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  本文選題：向心性加壓型5加1夾板裝置 + 脛腓骨骨折��； 參考：《湖南中醫(yī)藥大學》2015年碩士論文

【摘要】：目的：觀察向心性加壓型5加1夾板裝置治療穩(wěn)定型脛腓骨骨折的臨床療效,并初步探討向心性加壓型5加1夾板裝置治療脛腓骨骨折的作用機理及臨床特點。 方法：選取符合要求的40例脛腓骨骨折患者,隨機分為實驗組20例和對照組20例。實驗組采用向心性加壓型5加1夾板裝置治療,對照組采用石膏外固定治療。在治療過程中對骨痂生長的情況、骨折復位的情況、骨折愈合后膝、踝關節(jié)功能的恢復情況、并發(fā)癥的發(fā)生情況及總體療效評價等觀察指標進行統(tǒng)計學比較。 結果：治療后,實驗組在骨折的復位情況、膝關節(jié)功能恢復方面及并發(fā)癥的發(fā)生上無明顯差異,在促進骨痂的生長、縮短骨折的愈合時間及踝關節(jié)功能恢復上明顯優(yōu)于對照組。實驗組在總體療效評定方面明顯優(yōu)于對照組(p0.05)。 結論：向心性加壓型5加1夾板裝置兼有小夾板及外固定器之長。臨床上使用該裝置治療脛腓骨骨折采用閉合復位,創(chuàng)傷小,穿針不剝離骨膜,不損傷骨折端血液循環(huán),且持續(xù)給骨折加壓,能加快骨折愈合；并能早期、主動的進行功能鍛煉和下床活動,減少了長期臥床的并發(fā)癥；且手術時間短,操作簡單易于掌握,治療費用低,具有“簡、便、效、廉”的特點,是治療穩(wěn)定型脛腓骨骨折的一種較理想的方法,值得臨床上推廣。
[Abstract]:Objective: to observe the clinical effect of 5 + 1 splint in treating tibia and fibula fracture, and to explore the mechanism and clinical characteristics of 5 + 1 splint in the treatment of tibia and fibula fracture. Methods: 40 patients with tibia and fibula fracture were randomly divided into experimental group (n = 20) and control group (n = 20). The experimental group was treated with 5 + 1 plywood device and the control group was treated with plaster external fixation. In the course of treatment, the growth of callus, the reduction of fracture, the recovery of knee and ankle function after fracture healing, the occurrence of complications and the evaluation of overall curative effect were compared statistically. Results: after treatment, there was no significant difference in the reduction of fracture, the recovery of knee joint function and the occurrence of complications in the experimental group, but it was superior to the control group in promoting the growth of callus, shortening the healing time of fracture and recovering the function of ankle joint. The experimental group was superior to the control group in evaluating the overall curative effect (P 0.05). Conclusion: the CPP 5 + 1 splint has the advantages of both small splint and external fixator. Clinical treatment of tibia and fibula fracture with closed reduction, small trauma, puncture does not peel periosteum, do not damage the blood circulation at the end of the fracture, and continuous compression of the fracture, can accelerate fracture healing, and can early, Active functional exercise and out of bed activities can reduce the complications of long-term bed rest, and the operation time is short, the operation is simple and easy to master, the treatment cost is low, and it has the characteristics of "simple, convenient, effective and inexpensive". It is an ideal method for the treatment of stable tibia and fibula fracture.
【學位授予單位】：湖南中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R687.3

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本文編號：1875889