摘要
目的探讨肱骨近端锁定钢板治疗老年肱骨近端骨折的临床效果。方法选取2009年1月至2015年12月我院收治的老年肱骨近端骨折患者92例患者作为研究对象,按照入院顺序将其分为观察组和对照组,每组各46例。对照组采用常规的钢板手术进行治疗,观察组采用肱骨近端钢板锁定治疗。比较两组的临床治疗效果、Neer功能评分、手术时长、术中出血量以及骨折愈合时间。结果两组患者的手术时长无明显差异(P>0.05),观察组患者的手术出血量、骨折愈合时间均显著少于对照组(P<0.05)。观察组患者的Neer各项评分以及总分均显著优于对照组(P<0.05)。观察组的治疗总有效率为91.3%,明显高于对照组的71.7%(P<0.05)。结论肱骨近端锁定钢板治疗能够显著改善老年肱骨近端骨折患者的治疗效果,还可以优化临床治疗相关指标,值得推广应用。
Objective To explore the clinical effect of locking proximal humeral plate in treatment of senile proximal humerus fractures. Methods From January 2009 to D ecember 201 5, 92 cases of elderly patients with proximal humerus fractures treated in our hospital were selected and divided into observation group and control group according to the admission sequence, with 46 cases in each group. The control group was treated with conventional plate surgery, the observation group was treated with locking proximal humeral plate. The clinical effects, Neer function scores, operation time, intraoperative bleeding volume, healing time of fracture in two groups were compared. Results The operation time of two groups had no statistical difference（P〉0.05）; the intraoperative bleeding volume, healing time of fracture in observation group were significantly less than those in control group（P〉0.05）. The each items scores and total scores of Neer in observation group were significantly better than those in control group（P〈0.05）. The total effective rate of observation group was91.3%, significantly higher than 71.7% of control group（P〈0.05）. Conclusions L ocking proximal humeral plate in treatment of senile proximal humerus fractures can significantly improve the treatment effects, and optimize the clinical related indicators, which is worthy of promotion and application.
出处
《临床医学工程》
2016年第7期889-890,共2页
Clinical Medicine & Engineering
关键词
老年肱骨近端骨折
锁定钢板治疗
疗效分析
Senile proximal humerus fracture
Locking plate treatment
Curative effect analysis
