[1]徐 耀.经皮微创接骨板内固定术治疗老年四肢骨折的效果观察[J].医学信息,2021,34(15):131-133.[doi:10.3969/j.issn.1006-1959.2021.15.035]
　XU Yao.Observation on the Effect of Percutaneous Minimally Invasive Bone Plate Internal Fixation in the Treatment of Elderly Limb Fractures[J].Medical Information,2021,34(15):131-133.[doi:10.3969/j.issn.1006-1959.2021.15.035]
点击复制

经皮微创接骨板内固定术治疗老年四肢骨折的效果观察()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年15期
页码:
131-133
栏目:
临床研究
出版日期:
2021-08-01

文章信息/Info

Title:
Observation on the Effect of Percutaneous Minimally Invasive Bone Plate Internal Fixation in the Treatment of Elderly Limb Fractures
文章编号:
1006-1959（2021）15-0131-03
作者:
徐 耀
（佳木斯市中医院骨二科，黑龙江 佳木斯 154002）
Author(s):
XU Yao
(Second Department of Orthopedics,Jiamusi Traditional Chinese Medicine Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
经皮微创接骨板内固定术; 四肢骨折; 应激反应; 炎性因子; 骨折愈合
Keywords:
Percutaneous minimally invasive bone plate internal fixation; Limb fractures; Stress response; Inflammatory factors; Fracture healing
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2021.15.035
文献标志码:
A
摘要:
目的 分析经皮微创接骨板内固定术（MIPPO）治疗老年四肢骨折的效果。方法 选取2018年2月~2019年2月于我院诊治的老年四肢骨折患者60例，采用随机数字表法分为对照组与观察组，每组30例。对照组给予传统钢板内固定术治疗，观察组给予MIPPO治疗，比较两组一般指标（术中出血量、下床活动时间、术后住院时间、骨折愈合时间）、应激反应（SP、PGE2、NPY）、炎性因子水平（CRP、IL-8、TNF-α）和骨折愈合情况。结果 观察组术中出血量、下床活动时间、术后住院时间、骨折愈合时间均低于对照组，差异有统计学意义（P＜0.05）；两组术后SP、PGE2、NPY水平均高于术前，且观察组SP、PGE2、NPY水平低于对照组，差异有统计学意义（P＜0.05）；两组术后CRP、IL-8、TNF-α水平均高于术前，且观察组CRP、IL-8、TNF-α水平低于对照组，差异有统计学意义（P＜0.05）；观察组骨折愈合率为90.00%，高于对照组的66.67%，差异有统计学意义（P＜0.05）。结论 MIPPO治疗老年四肢骨折可减少术中出血量，缩短下床活动时间、术后住院时间、骨折愈合时间，减轻手术应激和炎症反应，提升骨折愈合率。
Abstract:
Objective To analyze the effect of percutaneous minimally invasive bone plate internal fixation (MIPPO) in the treatment of elderly limb fractures.Methods A total of 60 elderly patients with limb fractures diagnosed and treated in our hospital from February 2018 to February 2019 were selected and divided into a control group and an observation group using a random number table method, with 30 cases in each group.The control group was treated with traditional plate internal fixation, and the observation group was treated with MIPPO.The two groups of general indicators (intraoperative blood loss, time to get out of bed, postoperative hospital stay, fracture healing time), stress response (SP, PGE2, NPY), inflammatory factor levels (CRP, IL-8, TNF- α) and fracture healing.Results The intraoperative blood loss, time to get out of bed, postoperative hospital stay, and fracture healing time in the observation group were lower than those in the control group,the difference was statistically significant (P<0.05);The levels of SP, PGE2 and NPY in the two groups after operation were higher than those before operation. The levels of SP, PGE2 and NPY in the observation group were lower than those in the control group,the difference was statistically significant (P<0.05);The levels of CRP, IL-8 and TNF-α in the two groups after operation were higher than those before the operation. The levels of CRP, IL-8 and TNF-α in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05);The fracture healing rate in the observation group was 90.00%, which was higher than the 66.67% in the control group,the difference was statistically significant (P<0.05).Conclusion MIPPO treatment of elderly limb fractures can reduce intraoperative blood loss, shorten the time of getting out of bed, postoperative hospital stay, fracture healing time, relieve surgical stress and inflammation, and improve fracture healing rate.

参考文献/References:

[1]唐承杰,刘晶晶.桥接组合式内固定系统对复杂四肢骨折患者肢体功能恢复及生活质量的影响[J].实用医院临床杂志,2020,17(4):253-256. [2]李建锐,艾合买提·托合提,刘芳,等.经皮微创接骨板内固定术治疗复杂肱骨近端骨折的优势分析[J].中华手外科杂志,2020,36(1):11-15. [3]袁冰,刘平,韦卓,等.微创经皮锁定接骨板治疗肱骨近端Neer Ⅱ、Ⅲ型骨折的疗效分析[J].生物骨科材料与临床研究,2018,15(2):66-67. [4]石武谛,柯雯昙.关节镜下经皮微创钢板内固定术与切开复位内固定术对胫骨平台骨折患者膝关节活动度、疼痛应激和炎性因子的影响比较[J].创伤外科杂志,2019,21(3):201-205. [5]李建伟.微创经皮钢板接骨术联合锁定钢板治疗四肢骨折的远期随访研究[J].创伤外科杂志,2019,21(1):70-71. [6]薛江海,张峰,刘朋飞.微创经皮钢板接骨术治疗四肢骨折中的应用及对患者术后下肢动脉血栓形成的影响[J].血栓与止血学,2019,25(4):668-669. [7]罗斌,沈鹏,李炜,等.经皮微创接骨板内固定术对老年四肢骨折患者血清C反应蛋白和肿瘤坏死因子-α水平的影响[J].中国老年学杂志,2020,40(14):3020-3022. [8]王占魁,王文利,张民泽.膝关节镜下骨折复位微创锁定加压钢板螺钉固定对膝关节周围骨折患者术后膝关节功能的影响[J].临床医学研究与实践,2020,5(36):89-91. [9]鞠娅,沈若冰,余小萍.神经生长因子对PM2.5所致气道神经源性炎症影响的研究[J].中国预防医学杂志,2018,16(14):654-655. [10]尹丹萍,何多多,张爱芹.血清IL-8、TNF-α及C反应蛋白水平变化对早期胰腺炎的诊断价值[J].中华胰腺病杂志,2018,14(1):46-47. [11]冉庆林,林浩,李东,等.胸腰椎压缩性骨折老年患者肺部感染对TLR7/IL-23/IL-17信号通路的影响[J].临床和实验医学杂志,2018,17(7):733-737. [12]卜容蓉,阵娜,李丹,等.法舒地尔联合舒利迭对COPD合并PAH患者肺功能及血清BNP、CRP、IL-8、TNF-α水平的影响[J].现代生物医学进展,2018,21(4):737-740. [13]吴晖,方真华,潘娜,等.开放性与闭合性下肢骨折术后切口感染及血清炎症因子变化[J].中华医院感染学杂志,2020,14(5):847-848. [14]陈超,李锋,方煌,等.胸腰椎骨折术后切口感染患者血清炎症因子水平变化及临床意义[J].颈腰痛杂志,2018,39(5):88-90. [15]丁彩田,富海琴,张勤中,等.骨折患者术后医院感染炎症因子与ESR表达的研究[J].中华医院感染学杂志,2019,29(2):125-127.

相似文献/References:

[1]尹金旺,王晓桐.锁定加压钢板内固定治疗四肢骨折的疗效评价[J].医学信息,2019,32(19):102.[doi:10.3969/j.issn.1006-1959.2019.19.031]
　YIN Jin-wang,WANG Xiao-tong.Efficacy Evaluation of Locking Compression Plate Internal Fixation for the Treatment of Limb Fracture[J].Medical Information,2019,32(15):102.[doi:10.3969/j.issn.1006-1959.2019.19.031]
[2]张家兰.模型讲解与视频宣教对四肢骨折患者自我效能及 康复锻炼依从性的影响[J].医学信息,2019,32(13):172.[doi:10.3969/j.issn.1006-1959.2019.13.056]
　ZHANG Jia-lan.Effect of Model Explanation and Video Education on Self-efficacy and Rehabilitation Compliance of Patients with Limb Fracture[J].Medical Information,2019,32(15):172.[doi:10.3969/j.issn.1006-1959.2019.13.056]
[3]李喜辉.七叶皂苷钠联合消炎汤治疗四肢骨折水肿的疗效观察[J].医学信息,2023,36(08):139.[doi:10.3969/j.issn.1006-1959.2023.08.030]
　LI Xi-hui.Observation on the Curative Effect of Sodium Aescinate Combined with Xiaoyan Decoction in the Treatment of Limb Fracture Edema[J].Medical Information,2023,36(15):139.[doi:10.3969/j.issn.1006-1959.2023.08.030]
[4]曾佑兰,陈文敏,肖路平.X线与CT评价四肢骨折患者治疗效果的对比分析[J].医学信息,2023,36(24):129.[doi:10.3969/j.issn.1006-1959.2023.24.029]
　ZENG You-lan,CHEN Wen-min,XIAO Lu-ping.Comparative Analysis of X-ray and CT in Evaluating the Therapeutic Effect of Patients with Limb Fractures[J].Medical Information,2023,36(15):129.[doi:10.3969/j.issn.1006-1959.2023.24.029]
[5]廖财凤,杨紫微,杨 晶.责任制护理对四肢骨折患者生活质量评分及护理满意度的影响[J].医学信息,2024,37(18):182.[doi:10.3969/j.issn.1006-1959.2024.18.040]
　LIAO Cai-feng,YANG Zi-wei,YANG Jing.Effect of Responsibility Nursing on Quality of Life Score and Nursing Satisfaction of Patients with Limb Fracture[J].Medical Information,2024,37(15):182.[doi:10.3969/j.issn.1006-1959.2024.18.040]

更新日期/Last Update: 1900-01-01