小夹板外固定在小儿骨折治疗中临床疗效探讨.docVIP

小夹板外固定在小儿骨折治疗中临床疗效探讨 　　[摘要] 目的 探讨小夹板外固定在小儿骨折患者中的临床疗效和优点。方法 方便选取该院68例骨折患儿为研究对象，所有人员均为2010年8月―2016年8月来该院诊疗人员。系统随机分为两组，各34例。干预组采用小夹板外固定治疗，常规组采用手术切开复位内固定治疗。调查患儿骨折愈合时间，评估患儿疗效。结果 干预组痊愈26例，常规组15例。两组评估有效率分别为97.1%、79.4%，比较差异有统计学意义（χ2=5.82，Plt;0.05）。干预组仅有1例骨折不愈合病例，并?l症发生率为2.9%，常规组为20.6%。比较差异有统计学意义（χ2=5.82，Plt;0.05）。两组患者骨折愈合时间分别为（67.2±10.5）、（79.6±8.1）d，比较差异有统计学意义（t=11.25，Plt;0.05）。结论 在小儿骨折治疗中小夹板外固定方法简便，效果理想，具有更高的应用价值。 　　[关键词] 小夹板外固定;小儿骨折;内固定 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）02（c）-0104-03 　　The Clinical Effect of Small Splint External Fixation in the Treatment of Childrens Fracture 　　FANG Bing 　　Department of Rehabilitation， Fuzhou Children’s Hospital， Fuzhou， Fujian Province， 350000 China 　　[Abstract] Objective This paper tries to investigate the clinical effect of external fixation of pedicle screw in pediatric fracture patients. Methods 68 cases of fractures in this hospital as the research object， all staff are from August 2010 to August 2016 convenient selected to this hospital clinics. The system was randomly divided into two groups. The intervention group was treated with small splint external fixation. The conventional group was operated by open reduction and internal fixation. Investigate the fracture healing time in children was to evaluate the efficacy of children. Results In intervention group 26 cases were cured， with 15 cases in conventional group. The effective rate of assessment in both groups was 97.1% and 79.4%， respecthe difference was statistically significant（χ2=5.82，Plt;0.05）. There was only one case of fracture nonunion in the intervention group， with a complication rate of 2.9% and a routine group of 20.6%. the difference was statistically significant（χ2=5.82，Plt;0.05）. The healing time of fractures in both groups were （67.2±10.5）d and （79.6±8.1）d respectively， the difference was statistically significant（t=11.25，Plt;0.05）. Conclusion The method of external fixation with small splint is simple， the effect is satisfactory with higher a