±0.85)°in the control group,and there were differences(P<0.05).After treatment,the scores of physical function,role-physical,bodily pain,general health status,energy,social function,role-emotional and mental health of the observation group were higher than those of the control group,and there were differences(P<0.05).The total satisfaction of the observation group was 97.83%(45/46)after treatment,which was higher than 85.71%(42/49)of the control group,and there were differences(P<0.05).Conclusion Implementing surgical

关 键 词：桡骨远端骨折 传统保守治疗 手术治疗 

分 类 号：R68[医药卫生—骨科学]