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外固定架在创伤骨科患者治疗中的应用价值分析 被引量:17

The application value analysis of external fixator in the treatment of trauma patients in orthopedics department
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摘要 目的研究并探讨外固定架在创伤骨科患者治疗中的应用价值。方法于2010年1月~2014年12月,在我院收治的创伤骨科患者中,随机选取100例患者进行对比研究,采取数字抽签法进行随机分组,分为各有50例患者的对照组和观察组。对照组患者施行传统的切开复位内固定手术治疗,观察组采用外固定支架进行治疗。对比两组患者的临床治疗优良率、手术时间、术中出血量、住院时间、骨折愈合时间以及并发症发生情况,并对其生活质量进行评价。结果观察组的临床治疗优良率为76%,明显高于对照组的52%(P〈0.05)。与对照组相比,观察组的手术时间、住院时间、骨折愈合时间均明显缩短(P〈0.05),其术中出血量明显更少(P〈0.05)。观察组的并发症发生率为6%,明显低于对照组的22%(P〈0.05)。观察组患者的生活质量评分为(80.24±6.71)分,明显高于对照组的(67.82±6.03)分(P〈0.05)。结论在创伤骨科患者的临床治疗中,应用外固定架进行治疗具有显著的临床疗效,能够有效缩短手术时间,加快术后康复和骨折愈合速度,提高生活质量,同时,还能减少并发症的发生。 Objective To study and explore the application value of external fixator in the treatments of trauma patients in orthopedics department. Methods 100 patients who suffered trauma from January 2010 to December 2014 in the orthopedics department of our hospital were selected and randomly divided into control group and observation group, 50 cases in each group. The control group received the traditional operation of open reduction and internal fixation, while the observation group received external fixator treatment. The excellent rates, operation time, blood loss during operation, length of stay, fracture healing time, complications, and life quality of the two groups were compared. Results In the observation group, the excellent rate of clinical treatment was 76%, which was significantly higher than the 52% of the control group,(P 0.05), the operation time, length of stay, and fracture healing time were significantly shorter than that of the observation group(P 0.05), the amount of bleeding was significantly less than that of the control group,(P 0.05). The complication rate of observation group was 6%, which was significantly lower than the 22% of control group(P 0.05). The life quality scores of patients in observation group were(80.24±6.71), which were significantly higher than the(67.82±6.03) of the control group(P 0.05). Conclusion The external fixator treatment has a significant clinical effect in the therapy of orthopedic trauma patients, which effectively shorten the operation time, quicken the postoperative recovery and healing rate, improve life qualities, and reduce the complication rates of patients.
作者 邹志宽
出处 《中国医药科学》 2016年第4期111-113,117,共4页 China Medicine And Pharmacy
关键词 创伤骨科 外固定架 骨折 内固定 Orthopedics trauma department External fixator Fracture Internal fixation
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