摘要
目的:研究跟骨关节内骨折患者行切开复位内固定术+术后损伤早期止痛汤治疗效果。方法:数据取自某院2020年5月-2021年5月收治的90例跟骨关节内骨折患者,“硬币分组法”分为手术组(切开复位内固定术)和联合组(手术组基础+损伤早期止痛汤)各45例,比较分析两组疗效。结果:治疗前比较两组骨代谢指标无差异,跟骨形态变化也无差异(P>0.05);治疗后与手术组比较,联合组PYD、OC、BALP及PINP指标更高,Gissane角、Bohler角及跟骨高度更高;联合组有效率(97.78%)高于手术组(84.44%),联合组并发症率(6.67%)低于手术组(22.22%),χ^(2)=4.939,4.406;P=0.026,0.036(P<0.05)。结论:跟骨关节内骨折患者行切开复位内固定术+术后损伤早期止痛汤治疗可促进骨折愈合、足跟功能恢复,减少并发症、值得推崇。
Objective:To study the effect of open reduction and internal fixation combined with early analgesic decoction for postoperative injury in the treatment of intra-articular calcaneal fractures.Methods:90 patients with intra-articular calcaneal fractures in a hospital from January to may 2020 were collected and divided into operation group(open reduction and internal fixation,n=45)and combined group(early analgesic decoction for postoperative injury based on the operation group,n=45)by"coin grouping method".The curative effects of the two groups were compared and analyzed.Results:There was no difference in bone metabolism and calcaneal morphology between the two groups before treatment(P>0.05).After treatment,the indexes of PYD,OC,BALP and PINP in the combined group were higher than those in the operation group,Gissane angle,Bohler angle and calcaneal height in the combined group were higher.The effective rate of the combined group(97.78%)was higher than that of the operation group(84.44%),and the complication rate of the combined group(6.67%)was lower than that of the operation group(22.22%)(χ^(2)=4.939,4.406;P=0.026,0.036,P<0.05).Conclusion:Open reduction and internal fixation combined with early analgesic decoction for postoperative injury in patients with intra-articular calcaneal fractures can promote fracture healing and heel function recovery,and reduce complications,which can be highly respected.
作者
郭旺旺
宋金岗
王文华
Guo Wangwang;Song Jingang;Wang Wenhua(Lower Limb Department,Taikang Changying Jimin Orthopedic Hospital,Zhoukou 461400;Department of Pain Rehabilitation,Taikang Changying Jimin Orthopedic Hospital,Zhoukou 461400)
出处
《数理医药学杂志》
CAS
2022年第6期896-898,共3页
Journal of Mathematical Medicine
关键词
切开复位内固定术
术后损伤早期止痛汤
跟骨关节内骨折
疗效
open reduction and internal fixation
early analgesic decoction for postoperative injury
intra-articular calcaneal fractures
curative effect
