摘要
目的探讨肱骨近端嵌插型骨折采用早期活动和传统制动3周后开始活动治疗的临床疗效。方法自2009年12月-2010年12月吴江市第一人民医院共诊治肱骨近端嵌插型骨折28例,平均年龄62岁,男性8例,女性20例;采用骨折72 h内开始活动治疗组和传统制动3周后开始活动组各14例。临床疗效评价:分别于6周、3个月和6个月采用Constant评分系统评价两组患者肩关节整体功能、VAS疼痛评分和主动活动范围。结果所有患者均获得半年以上随访,两组患者骨折均愈合,无一例肱骨头坏死。早期活动组的肩关节整体功能评分和主动活动范围较传统制动组更快更早的改善,差异有统计学意义(P<0.05);早期活动组有VAS评分较传统制动组改善趋势。结论肱骨近端嵌插型骨折采用早期活动和传统制动3周后开始活动非手术治疗均可获得较好的疗效,早期活动能早期减轻疼痛与改善肩关节功能,同样安全可靠。
Objective To explore the clinical results of the early mobilization or conventional immobilization on the impacted proximal humeral fractures.Methods Twenty eight patients with proximal humeral fracture（8 man and 20 women,average 62 years） from Dec.2009 to Dec.2010 were treated in our hospital.The observation group（14 cases） received the early mobilization treatment in 72 h after the fractures;while the control group（14 cases） received the conventional immobilization.The whole function of shoulder joint,visual analogue scale（VAS） pain score,Active range of motion were accessed by using Costnant score were accessed in 6 weeks,3 months and 6 months,respectively.Results All patients were followed-up over half a year,no cases was observed to have the nonunion or humeral head necrosis.The scores of whole shoulder joint function and active range of motion in the observation group were higher than that of in the control group,the difference between the two groups was statistically significance（P0.05）.The VAS in the observation group was improved obviously as compared to the control group.Conclusion Both the early mobilization（in 72 h） and conventional immobilization（mobilization 3 weeks after fractures） can get a satisfactory effect for the impacted proximal humeral fractures.The early mobilization treatment can also early relieve the pain of patients and improve the function of shoulder joints,and its safety is confirmed.
出处
《中华全科医学》
2011年第10期1547-1548,共2页
Chinese Journal of General Practice
关键词
肱骨近端
骨折
嵌插型
非手术干预
疗效
Impacted proximal humeral fracture
Non-operative intervention
Clinical results
