摘要
目的 比较肱骨近端锁定钢板与传统AO钢板治疗老年人肱骨近端骨折的临床疗效.方法 选取老年肱骨近端骨折患者96例,按照随机数字表法分为观察组与对照组,每组48例.对照组给予传统AO钢板治疗,观察组给予肱骨近端锁定钢板治疗.结果 观察组术后1个月、术后3个月、术后1年功能障碍指数（SPADI）分别为（75.3±3.1）分、（57.2±2.7）分、（35.1±2.2）分,均明显低于对照组的（87.1±2.8）分、（68.8±2.9）分、（44.6±2.5）分（t =8.442、7.025、6.293,均P＜0.05）；观察组临床疗效优者为72.92％,明显高于对照组的54.17％（x2=3.64,P＜0.05）；观察组临床疗效差者占8.33％,明显低于对照组的22.91％（x2=3.87,P＜0.05）.结论 肱骨近端锁定钢板治疗老年肱骨近端骨折的临床疗效显著,值得推广.
Objective To compare the clinical efficacy of proximal humeral locking plate and traditional AO plate in treatment of the elderly with proximal humerus fracture. Methods 96 elderly patients with proximal humerus fracture were divided into observation group and control group by random number table, 48 cases in each group. The control group was treated with traditional AO plate, while the observation group was treated with proximal humeral locking plate. Results 1 month, 3 months and 1 year after operation, the SPADI index were （75.3 ~ 3.1 ） points, （57.2 ~ 2.7 ）points and （35.1 ＋ 2.2 ）points in the observation group, which were significantly lower than （87. I ＋ 2.8 ） points, （68.8 ~ 2.9 ） points and （ 44.6 ~ 2.5 ） points of the control group （ t = 8. 442,7. 025,6. 293, all P 〈 0. 05）. Excellent clinical efficacy of the observation group accounted for 72.92%, which was significantly higher than 54. 17% of the control group （ X2 = 3.64, P 〈 0.05 ） ; the poor efficacy of observation group accounted for 8.33 %, which was significantly lower than the 22.91% of the control group （ X2 = 3.87, P 〈 0.05 ）. Conclusion The proximal humeral locking plate has good clinical efficacy for the treatment of the elderly with proximal humerus fractures, and it is worth to be promoted in clinical.
出处
《中国基层医药》
CAS
2013年第15期2276-2278,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肱骨
骨折
骨折固定术
内
老年人
Humerus
Fractures
Fracture fixation, internal
Aged
