摘要
目的探讨解剖钢板治疗老年肱骨外科颈粉碎性骨折的临床应用效果和价值。方法选取2011年1月~2014年8月在我院进行治疗的25例老年肱骨外科颈粉碎性骨折患者作为研究对象,按随机分配的方式,将25例患者分为对照组(n=12)和观察组(n=13)。对照组患者给予传统的石膏外固定治疗,观察组患者采用解剖钢板进行内固定治疗。治疗后,对患者进行为期3~6个月的随访,观察比较两组患者的骨折愈合情况,采用Neer评分对患者治疗前后的骨折愈合情况进行评价。结果观察组术中出血量和住院时间均优于对照组(P<0.05);对照组患者的骨折愈合优良率为66.7%,观察组患者的骨折愈合优良率为92.3%,观察组患者的骨折愈合情况明显优于对照组(P<0.05)。结论解剖钢板治疗老年肱骨外科颈粉碎性骨折,能有效促进患者骨折的愈合,有效恢复患者的肩关节功能,有利于提高患者的生活质量水平,具有较高的临床应用价值,值得被广泛应用于老年肱骨外科颈粉碎性骨折的治疗中。
Objective To discuss the clinical application effect and value of anatomical plate in the treatment of elderly patients with humeral surgical neck comminuted fracture. Methods 25 elderly patients with humeral surgical neck corn- minuted fracture treated in our hospital from January 2011 to August 2014 were selected as the study subjects and di- vided into control group(n=12) and observation group(n=13) according to the random allocation method.Traditional plas- ter external fixation was used in control group and anatomical plate internal fixation was used in observation group.M- ter treatment,the patients were followed up for 3 to 6 months.The fracture healing situation between two groups was ob- served comparatively and the Neer rating was used to evaluate the patients' fracture healing situation before and after the treatment. Results The amount of bleeding and hospitalization time in observation group was better than that of control group (P〈0.05).The excellent and good rate of fracture healing in the control group was 66.7% and that of the observation group was 92.3%, with the observation group significantly better than the control group (P〈0.05). Conclu- sion The application of anatomical plate in the treatment of elderly patients with humeral surgical neck comminuted fracture can effectively promote the patients' fracture healing, enables effective shoulder joint function recovery of pa- tients and is conducive to improving the patients' quality of life,which is of high clinical application value and worthy of wide application in the treatment of elderly patients with humeral surgical neck comminuted fracture.
出处
《中国当代医药》
2015年第31期75-77,共3页
China Modern Medicine
关键词
解剖钢板
老年肱骨外科颈粉碎性骨折
骨折愈合
Neer评分
Anatomical plate
Elderly patients with humeral surgical neck comminuted fracture,Fracture healing^Neer rating