曾平海.改良手法整复石膏固定技术治疗儿童前臂骨折疗效分析.[J].中南医学科学杂志.,2019,(4):350-354.
改良手法整复石膏固定技术治疗儿童前臂骨折疗效分析
Analysis of the curative effect of modified manipulative reduction and plaster fixation in the treatment of forearm fracture in children
投稿时间:2019-01-10  修订日期:2019-03-28
DOI:10.15972/j.cnki.43-1509/r.2019.04.004
中文关键词:  手术治疗  改良手法  前臂骨折  疗效
英文关键词:surgical treatment  improved techniques  forearm fracture  the curative effect
基金项目:
作者单位
曾平海 中国人民解放军陆军第七十三集团军医院急诊医学科,福建 厦门 361003 
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中文摘要:
      为分析改良手法整复石膏固定技术在治疗儿童前臂骨折的可行性及临床应用价值。选取2014年05月至2017年05月117例儿童闭合性前臂骨折患者的临床资料做回顾性分析,按治疗方式分为手术组、传统组、改良组三组。总结其临床特征及预后情况。分析得出三组患者术后1年前臂旋前、旋后角度明显增加,与术前比较差异有统计学意义(P<0.05);患者总满意度手术组为74.4% ,与传统组(92.3%)、改良组(94.9%)比较差异有统计学意义(P<0.05);Berton评价及并发症两两比较差异无统计学意义(P>0.05)。因此改良手法整复石膏固定技术治疗儿童前臂骨折疗效确切与手术治疗相当,但患者满意度更高,有推广价值。
英文摘要:
      To explore the feasibility and clinical value of modified manipulative plaster external fixation in the treatment of forearm fractures in children. The clinical data of 117 children with closed forearm fractures from May 2014 to May 2017 were retrospectively analyzed. The patients were divided into three groups:operation group, traditional group and improvement group. The clinicalcharacteristics and prognosis were summarized. One year after operation, the pronation and supination angles of forearm in the three groups increased significantly compared with those before operation (P<0.05); the total satisfaction of patients in the operation group was 74.4%, which was significantly different from that in the traditional group (92.3%) and the improved group (94.9%) (P<0.05); there was no significant difference in Berton's evaluation and complications (P>0.05). Therefore, the effect of modified manipulative reduction and plaster fixation in the treatment of children's forearm fracture is exactly the same as that of surgical treatment, but the satisfaction of patients is higher, which is worthy of promotion.
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