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中国临床研究:2019,32(6):813-815
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踝关节骨折合并脱位急诊手术的效果及对患者踝关节功能的影响
(1.山东省兖矿集团总医院急诊科,山东 济宁 273500;2.山东省兖矿集团总医院神经内科,山东 济宁 273500)
Effect of emergency operation on ankle fracture combined with dislocation and its effect on ankle joint function
摘要
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投稿时间:2018-08-13   网络发布日期:2019-06-21
中文摘要: 目的 探讨踝关节骨折合并脱位急诊手术的效果及对患者踝关节功能的影响。方法 选取2016年3月至2017年3月收治的踝关节骨折合并脱位患者56例,按手术的时限性分为两组,对照组使用择期手术治疗,研究组使用急诊手术治疗。治疗后6个月,对比两组患者治疗效果以及术后踝关节功能的影响。结果 研究组总有效率略高于对照组,但差异无统计学意义(82.2% vs 64.3%,χ2=2.276,P>0.05)。入院时,两组VAS评分、Barthel指数差异无统计学意义(P>0.05),术后6个月研究组VAS评分、Barthel指数显著优于对照组(P<0.01)。研究组手术时间[(94.7±15.3)min]、住院时间[(3.2±0.4)d]、骨折愈合时间[(9.4±1.1)周]显著短于对照组[(99.2±21.4)min、(5.8±1.2)d、(11.8±1.4)周,P<0.01],医疗费用[(18 225.2±1 636.3)元]显著少于对照组[(21 230.0±2 275.3)元,P<0.01]。结论 在对踝关节骨折合并脱位患者的治疗中,急诊手术治疗的效果较为理想。
Abstract:Abstract:objectiveTo investigate the effect of emergency operation on ankle fracture combined with dislocation and its effect on ankle joint function. Methods A total of 56 patients with ankle fracture and dislocation who underwent surgery from March 2016 to March 2017 were randomly divided into two groups.The control group received elective surgery and the study group received emergency surgery.After 6 monthes of treatment,the efficacy of the treatment and the effects of postoperative ankle joint function were compared between the two groups. Results The total effective rate of the study group was slightly higher than that of the control group,but the difference was not statistically significant (82.2% vs 64.3%,χ2=2.276,P>0.05).At the time of admission,there was no significant difference in VAS score and Barthel index between the two groups (P>0.05).The VAS score and Barthel index of the study group were significantly better than those of the control group at 6 months after operation (P<0.01).The operation time [(94.7±15.3)min vs (99.2±21.4) min],hospitalization time [(3.2±0.4)d vs (5.8±1.2)d],fracture healing time [(9.4±1.1) weeks vs (11.8±1.4) weeks] of the study group was significantly shorter than those of the control group,medical expenses [(18 225.2±1 636.3) yuan vs (21 230±2 275.3) yuan] of the study group were significantly less than that of the control group(all P<0.01). Conclusion In the treatment of patients with ankle fracture and dislocation,the effect of emergency surgery is ideal.
文章编号:     中图分类号:R 683.42    文献标志码:B
基金项目:
引用文本:
轩林,聂靖炜.踝关节骨折合并脱位急诊手术的效果及对患者踝关节功能的影响[J].中国临床研究,2019,32(6):813-815.

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