本文選題：橈骨遠端骨折 + 非手術治療��； 參考：《南京中醫(yī)藥大學》2017年碩士論文

【摘要】：目的本課題通過研究橈骨遠端骨折非手術治療后骨短縮的發(fā)生率,對可能引起橈骨短縮的相關因素進行分析,并提出相應的預防措施,為臨床治療此類骨折提供參考。方法收集2012年3月—2016年7月橈骨遠端骨折經非手術治療87例病人作為研究對象,患者在治療滿6周后依據(jù)影像學檢查是否發(fā)生橈骨短縮,將其分為短縮組和對照組,觀察橈骨短縮的發(fā)生率,使用單因素篩選及多因素Logistic回歸對可能引起橈骨短縮的相關因素進行分析,其中相關因素包括年齡、性別、骨折的類型、非手術治療方式、合并骨質疏松等。結果(1)本研究87例患者中有50例患者經非手術治療后橈骨短縮,骨短縮的發(fā)生率為57.47%。(2)單因素分析結果顯示,短縮組與對照組在性別上差異無統(tǒng)計學意義(P0.05);短縮組與對照組在年齡、骨折的類型、非手術治療方式、合并骨質疏松這些相關因素上差異均具有統(tǒng)計學意義(P0.05)。(3)多因素Logistic回歸分析顯示,骨折的類型作為獨立影響因素對橈骨遠端骨折非手術治療后橈骨短縮的發(fā)生有顯著影響(P0.05)。結論橈骨遠端骨折非手術治療后橈骨短縮的發(fā)生率較高,骨折的類型為非手術治療后橈骨短縮發(fā)生的獨立因素。在對橈骨遠端骨折患者行非手術治療時應對橈骨短縮展開綜合性的分析評估,對于關節(jié)面破壞較為嚴重的橈骨遠端骨折應適當延長固定時間或行手術治療以降低骨短縮的發(fā)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.
【學位授予單位】：南京中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687.3

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