摘要
目的观察微创接骨板内固定在四肢骨折合并应激性溃疡患者中的临床效果及对生活质量的影响.方法选取2015-08/2016-12宁波市鄞州区第二医院收治的四肢骨折并发应激性溃疡患者90例,采用随机数字法分为对照组(n=45)和观察组(n=45).2组患者均给予铝镁联合兰索拉唑治疗应激性溃疡.对照组采用传统内固定术治疗,观察组采用微创接骨板内固定治疗,采用世界卫生组织生活质量问卷调查表对患者躯体功能、心理功能、社会功能及物质生活质量进行评估,比较两组临床疗效及对生活质量的影响.结果观察组手术时间、切口愈合时间,短于对照组(P<0.05);观察组术中出血量、切口长度,少于对照组(P<0.05);观察组治疗后躯体功能、心理功能、社会功能及物质生活评分,高于对照组(P<0.05);观察组术后并发症发生率为4.44%,对照组为13.33%,两组术后并发症发生率比较差异有统计学意义(P<0.05).结论四肢骨折并发应激性溃疡患者在常规治疗基础上联合微创接骨板内固定治疗效果理想,能改善患者生活质量,可为临床提供借鉴.
AIM To observe the clinical effect of minimally invasive bone plate fixation in patients with limb fracture complicated with stress ulcer and its effect on quality of life. METHODS Ninety limb fracture patients complicated with stress ulcer treated from August 2015 to December 2016 were selected and randomly divided into a control group （n = 45） and an observation group （n = 45）. Both groups of patients were given aluminium magnesium carbonate plus lansoprazole for treatment of stress ulcer. The control group adopted traditional internal fixation, and the observation group was treated by minimally invasive plate internal fixation. Physical function, psychological function, social function and quality of life were assessed using the World Health Organization quality of life questionnaire. Clinical curative effect and quality of life were compared between the two groups. RESULTS Operative time and wound healing time were significantly shorter in the observation group than in the control group （P 〈 0.05）. Blood loss and incision length of the observation group were significantly less than those of the control group （P 〈 0.05）. The scores of physical function, psychological function, social function and quality of life were significantly better in the observation group than in the control group （P 〈 0.05）. The incidence of postoperative complications was 4.44% in the observation group and 13.33% in the control group, and there was a significant between the two groups （P 〈 0.05）. CONCLUSION Minimally invasive plate internal fixation combined with routine treatment has good efficacy and can improve quality of life in limb fracture patients complicated with stress ulcer.
出处
《世界华人消化杂志》
CAS
2017年第12期1123-1127,共5页
World Chinese Journal of Digestology
关键词
微创接骨板内固定
传统内固定术
四肢骨折
应激性溃疡
生活质量
Minimally invasive plate internalfixation
Traditional internal fixation
Limbfracture
Stress ulcer
Quality of life
