股骨粗隆骨折术中运用短重建钉对患者关节功能和下肢动脉血流参数的影响研究

发布时间：2018-05-13 00:22

本文选题：短重建钉 + 股骨粗隆骨折　；参考：《重庆医学》2017年33期

【摘要】：目的探讨股骨粗隆骨折术中运用短重建钉对患者关节功能和下肢动脉血流参数的影响。方法选取2012年12月至2015年6月在该院骨科收治的股骨粗隆骨折患者114例为研究对象,按随机数字表分为观察组和对照组。对照组予锁定解剖钢板,观察组予短重建钉固定。比较两组患者手术时间、术中出血量、愈合时间及术后1周、术后6个月视觉模拟评分(VAS),足背动脉管径、血流量、血流峰时度及髋关节功能恢复情况。结果与对照组比较,术后3、6、12个月观察组患者的Harris评分明显升高(P0.05)。两组患者手术时间、术中出血量及术后6个月VAS评分无明显差异,观察组患者术后1周VAS评分低于对照组(P0.05)。治疗后两组患者管径、血流量、血流峰时度均较术前升高,且观察组更加明显(P0.05)。结论短重建钉手术时间短,出血量少,可以明显改善股骨粗隆骨折髋关节功能,减轻患者术后疼痛。
[Abstract]:Objective to investigate the effect of short reconstruction nail on joint function and arterial blood flow parameters in patients with femoral trochanteric fracture. Methods from December 2012 to June 2015, 114 patients with femoral trochanteric fracture admitted in orthopedic department of our hospital were selected and randomly divided into observation group and control group. The control group was treated with locking anatomical plate, while the observation group was fixed with short reconstruction nail. The operative time, intraoperative bleeding volume, healing time and visual analogue score (VASA), the diameter of dorsal artery of foot, blood flow, peak blood flow and hip function were compared between the two groups at 1 week after operation and 6 months after operation. Results compared with the control group, the Harris scores of the patients in the observation group were significantly higher than those in the control group at 3 and 12 months postoperatively (P 0.05). There was no significant difference in the time of operation, the amount of intraoperative bleeding and the VAS score at 6 months after operation between the two groups. The VAS score in the observation group was lower than that in the control group at 1 week after operation (P 0.05). After treatment, the diameter, blood flow and peak time of blood flow in both groups were higher than those before operation, and the observation group was more obvious than that before operation (P 0.05). Conclusion short reconstruction nail can significantly improve hip joint function and relieve postoperative pain in patients with femoral trochanteric fracture.
【作者单位】：河南大学附属郑州颐和医院骨科;
【分类号】：R687.3

【相似文献】