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智能气囊夹板治疗不稳定型Colles骨折的单中心前瞻性临床研究

严培军 刘锌 魏成建

严培军, 刘锌, 魏成建. 智能气囊夹板治疗不稳定型Colles骨折的单中心前瞻性临床研究[J]. 南京中医药大学学报, 2023, 39(1): 10-15. doi: 10.14148/j.issn.1672-0482.2023.0010
引用本文: 严培军, 刘锌, 魏成建. 智能气囊夹板治疗不稳定型Colles骨折的单中心前瞻性临床研究[J]. 南京中医药大学学报, 2023, 39(1): 10-15. doi: 10.14148/j.issn.1672-0482.2023.0010
YAN Pei-jun, LIU Xin, WEI Cheng-jian. Single-center Prospective Clinical Study of Intelligent Pneumatic Splint for Unstable Colles Fractures[J]. Journal of Nanjing University of traditional Chinese Medicine, 2023, 39(1): 10-15. doi: 10.14148/j.issn.1672-0482.2023.0010
Citation: YAN Pei-jun, LIU Xin, WEI Cheng-jian. Single-center Prospective Clinical Study of Intelligent Pneumatic Splint for Unstable Colles Fractures[J]. Journal of Nanjing University of traditional Chinese Medicine, 2023, 39(1): 10-15. doi: 10.14148/j.issn.1672-0482.2023.0010

智能气囊夹板治疗不稳定型Colles骨折的单中心前瞻性临床研究

doi: 10.14148/j.issn.1672-0482.2023.0010
基金项目: 

国家自然科学基金面上项目 81973872

江苏省中医药管理局项目 YB201816

详细信息
    作者简介:

    严培军, 男, 主任中医师, E-mail: 1245499807@qq.com

    通讯作者:

    魏成建, 男, 主任中医师, 主要从事骨折的中西医结合治疗, E-mail: drwcjtcm@sina.com

  • 中图分类号: R274.11

Single-center Prospective Clinical Study of Intelligent Pneumatic Splint for Unstable Colles Fractures

  • 摘要:   目的  通过单中心的临床随机对照, 进行前瞻性研究, 探究智能气囊夹板相比普通夹板治疗不稳定型Colles骨折的有效性及安全性。  方法  研究纳入157例不稳定型Colles骨折患者, 其中对照组127例使用普通夹板, 治疗组30例使用智能气囊夹板。随访6周, 观察对比2组掌倾角和尺偏角、Lidstrom影像学评分、Gartland-Werley临床功能评分、VAS疼痛评分、夹板调整次数和骨折再复位次数等指标, 并统计2组并发症发生率。  结果  第28、42天时VAS疼痛评分比较差异有统计学意义(P < 0.05);智能气囊夹板再调整次数和骨折再复位次数更少, 差异有统计学意义(P < 0.05)。各时间点2组尺桡骨掌倾角、尺偏角和Lidstrom影像学评分、Gartland-Werley临床功能评分方面无统计学差异(P>0.05)。治疗组患者皮肤和软组织并发症区域面积显著低于对照组(P < 0.05)。  结论  智能气囊夹板在减轻Colles骨折断端疼痛、减少夹板调整次数与骨折再复位次数方面优于普通夹板, 且其压力智能调节显著降低了固定局部的并发症发生率, 值得临床尝试推广使用。

     

  • 图  1  智能气囊夹板实物图

    注: A.气囊扎带和气囊压垫部分;B.调压系统

    Figure  1.  Picture of intelligent balloon splint

    表  1  2组各随访时间点掌倾角比较(x±s, °)

    Table  1.   Comparison of palmar inclination angles between both groups at each follow-up time point(x±s, °)

    组别 例数 初诊 复位即刻 复位7 d 复位14 d 复位28 d 复位42 d
    治疗组 30 10.35±17.70 10.71±3.58 10.00±4.99 9.14±6.06 8.88±6.18 9.36±6.37
    对照组 127 11.47±17.92 11.81±4.11 11.18±8.05 8.54±11.34 9.85±10.91 9.69±9.09
    下载: 导出CSV

    表  2  2组各随访时间点尺偏角比较(x±s, °)

    Table  2.   Comparison of ulnar deviation angles between both groups at each follow-up time point(x±s, °)

    组别 例数 初诊 复位即刻 复位7 d 复位14 d 复位28 d 复位42 d
    治疗组 30 16.24±8.27 22.35±3.13 20.94±2.82 19.86±2.54 21.71±2.93 21.93±2.34
    对照组 127 22.07±4.50 21.47±2.88 20.91±4.28 21.60±5.59 20.69±3.94 21.09±4.09
    下载: 导出CSV

    表  3  2组各随访时间点桡骨短缩情况比较(x±s, mm)

    Table  3.   Comparison of radial shortening in both groups at each follow-up time point(x±s, mm)

    组别 例数 初诊 复位即刻 复位7 d 复位14 d 复位28 d 复位42 d
    治疗组 30 8.29±5.82 1.88±2.26 1.44±1.82 1.79±2.12 1.59±1.84 1.57±1.95
    对照组 127 8.13±6.38 1.93±2.05 1.91±1.87 2.80±4.15 2.08±2.87 2.08±2.78
    下载: 导出CSV

    表  4  2组各随访时间点Lidstrom腕部X线指标积分比较(x±s)

    Table  4.   Comparison of Lidstrom's wrist X-ray index scores in both groups at each follow-up time point(x±s)

    组别 例数 初诊 复位即刻 复位7 d 复位14 d 复位28 d 复位42 d
    治疗组 30 5.21±1.40 1.88±2.06 1.50±1.71 1.83±2.17 1.76±1.86 1.57±1.79
    对照组 127 4.13±1.60 1.20±1.26 2.00±1.63 1.62±0.89 1.23±1.74 1.24±0.47
    下载: 导出CSV

    表  5  2组各随访时间点Gartland-Werley临床功能评分比较(x±s)

    Table  5.   Comparison of Gartland-Werley clinical function scores between both groups at each follow-up time point(x±s)

    组别 例数 复位28 d 复位42 d
    治疗组 30 8.95±1.60 3.64±1.26
    对照组 127 10.01±1.61 4.55±1.29
    下载: 导出CSV

    表  6  2组各随访时间点VAS疼痛评分比较(x±s)

    Table  6.   Comparison of VAS pain scores between both groups at each follow-up time point(x±s)

    组别 例数 初诊 复位即刻 复位7 d 复位14 d 复位28 d 复位42 d
    治疗组 30 7.32±1.50 6.50±1.70 4.69±1.24 4.42±1.26 2.68±0.68# 1.71±0.67#
    对照组 127 7.31±1.17 6.59±1.27 5.69±1.61 5.70±1.15 3.67±1.11 2.69±0.75
    注: 组间比较, #P < 0.05。
    下载: 导出CSV

    表  7  2组各随访时间点夹板调整、再复位次数和皮肤并发症面积比较(x±s)

    Table  7.   Comparison of the number of splint adjustment and fracture resets, combined with the area of skin complications between both groups at each follow-up time point(x±s)

    组别 例数 夹板调整次数 骨折再复位次数 皮肤并发症面积/cm2
    治疗组 30 1.41±0.51# 0.18±0.39# 4.90±2.09##
    对照组 127 2.53±0.92 0.53±0.52 18.55±3.56
    注: 组间比较, #P < 0.05, ##P < 0.01。
    下载: 导出CSV
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  • 收稿日期:  2022-10-22
  • 网络出版日期:  2023-01-18
  • 发布日期:  2023-01-10

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