摘要
目的:探讨抗骨质疏松治疗对促进老年性Colles骨折愈合的影响及其机制。方法:对佛山市顺德第一人民医院门诊就诊的年龄50岁以上87例老年性Colles骨折患者在骨折行手术复位或手法整复后,部分患者不作抗骨质疏松治疗,部分患者随机使用性激素或鲑鱼降钙素(密钙息)3个月,每月行X射线摄片检查,连续观察3个月骨折断端骨痂生长情况并进行疗效对比。结果:使用性激素或鲑鱼降钙素的病例在治疗的第2个月开始,与空白对照组相比,骨痂生长的时间明显提前、数量明显增加。结论:抗骨质疏松治疗老年人骨质疏松合并Colles骨折,能促进骨痂提早形成,增加骨痂生成的数量,改善骨结构,提高骨的生物力学特性和抗骨折能力,增加骨折稳定性,减少外固定时间。
AIM:To explore the effect and the mechanism on healing of senile Colles fracture with the treatment of osteoporosis. METHODS:A total of 87 patients with senile Colles fracture over 50 years old,from Shunde First People's Hospital of Foshan, received the operative reduction or manual taxis.After that, some patients were treated by anti osteoporosis while some patients were randomly treated by sex hormone or salmon calcitonin for three months.Patients were examinated by X ray every month to observe the growth of callus and to compare the results continuously for three months. RESULTS:Among those patients who were treated by sex hormone or salmon calcitonin,the growth of callus was obviously improved in time and number compared with those in the control group after 2 months. CONCLUSION:Anti osteoporosis can treat the patients with senile osteoporosis and Colles fracture,promote the formation of callus ahead of time,increase the number of callus,improve the bone structure, improve the bone biomechanics features and ability of anti osteoporosis,strenghten the stability of fracture and reduce the time of outward fixing.
出处
《中国临床康复》
CSCD
2004年第27期5918-5919,共2页
Chinese Journal of Clinical Rehabilitation
