摘要
目的:探讨桡骨远端骨折(DRF)术后功能恢复的相关影响因素。方法:回顾性分析2019年1月-2021年2月南昌市洪都中医院收治的88例DRF患者临床资料。分析DRF术后功能恢复的相关影响因素。结果:88例DRF术后功能恢复不良23例(26.14%),功能恢复良好65例(73.86%)。单因素分析显示,年龄、合并骨质疏松、功能锻炼不规律、骨折类型、重度缩短畸形与DRF术后功能恢复均有关(P<0.05);发病至入院时间、AO分型、体重指数、医源性组织损伤、尺骨茎突骨折与DRF术后功能恢复均无关(P>0.05)。多因素分析显示,年龄≥60岁[OR=4.789,95%CI(1.711,13.403)]、合并骨质疏松[OR=10.313,95%CI(3.464,30.703)]、功能锻炼不规律[OR=6.374,95%CI(2.043,19.886)]、粉碎性骨折[OR=18.939,95%CI(5.791,61.934)]、重度缩短畸形[OR=5.042,95%CI(1.747,14.550)]均为影响DRF术后功能恢复的独立危险因素(P<0.05)。结论:DRF术后功能恢复受年龄、合并骨质疏松、功能锻炼不规律、骨折类型、重度缩短畸形影响。
Objective:To investigate the related influencing factors of functional recovery after distal radius fracture(DRF).Method:The clinical data of 88 patients with DRF admitted to Nanchang Hongdu Hospital of Traditional Chinese Medicine from January 2019 to February 2021 were retrospectively analyzed.The related influencing factors of functional recovery after DRF were analyzed.Result:Among 88 patients,23 cases(26.14%)had poor functional recovery after DRF,and 65 cases(73.86%)had good functional recovery.Univariate analysis showed that age,combined osteoporosis,irregular functional exercise,fracture type,severe shortening deformity were related to postoperative functional recovery after DRF(P<0.05);the time from onset to admission,AO type,body mass index,iatrogenic tissue damage,ulnar styloid fracture were not related to postoperative functional recovery after DRF(P>0.05).Multivariate analysis showed that age≥60 years old[OR=4.789,95%CI(1.711,13.403)],combined with osteoporosis[OR=10.313,95%CI(3.464,30.703)],irregular functional exercise[OR=6.374,95%CI(2.043,19.886)],comminuted fracture[OR=18.939,95%CI(5.791,61.934)],severe shortening deformity[OR=5.042,95%CI(1.747,14.550)]were independent risk factors affecting functional recovery after DRF(P<0.05).Conclusion:The functional recovery after DRF is affected by age,combined osteoporosis,irregular functional exercise,fracture type and severe shortening deformity.
作者
江锦
JIANG Jin(Nanchang Hongdu Hospital of Traditional Chinese Medicine,Nanchang 330008,China)
出处
《中国医学创新》
CAS
2022年第23期168-171,共4页
Medical Innovation of China
关键词
骨远端骨折
功能恢复
骨质疏松
腕关节功能
粉碎性骨折
Distal bone fracture
Functional recovery
Osteoporosis
Wrist joint function
Comminuted fracture
