桡骨远端骨折非手术治疗后骨短缩的相关因素分析

发布时间：2018-05-24 10:22

本文选题：桡骨远端骨折 + 非手术治疗　；参考：《南京中医药大学》2017年硕士论文

【摘要】：目的本课题通过研究桡骨远端骨折非手术治疗后骨短缩的发生率,对可能引起桡骨短缩的相关因素进行分析,并提出相应的预防措施,为临床治疗此类骨折提供参考。方法收集2012年3月—2016年7月桡骨远端骨折经非手术治疗87例病人作为研究对象,患者在治疗满6周后依据影像学检查是否发生桡骨短缩,将其分为短缩组和对照组,观察桡骨短缩的发生率,使用单因素筛选及多因素Logistic回归对可能引起桡骨短缩的相关因素进行分析,其中相关因素包括年龄、性别、骨折的类型、非手术治疗方式、合并骨质疏松等。结果(1)本研究87例患者中有50例患者经非手术治疗后桡骨短缩,骨短缩的发生率为57.47%。(2)单因素分析结果显示,短缩组与对照组在性别上差异无统计学意义(P0.05);短缩组与对照组在年龄、骨折的类型、非手术治疗方式、合并骨质疏松这些相关因素上差异均具有统计学意义(P0.05)。(3)多因素Logistic回归分析显示,骨折的类型作为独立影响因素对桡骨远端骨折非手术治疗后桡骨短缩的发生有显著影响(P0.05)。结论桡骨远端骨折非手术治疗后桡骨短缩的发生率较高,骨折的类型为非手术治疗后桡骨短缩发生的独立因素。在对桡骨远端骨折患者行非手术治疗时应对桡骨短缩展开综合性的分析评估,对于关节面破坏较为严重的桡骨远端骨折应适当延长固定时间或行手术治疗以降低骨短缩的发生率。
[Abstract]:Objective to study the incidence of bone shortening after non-operative treatment for distal radius fracture, analyze the related factors that may cause short radius contraction, and put forward corresponding preventive measures to provide reference for clinical treatment of this kind of fracture. Methods from March 2012 to July 2016, 87 patients with distal radius fracture treated by non-surgical treatment were selected as the study subjects. After 6 weeks of treatment, the patients were divided into two groups according to the radiographic examination: shortening group and control group. The incidence of short radius contraction was observed. Univariate screening and multivariate Logistic regression were used to analyze the related factors, including age, sex, type of fracture, non-operative treatment. Combined with osteoporosis, etc. Results in this study, 50 out of 87 patients underwent non-surgical treatment, the incidence of short radius contraction and bone shortening was 57.47% and 57.47%, respectively. The results of univariate analysis showed that, There was no significant difference in sex between the short contraction group and the control group (P 0.05), the age, the type of fracture, and the non-operative treatment in the short contraction group and the control group. Multivariate Logistic regression analysis showed that the type of fracture, as an independent influencing factor, had a significant effect on the occurrence of short radius contraction after non-operative treatment of distal radius fracture. Conclusion the incidence of short radius contraction is higher after non-operative treatment of distal radius fracture. The type of fracture is an independent factor of short radius contraction after non-operative treatment. In patients with distal radius fractures, comprehensive analysis and evaluation of short radius shortening should be carried out when non-operative treatment is performed. In order to reduce the incidence of short bone contraction, the fracture of the distal radius with severe joint surface destruction should be extended properly or treated with surgery.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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