84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]唐萌芽,夏炳江,張沂,等.切開復位肱骨近端內固定鎖定系統(tǒng)內固定 聯(lián)合中藥薰蒸治療復雜肱骨近端骨折[J].中醫(yī)正骨,2013,25(12):24-27.
　Tang Mengya*,Xia Bingjiang,Zhang Yi,et al.Clinical study on open reduction and internal fixation with proximal humeral internal locking system(PHILOS)combined with Chinese herbal steaming and washing therapy in the treatment of complicated proximal humeral fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(12):24-27.
點擊復制

切開復位肱骨近端內固定鎖定系統(tǒng)內固定 聯(lián)合中藥薰蒸治療復雜肱骨近端骨折()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年12期
頁碼:
24-27
欄目:
臨床研究
出版日期:
2013-12-30

文章信息/Info

Title:
Clinical study on open reduction and internal fixation with proximal humeral internal locking system(PHILOS) combined with Chinese herbal steaming and washing therapy in the treatment of complicated proximal humeral fractures
作者:
唐萌芽1; 夏炳江2; 張沂1; 邵利芳1; 王國平1
1.浙江省富陽市中醫(yī)骨傷醫(yī)院,浙江 富陽 311400;
2.浙江中醫(yī)藥大學,浙江 杭州 310053
Author(s):
Tang Mengya*; Xia Bingjiang; Zhang Yi; Shao Lifang; Wang Guoping.*
Fuyang TCM Orthopedic-Traumatological Hospital,Fuyang 311400,Zhejiang,China
關鍵詞:
肩骨折 肱骨骨折 骨折固定術; 內 薰洗 肱骨近端內固定鎖定系統(tǒng)
Keywords:
Shoulder fractures;  Humeral fractures;  Fracture fixation; internal;  Steaming washing therapy;  Proximal humeral internal locking system
摘要:
目的:觀察切開復位肱骨近端內固定鎖定系統(tǒng)內固定配合中藥薰蒸治療復雜肱骨近端骨折的臨床療效。方法:將62例復雜 肱骨近端骨折患者隨機分為觀察組和對照組,每組31例。觀察組采用切開復位肱骨近端內固定鎖定系統(tǒng)內固定聯(lián)合中藥薰蒸治療 ,對照組采用切開復位肱骨近端內固定鎖定系統(tǒng)內固定治療。記錄并比較2組患者的骨折臨床愈合時間,并于術后1年評價并比較2 組患者的Neer肩關節(jié)功能評分及其等級。結果:2組患者骨折臨床愈合時間比較,差異無統(tǒng)計學意義[(13.9±4.2)周, (14.2±5.6)周,t=0.138,P=0.887]; 觀察組Neer肩關節(jié)功能評分高于對照組[(87.3±4.2)分,(82.9±2.9) 分,t=2.735,P=0.014]。2組患者Neer肩關節(jié)功能評分等級比較,觀察組優(yōu)25例、良3例、可1例、差2例,對照組優(yōu)17例、良8例、 可4例、差2例,觀察組優(yōu)于對照組(Z=-2.010,P=0.044)。結論:對于肱骨近端Neer三、四部分骨折患者而言,雖然切開復位肱骨近 端內固定鎖定系統(tǒng)聯(lián)合中藥薰蒸與單純切開復位肱骨近端內固定鎖定系統(tǒng)在骨折愈合時間方面無明顯差異,但切開復位肱骨近端 內固定鎖定系統(tǒng)聯(lián)合中藥薰蒸能夠明顯緩解肩關節(jié)疼痛,改善肩關節(jié)功能,療效確切,是治療復雜肱骨近端骨折的一種較理想的方 法,值得臨床推廣應用。
Abstract:
Objective:To observe the clinical curative effect of open reduction and internal fixation with proximal humeral internal locking system(PHILOS)combined with Chinese herbal steaming and washing therapy in the treatment of complicated proximal humeral fractures.Methods:Sixty-two patients with complicated proximal humeral fractures were randomly divided into observation group and control group,31 cases in each group.Patients in the observation group were treated with open reduction and internal fixation with PHILOS combined with Chinese herbal steaming and washing therapy,while the others in the control group were merely treated with open reduction and internal fixation with PHILOS.The clinical fracture healing time were recorded and compared between the 2 groups,and the Neer shoulder performance score and grade were evaluated and compared between the 2 groups 1 year after operation.Results:There was no statistical difference in clinical fracture healing time between the 2 groups(13.9+/-4.2 vs 14.2+/-5.6 weeks,t=0.138,P=0.887).Neer shoulder performance scores of observation group were higher than that of control group(87.3+/-4.2 vs 82.9+/-2.9 points,t=2.735,P=0.014).Twenty-five patients obtained an excellent result,3 good,1 fair and 2 poor in the observation group,while 17 patients obtained an excellent result,8 good,4 fair and 2 poor in the control group.The observation group surpassed the control group in the grade of Neer shoulder performance score(Z=- 2.010,P=0.044).Conclusion:The combination therapy of open reduction and internal fixation with PHILOS combined with Chinese herbal steaming and washing has similar fracture healing time to the monotherapy of open reduction and internal fixation with PHILOS for 3-part and 4-part proximal humeral fractures.However,the combination therapy can alleviate the shoulder pain obviously and improve the shoulder function,and it is an ideal method for complicated proximal humeral fracture and worthy of popularizing in clinic.

參考文獻/References:

[1] Mckoy BE,Bensen CV,Hartsock LA.Fractures about the shoulder:conservative management[J].Orthop Clin North Am,2000,31(2):205-216.
[2] Neer CS 2nd.Displaced proximal humeral fractures.Ⅰ.Classification and evaluation[J].J Bone Joint Surg Am,1970,52(6):1077-1089.
[3] Hintermann B,Trouillier HH,Sch?fer D.Rigid internal fixation of fractures of the proximal humerus in older patients[J].J Bone Joint Surg Br,2000,82(8):1107-1112.
[4] 中華醫(yī)學會.臨床診療指南:骨科分冊[M].北京:人民衛(wèi)生出版社,2009:15-16.
[5] 王亦璁.骨與關節(jié)損傷[M].4版.北京:人民衛(wèi)生出版社,2007:756-768.
[6] 吳在德,吳肇漢.外科學[M].7版.北京:人民衛(wèi)生出 版社,2008:728-729.
[7] Robinson CM,Amin AK,Godley KC,et al.Modern perspectives of open reduction and plate fixation of proximal humerus fractures[J].J Orthop Trauma,2011,25(10):618-629.
[8] 吳星火,楊述華,張勁松,等.經(jīng)皮穿針和逆行髓內針固定治療肱骨近端骨折[J].中國微創(chuàng)外科雜志,2007,7(2):171-173.
[9] 滕范文,趙云芳,王淑和,等.閉合復位空心釘與T型鋼板治療復雜肱骨近端骨折的療效比較[J].中國骨與關節(jié)損傷雜 志,2008,23(9):762-763.
[10] 胡稷杰,金丹,王鋼,等.肱骨近端鎖定接骨板/肱骨近端內鎖定系統(tǒng)和人工肱骨頭置換治療成年人肱骨近端骨折的療效比較 [J].中國骨與關節(jié)外科,2012(5):394-400.
[11] 潘烈,劉衛(wèi)清,張海兵,等.肱骨近端內鎖定系統(tǒng)治療肱骨近端骨折[J].臨床骨科雜志,2010,13(4):412-413.
[12] 龍炳新.中藥熏洗配合手法按摩治療創(chuàng)傷性肘關節(jié)僵硬83例[J].中國中醫(yī)骨傷科雜志,2003,11(6):50-51.
[13] 李偉,張增田,張濤.牽引下正骨加中藥熏蒸治療頸椎間盤突出癥50例[J].按摩與導引,2006,22(3):32-33.
[14] 劉芹芳.中藥薰蒸加奇經(jīng)療法治療肩周炎50例的護理[J].解放軍護理雜志,2006,23(11):70-71.

相似文獻/References:

[1]喻永新,尚如國.切開復位鎖定鋼板內固定治療肱骨近端骨折[J].中醫(yī)正骨,2014,26(09):39.
[2]何幫劍,金紅婷,呂一,等.切開復位鎖定鋼板內固定和人工肱骨頭置換治療高齡肱骨近端粉碎性骨折的對比研究[J].中醫(yī)正骨,2013,25(01):26.
　HE Bang-jian*,JIN Hong-ting,LV Yi,et al.A retrospective trial of open reduction and locking plate internal fixation versus hemiarthroplasty for comminuted proximal humeral fractures in old patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(12):26.
[3]翁益民,方文來,郭曉山,等.肱骨近端內鎖定系統(tǒng)治療肱骨中上段復雜骨折[J].中醫(yī)正骨,2013,25(06):56.
[4]王俊頎,許海燕.雙鋼板內固定治療肱骨近端骨折合并肱骨干中上段骨折[J].中醫(yī)正骨,2011,23(10):39.
[5]高益斌,童松林,潘方,等.勞氏正骨手法復位經(jīng)皮鎖定鋼板內固定治療 老年肱骨近端骨折[J].中醫(yī)正骨,2014,26(11):52.

備注/Memo

備注/Memo:
2012-12-22收稿 2013-02-26修回
更新日期/Last Update: 2013-12-30