早期联合治疗对陈旧性股骨干骨折手术效果的影响研究(1)
摘要：目的 分析早期联合治疗对陈旧性股骨干骨折手术治疗效果的影响。方法 选择我院2017年4月～2018年4月收治陈旧性股骨干骨折患者74例，随机分为对照组和观察组，各37例。对照组采用单一手术治疗，观察组在对照组基础上加用早期膝关节活动训练。比较两组患者的临床疗效和术中出血量、骨折愈合时间以及住院时长。结果 对照组的总有效率为75.68%，低于观察组的94.59%，差异有统计学意义(P<0.05);观察组术中出血量(80.37±4.62)ml、骨折愈合时间(152.67±10.71)d和住院时长(12.49±4.27)d均优于对照组术中出血量(230.68±9.01)ml、骨折愈合时间(198.73±12.49)d和住院时长(19.58±4.92)d，差异均有统计学意义(P<0.05)。结论 对陈旧性股骨干骨折患者采用早期联合治疗效果明显，有助于减少患者术中出血量、骨折愈合时间以及住院时长，应用效果较好。
关键词：陈旧性股骨干骨折;骨折愈合时间;术中出血量
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中图分类号：R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.04.035
文章编号：1006-1959(2019)04-0110-03
Abstract：Objective To analyze the effect of early combined therapy on the surgical treatment of old femoral shaft fractures. Methods 74 patients with old femoral shaft fractures from April 2017 to April 2018 were randomly divided into control group and observation group， 37 cases each. The control group was treated with a single operation， and the observation group was given an early knee joint activity training based on the control group. The clinical efficacy and intraoperative blood loss， fracture healing time， and length of hospital stay were compared between the two groups. Results The total effective rate of the control group was 75.68%， which was lower than that of the observation group 94.59%，the difference was statistically significant (P<0.05). The intraoperative blood loss (80.37±4.62) ml and fracture healing time (152.67±10.71) in the observation group. d and length of hospitalization (12.49±4.27) d were better than the control group (230.68±9.01) ml， fracture healing time (198.73±12.49) d and hospitalization time (19.58±4.92) d，the differences were statistically significant (P<0.05). Conclusion The early combination therapy for patients with old femoral shaft fractures is effective， which can help reduce the amount of intraoperative blood loss， fracture healing time and hospitalization time.
, 百拇医药
Key words：Old femoral shaft fracture;Fracture healing time;Intraoperative blood loss
在人體中最长的管状骨便是股骨，而粗隆以下和股骨髁以上的部分称为骨干，骨干四周由肌肉所包围，在发生骨折时，会因为肌肉的发达使得会发生重叠和错位的情况出现[1]。股骨干骨折常见于青壮年中，其他部位会在其发生时伴随着联合损伤，若治疗不得当，严重影响患者生活质量。单一的手术治疗方法在患者的住院时长和骨折愈合速度中并无优势，而有研究表明[2]，对陈旧性股骨干骨折患者采用早期联合治疗方法可有效避免术中出现截骨缩短现象和缩短住院时间，减少患者经济负担。为使患者尽早康复，提高生活质量，现本文就早期联合治疗对陈旧性股骨干骨折手术治疗效果的影响进行研究，报告如下。, http://www.100md.com(宋国涛)
关键词：陈旧性股骨干骨折;骨折愈合时间;术中出血量
, http://www.100md.com
中图分类号：R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.04.035
文章编号：1006-1959(2019)04-0110-03
Abstract：Objective To analyze the effect of early combined therapy on the surgical treatment of old femoral shaft fractures. Methods 74 patients with old femoral shaft fractures from April 2017 to April 2018 were randomly divided into control group and observation group， 37 cases each. The control group was treated with a single operation， and the observation group was given an early knee joint activity training based on the control group. The clinical efficacy and intraoperative blood loss， fracture healing time， and length of hospital stay were compared between the two groups. Results The total effective rate of the control group was 75.68%， which was lower than that of the observation group 94.59%，the difference was statistically significant (P<0.05). The intraoperative blood loss (80.37±4.62) ml and fracture healing time (152.67±10.71) in the observation group. d and length of hospitalization (12.49±4.27) d were better than the control group (230.68±9.01) ml， fracture healing time (198.73±12.49) d and hospitalization time (19.58±4.92) d，the differences were statistically significant (P<0.05). Conclusion The early combination therapy for patients with old femoral shaft fractures is effective， which can help reduce the amount of intraoperative blood loss， fracture healing time and hospitalization time.
, 百拇医药
Key words：Old femoral shaft fracture;Fracture healing time;Intraoperative blood loss
在人體中最长的管状骨便是股骨，而粗隆以下和股骨髁以上的部分称为骨干，骨干四周由肌肉所包围，在发生骨折时，会因为肌肉的发达使得会发生重叠和错位的情况出现[1]。股骨干骨折常见于青壮年中，其他部位会在其发生时伴随着联合损伤，若治疗不得当，严重影响患者生活质量。单一的手术治疗方法在患者的住院时长和骨折愈合速度中并无优势，而有研究表明[2]，对陈旧性股骨干骨折患者采用早期联合治疗方法可有效避免术中出现截骨缩短现象和缩短住院时间，减少患者经济负担。为使患者尽早康复，提高生活质量，现本文就早期联合治疗对陈旧性股骨干骨折手术治疗效果的影响进行研究，报告如下。, http://www.100md.com(宋国涛)