摘要
目的探讨经皮甩肩法治疗老年肱骨外科颈骨折患者的效果.方法选取该院2019年2月—2021年2月收治的72例老年肱骨外科颈骨折患者,按随机数字表法分为两组,每组36例.对照组采用切开复位肱骨近端锁定钢板内固定治疗,观察组采用经皮甩肩法治疗,两组均随访3个月.对比两组的恢复情况、疼痛程度、肩关节功能及并发症发生率.结果观察组的住院时间及骨折愈合时间均短于对照组,组间差异有统计学意义(P<0.05).治疗前,两组的疼痛视觉模拟评分(VAS)、Constant-Murley肩关节功能量表评分比较,差异无统计学意义(P>0.05);治疗后,观察组的VAS评分低于对照组,Constant-Murley评分高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为5.56%,低于对照组的22.22%,差异有统计学意义(P<0.05).结论经皮甩肩法治疗可有效缩短老年肱骨外科颈骨折患者的住院时间及骨折愈合时间,减轻其术后疼痛,改善肩关节功能,且不会引起严重并发症,值得应用.
Objective To investigate the effect of percutaneous shoulder swing in the treatment of elderly patients with humerus surgical neck fracture.Methods A total of 72 elderly patients with humerus surgical neck fracture admitted to our hospital from February 2019 to February 2021 were selected and were divided into two groups according to random number table method,with 36 patients in each group.The control group was treated with open reduction and proximal humeral locking plate internal fixation,and the observation group was treated with percutaneous shoulder swing.Both groups were followed up for 3 months.The recovery,pain,shoulder function and incidence of complications were compared between the two groups.Results The length of hospital stay and fracture healing time in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there were no significant differences in pain visual analogue scale(VAS)scores and Constant-Murley scale scores of shoulder function between the two groups(P>0.05);after treatment,the VAS score of the observation group was lower than that of the control group,and the Constant-Murley score was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.56%,lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion Percutaneous shoulder swing can effectively shorten the hospitalization time and fracture healing time of elderly patients with humerus surgical neck fracture,relieve postoperative pain,improve shoulder joint function,without causing serious complications,and is worthy of application.
作者
刘承权
LIU Chengquan(Department of Orthopedics,Yanzhou District People's Hospital,Jining City,Jining Shandong,272100,China)
出处
《反射疗法与康复医学》
2021年第24期134-136,共3页
Reflexology And Rehabilitation Medicine
关键词
老年肱骨外科颈骨折
经皮甩肩法
肩关节功能
并发症
Humerus surgical neck fracture in the elderly
Percutaneous shoulder swing
Shoulder function
Complication
