摘要
目的观察对比复杂胫骨平台骨折患者采用单侧和双侧钢板内固定术治疗取得的效果。方法选择来我院接诊的复杂胫骨平台骨折患者92例为研究对象,时间为2018年4月至2019年4月。根据接诊时间先后将患者分为两组,即对照组(n=46)和观察组(n=46)。对照组患者采取单侧钢板内固定术治疗,观察组患者实施双侧钢板内固定术治疗。对两组患者经过不同护理之后的手术及恢复时间、24个月后Merchant量表评估情况、并发症发生率、术后不同时间段的疼痛、护理前后的焦虑和抑郁心理等进行统计学分析和对比。结果①观察组患者的手术时间、骨折愈合时间、住院时间均比对照组短(P<0.05),观察组的术中出血量略多对照组,但差异不显著(P>0.05)。②观察组患者24个月后的生活质量评分、膝关节稳定评分、步态评分以及活动度评分都高于对照组(P<0.05)。③观察组(3例,占比为6.52%)相比对照组(16例,占比为34.78%)具有更低的并发症发生率(P<0.05)。④观察组术后1~3 d的疼痛和对照组患者的差异不显著(P>0.05),但观察组术后4~7 d的疼痛明显比对照组更轻(P<0.05)。⑤术前,患者的SAS评分、SDS评分均高于0.6分,且差异不显著(P>0.05),术后,观察组患者的SAS评分、SDS评分改善效果比对照组更好(P<0.05)。⑥术前,两组患者的生活质量差异不显著(P>0.05),术后,观察组的生活质量改善效果明显比对照组更好(P<0.05)。结论复杂胫骨平台骨折患者采取单侧和双侧钢板内固定术治疗效果均较好,相对而言双侧钢板内固定手术效果更理想,可加快患者恢复时间,缩短患者住院时间,减少并发症产生,可减轻患者的疼痛,改善患者的负面心理,提高患者恢复质量和生活质量,值得推荐。
Objective To observe the effect of comparing fractures of complex tibial platforms,the effect of unilateral and bilateral steel plates is obtained.Methods The research activity was launched from April 2018 to April 2019.There were 92 patients with fracture patients who were visited during this time period.According to the diagnosis time,the patients were divided into two groups,and there were 46 cases of patients in the control group and the observation group.Patients in the control group were treated with unilateral steel plates,and patients in the observation group were performed in the treatment of bilateral steel plates in bilateral steel plates.The surgery and recovery time of the two groups after different care,Merchant scale assessment after 24 months,the incidence of complications,the pain of the complications,the pain in different time periods,the anxiety and depression before and after the care,and other statistical analysis and comparison.Results(1)The surgery time,fracture healing time,and hospitalization time of the observation group are shorter than the control group(P<0.05).The intraoperative blood loss in the observation group was slightly more than that in the control group,but the difference was not significant(P>0.05).(2)The quality of life,stable knee joint scores,gait scores,and activity scores of patients in the observation group are higher than the control group after 24 months(P<0.05).(3)Observation group(3 cases,accounting for 6.52%),compared to the control group(16 cases,accounting for 34.78%),which has a lower incidence of complications(P<0.05).(4)There was no significant difference in pain between the observation group and the control group at 1-3 d after operation(P>0.05),but the pain of 4-7 d after the observation group is obviously lighter than the control group(P<0.05).(5)Surgery previously,the patient’s SAS score and SDS score were higher than 0.6 points,and the difference was not significant(P>0.05).After operation,the improvement effect of SAS score and SDS score in the observation group was better than that in the control group(P<0.05).(6)Before surgery,and the quality of life of patients is not significantly different(P>0.05),after the surgery,the quality improvement effect of the observation group is obviously better than the control group(P<0.05).Conclusion Patients with fractures of complex tibial platforms take unilateral and bilateral steel plates in intra-steel plates,the treatment effect is better.Relatively speaking,the effect of fixed surgery in bilateral steel plates is more ideal.It can reduce the pain of patients,improve the negative psychology of patients,and improve the quality of patients to restore the quality and quality of life.It is worth recommending.
作者
于杨
YU Yang(Lingyuan Central Hospital,Lingyuan 122500,China)
出处
《中国医药指南》
2022年第21期5-8,共4页
Guide of China Medicine
关键词
单侧钢板内固定术
双侧钢板内固定术
复杂胫骨平台骨折
疼痛
并发症
A unilateral steel plate internal fixation
Bilateral steel plate internal fixation
Fracture of complex tibial platform
Pain
Complications
