[1]吴 蔓.内侧柱支撑重建辅助治疗对老年肱骨近端骨折患者肢体功能恢复的影响[J].医学信息,2020,33(20):110-111.[doi:10.3969/j.issn.1006-1959.2020.20.033]
　WU Man.Effect of Medial Column Support Reconstruction Adjuvant Therapy on the Recovery of Limb Function in Elderly Patients with Proximal Humeral Fractures[J].Medical Information,2020,33(20):110-111.[doi:10.3969/j.issn.1006-1959.2020.20.033]
点击复制

内侧柱支撑重建辅助治疗对老年肱骨近端骨折患者肢体功能恢复的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年20期
页码:
110-111
栏目:
临床研究
出版日期:
2020-10-15

文章信息/Info

Title:
Effect of Medial Column Support Reconstruction Adjuvant Therapy on the Recovery of Limb Function in Elderly Patients with Proximal Humeral Fractures
文章编号:
1006-1959（2020）20-0110-02
作者:
吴 蔓
（江西省宜春市第二人民医院骨科，江西 宜春 336000）
Author(s):
WU Man
(Department of Orthopedics,the Second People’s Hospital of Yichun City,Yichun 336000,Jiangxi,China)
关键词:
内侧柱支撑重建; 辅助治疗; 老年肱骨近端骨折; 肢体功能
Keywords:
Medial column support reconstruction; Adjuvant therapy; Elderly proximal humeral fractures; Limb function
分类号:
R678.3
DOI:
10.3969/j.issn.1006-1959.2020.20.033
文献标志码:
A
摘要:
目的 分析内侧柱支撑重建辅助治疗对老年肱骨近端骨折患者肢体功能恢复的影响。方法 选择2018年1月~2019年5月在我院治疗的老年肱骨近端骨折患者142例，采用随机数字量表分为对照组和观察组，各71例。对照组采用常规内固定术治疗，观察组在对照组基础上联合内侧柱支撑重建术辅助治疗，比较两组临床手术指标（骨折愈合时间、完全负重时间、住院时间）、术后6个月观察比较两组关节功能指标（Neer评分、CMS评分、Brobery-Morrey评分）和关节活动度（前屈上举、前屈外举、前屈外旋、内翻以及肱骨颈干角度）。结果 观察组骨折愈合时间、完全负重时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）；观察组Neer、CMS、Brobery-Morrey评分均高于对照组，差异有统计学意义（P＜0.05）；观察组关节前屈上举、前屈外举、前屈外旋、内翻以及肱骨颈干角度均优于对照组，差异有统计学意义（P＜0.05）。结论 内侧柱支撑重建辅助治疗可促进老年肱骨近端骨折愈合，改善肢体功能，提高关节活动度。
Abstract:
Objective To analyze the influence of medial column support reconstruction adjuvant therapy on the recovery of limb function in elderly patients with proximal humeral fractures.Methods A total of 142 elderly patients with proximal humeral fractures treated in our hospital from January 2018 to May 2019 were selected and divided into a control group and an observation group using a random number scale, with 71 cases in each group. The control group was treated with conventional internal fixation, and the observation group was combined with medial column support reconstruction on the basis of the control group. The clinical operative indicators (fracture healing time, full weight bearing time, hospitalization time) and 6-month observation were compared between the two groups the two groups of joint function indexes (Neer score, CMS score, Brobery-Morrey score) and joint range of motion (flexion-uplift, flexion-external lift, flexion-external rotation, varus and humeral neck shaft angle) were compared between the two groups.Results The fracture healing time, full weight bearing time, and hospitalization time in the observation group were shorter than those in the control group,the difference was statistically significant (P＜0.05); Neer, CMS, and Brobery-Morrey scores in the observation group were higher than those in the control group,the difference was statistically significant (P＜0.05); The observation group was better than the control group with flexion-uplift, flexion-external lift, flexion-external rotation, varus and humeral neck shaft angles,the difference was statistically significant (P＜0.05).Conclusion Adjuvant treatment with medial column support reconstruction could promote the healing of proximal humeral fractures in the elderly, improve limb function, and increase joint mobility.

参考文献/References:

[1]冯阳阳,武政,赵程锦.锁定钢板固定术后内侧柱支撑能力与肱骨近端骨折患者预后的相关分析[J].现代生物医学进展,2017,17(6):1156-1159. [2]陈云丰,买买提艾力·吐尔逊,曾浪清.肱骨近端骨折内固定术中重建内侧柱支撑方法[J].国际骨科学杂志,2017,38(1):7-10,32. [3]李俞德,陈政,庞俏强.锁定钢板内固定辅以内侧柱支撑重建治疗老年肱骨近端骨折的临床观察[J].临床医学工程,2016,23(10):1339-1340. [4]胡文雄,张恒林,谢文凯.内侧柱支撑重建辅助治疗对老年肱骨近端骨折患者肢体功能恢复的影响[J].山东医药,2016,56(9):55-57. [5]向可佳,向燕卿,陈路.不同内侧柱支撑重建对锁定钢板固定治疗肱骨近端骨折的影响[J].西部医学,2014,26(8):999-1001.

相似文献/References:

[1]李 丹,陈文直.子宫肉瘤的术前诊断研究[J].医学信息,2020,33(03):34.[doi:10.3969/j.issn.1006-1959.2020.03.011]
　LI Dan,CHEN Wen-zhi.Preoperative Diagnosis of Uterine Sarcoma[J].Medical Information,2020,33(20):34.[doi:10.3969/j.issn.1006-1959.2020.03.011]
[2]王春力,李雨根,邓显忠,等.输尿管镜碎石术术前应用坦索罗辛辅助治疗有效性的Meta分析[J].医学信息,2020,33(19):68.[doi:10.3969/j.issn.1006-1959.2020.19.020]
　WANG Chun-li,LI Yu-gen,DENG Xian-zhong,et al.Meta Analysis of the Effectiveness of Tamsulosin Adjuvant Treatment Before Ureteroscopic Lithotripsy[J].Medical Information,2020,33(20):68.[doi:10.3969/j.issn.1006-1959.2020.19.020]
[3]侯丁丁,赵 力.Ⅱ~Ⅲ期结肠癌术后辅助化疗方案[J].医学信息,2021,34(18):6.[doi:10.3969/j.issn.1006-1959.2021.18.002]
　HOU Ding-ding,ZHAO Li.Adjuvant Chemotherapy After Surgery for Stage Ⅱ~Ⅲ Colon Cancer[J].Medical Information,2021,34(20):6.[doi:10.3969/j.issn.1006-1959.2021.18.002]
[4]胡丽芳,熊帮秀.耳针辅助治疗糖尿病患者的临床疗效及对糖化血红蛋白水平的影响[J].医学信息,2025,38(02):124.[doi:10.3969/j.issn.1006-1959.2025.02.023]
　HU Lifang,XIONG Bangxiu.Clinical Efficacy of Auricular Acupuncture in Adjuvant Treatment of Diabetes Mellitus Patients and its Effect on Glycosylated Hemoglobin Level[J].Medical Information,2025,38(20):124.[doi:10.3969/j.issn.1006-1959.2025.02.023]

更新日期/Last Update: 1900-01-01