手术治疗对严重多发性骨关节创伤患者的临床效果观察
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摘要
目的探讨手术治疗对严重多发性骨关节创伤患者的临床效果。方法选择2012年2月至2018年2月严重多发性骨关节创伤患者60例,根据术式分为保守治疗组和手术治疗组,每组30例。保守治疗组开展传统保守方法治疗,手术治疗组行手术方法治疗。比较两组严重多发性骨关节创伤治疗效果;住院的平均时间、可下床活动的平均时间;治疗前后患者生活质量平均分值、疼痛评分;肺部感染、内脏出血等并发症发生率。结果手术治疗组严重多发性骨关节创伤治疗效果高于保守治疗组(P<0.05);手术治疗组住院的平均时间、可下床活动的平均时间优于保守治疗组(P<0.05);治疗前两组生活质量平均分值、疼痛评分差异无统计学意义;治疗后手术治疗组生活质量平均分值、疼痛评分优于保守治疗组(P<0.05)。手术治疗组肺部感染、内脏出血等并发症发生率少于保守治疗组(P<0.05)。结论严重多发性骨关节创伤患者行手术方法疗效肯定,可有效改善预后,减少肺部感染、内脏出血等并发症发生率,减轻疼痛,改善生活质量,加速康复。
Objective To investigate the clinical effect of surgical treatment on patients with severe multiple bone and joint injuries. Methods 60 patients with severe multiple bone and joint injuries from February 2012 to February 2018 were selected and divided into conservative treatment group and surgical treatment group according to the operative method, 30 patients in each group. Traditional conservative treatment was performed in the conservative treatment group, and surgical treatment was performed in the surgical treatment group. To compare the treatment effect of severe multiple bone and joint trauma between the two groups. The average length of hospitalization and the average length of off-bed activities; Mean quality of life score and pain score of patients before and after treatment; Pulmonary infection, internal bleeding and other complications. Results The treatment effect of surgical treatment group was higher than that of conservative treatment group(P<0.05). The mean hospitalization time and the mean time of getting out of bed activity in the surgical treatment group were better than those in the conservative treatment group(P<0.05). The mean life quality score and pain score of the two groups were similar before treatment, and the difference of was not statistically significant. After treatment, the mean quality of life and pain score of the surgical treatment group were better than those of the conservative treatment group(P<0.05). The incidence of complications such as pulmonary infection and internal bleeding in the surgical treatment group was lower than that in the conservative treatment group(P<0.05). Conclusion Surgical treatment for patients with severe multiple osteoarthritis trauma has a positive effect,which can effectively improve the prognosis, reduce the incidence of pulmonary infection, visceral bleeding and other complications, reduce pain, improve the quality of life, and accelerate rehabilitation.
Objective To investigate the clinical effect of surgical treatment on patients with severe multiple bone and joint injuries. Methods 60 patients with severe multiple bone and joint injuries from February 2012 to February 2018 were selected and divided into conservative treatment group and surgical treatment group according to the operative method, 30 patients in each group. Traditional conservative treatment was performed in the conservative treatment group, and surgical treatment was performed in the surgical treatment group. To compare the treatment effect of severe multiple bone and joint trauma between the two groups. The average length of hospitalization and the average length of off-bed activities; Mean quality of life score and pain score of patients before and after treatment; Pulmonary infection, internal bleeding and other complications. Results The treatment effect of surgical treatment group was higher than that of conservative treatment group(P<0.05). The mean hospitalization time and the mean time of getting out of bed activity in the surgical treatment group were better than those in the conservative treatment group(P<0.05). The mean life quality score and pain score of the two groups were similar before treatment, and the difference of was not statistically significant. After treatment, the mean quality of life and pain score of the surgical treatment group were better than those of the conservative treatment group(P<0.05). The incidence of complications such as pulmonary infection and internal bleeding in the surgical treatment group was lower than that in the conservative treatment group(P<0.05). Conclusion Surgical treatment for patients with severe multiple osteoarthritis trauma has a positive effect,which can effectively improve the prognosis, reduce the incidence of pulmonary infection, visceral bleeding and other complications, reduce pain, improve the quality of life, and accelerate rehabilitation.
引文
[1]孙友华.手术治疗严重多发性骨关节创伤患者的临床效果[J].医疗装备,2018,31(4):27-28.
[2]李驰.严重多发性骨关节创伤使用手术治疗的临床疗效分析[J].中国实用医药,2017,12(28):75-76.
[3]刘民义,李建波.手术治疗严重多发性骨关节创伤临床效果观察[J].临床医药文献电子杂志,2017,4(72):14105.
[4]Balke M,Schneider MM,Shafizadeh S,et al.Current state of treatment of acute acromioclavicular joint injuries in Germany:is there a difference between specialists and non-specialists?A survey of German trauma and orthopaedic departments[J].Knee Surg Sports Traumatol Arthrosc,2015,23(5):1447-1452.
[5]魏春群.手术治疗严重多发性骨关节创伤临床效果观察[J].世界最新医学信息文摘,2017,17(63):169,176.
[6]C Fang,TW Lau,TM Wong,et al.Sliding hip screw versus sliding helical blade for intertrochanteric fractures A PROPENSITY SCORE-MATCHED CASE CONTROLSTUDY[J].Bone&Joint Journal,2015,97-B(3):398-404.
[7]石南征.手术治疗的多发性骨关节损伤临床探讨[J].世界最新医学信息文摘,2017,17(21):50.
[8]朱卫国,王维山.手术治疗对严重多发性骨关节创伤患者的临床效果研究[J].中国继续医学教育,2017,9(5):106-108.
[9]薛雷.手术治疗严重多发性骨关节创伤临床效果分析[J].系统医学,2017,2(3):67-69.
[10]Butler Frank K,Smith David J,Carmona Richard H,et al.Implementing and preserving the advances in combat casualty care from Iraq and Afghanistan throughout the US Military[J].The journal of trauma and acute care surgery,2015,79(2):321-326.
[11]De Smet E,De Praeter G,Verstraete KLA,et al.Direct comparison of conventional radiography and cone-beam CT in small bone and joint trauma[J].Skeletal radiology,2015,44(8):1111-1117.
[12]李贵星,包祥成,皮大军.多发性骨关节创伤患者的临床治疗措施探讨[J].转化医学电子杂志,2016,3(10):49-50.
[13]尹加浩.手术治疗严重多发性骨关节创伤临床效果观察[J].世界最新医学信息文摘,2016,16(78):191.
[14]刘广州.多发性骨关节创伤60例治疗分析[J].河南外科学杂志,2015,21(2):94.
[2]李驰.严重多发性骨关节创伤使用手术治疗的临床疗效分析[J].中国实用医药,2017,12(28):75-76.
[3]刘民义,李建波.手术治疗严重多发性骨关节创伤临床效果观察[J].临床医药文献电子杂志,2017,4(72):14105.
[4]Balke M,Schneider MM,Shafizadeh S,et al.Current state of treatment of acute acromioclavicular joint injuries in Germany:is there a difference between specialists and non-specialists?A survey of German trauma and orthopaedic departments[J].Knee Surg Sports Traumatol Arthrosc,2015,23(5):1447-1452.
[5]魏春群.手术治疗严重多发性骨关节创伤临床效果观察[J].世界最新医学信息文摘,2017,17(63):169,176.
[6]C Fang,TW Lau,TM Wong,et al.Sliding hip screw versus sliding helical blade for intertrochanteric fractures A PROPENSITY SCORE-MATCHED CASE CONTROLSTUDY[J].Bone&Joint Journal,2015,97-B(3):398-404.
[7]石南征.手术治疗的多发性骨关节损伤临床探讨[J].世界最新医学信息文摘,2017,17(21):50.
[8]朱卫国,王维山.手术治疗对严重多发性骨关节创伤患者的临床效果研究[J].中国继续医学教育,2017,9(5):106-108.
[9]薛雷.手术治疗严重多发性骨关节创伤临床效果分析[J].系统医学,2017,2(3):67-69.
[10]Butler Frank K,Smith David J,Carmona Richard H,et al.Implementing and preserving the advances in combat casualty care from Iraq and Afghanistan throughout the US Military[J].The journal of trauma and acute care surgery,2015,79(2):321-326.
[11]De Smet E,De Praeter G,Verstraete KLA,et al.Direct comparison of conventional radiography and cone-beam CT in small bone and joint trauma[J].Skeletal radiology,2015,44(8):1111-1117.
[12]李贵星,包祥成,皮大军.多发性骨关节创伤患者的临床治疗措施探讨[J].转化医学电子杂志,2016,3(10):49-50.
[13]尹加浩.手术治疗严重多发性骨关节创伤临床效果观察[J].世界最新医学信息文摘,2016,16(78):191.
[14]刘广州.多发性骨关节创伤60例治疗分析[J].河南外科学杂志,2015,21(2):94.