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| 骨肽注射液联合早期训练对促进桡骨近腕关节处骨折愈合和改善腕关节功能的临床效果 |
| The clinical efficacy of bone peptide injection combined with early training on fracture healing and wrist joint function recovery in elderly patients with distal radius fractures |
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| DOI：10.3969/j.issn.1006.7108.2018.01.015 |
| 中文关键词: 骨肽注射液 早期训练 老年 桡骨骨折 稳定型 |
| 英文关键词:Bone peptide injection Early training Elderly Radius fracture Stable type |
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| 中文摘要: |
| 目的 观察骨肽注射液联合早期训练对老年桡骨近腕关节处骨折的临床价值。方法 选择2014年5月至2016年2月于安徽省太和县人民医院接受治疗的稳定性桡骨近腕关节处骨折73例老年患者作为研究对象，采用随机数字表法随机分为观察组（n=37）和对照组（n=36）。两组均在固定治疗后实施早期训练，观察组增加骨肽注射液治疗。观察两组腕关节功能改善和红细胞相关指标变化情况。结果 与治疗前相比，两组治疗后4周和12周的各项腕关节活动度指标获得显著改善（P < 0.05），并且治疗后4周和12周，观察组的各项腕关节活动度指标均明显优于对照组（P < 0.05）；而VAS评分明显低于对照组同期水平（P < 0.05）。在治疗后第1周和第4周，观察组红细胞积聚指数（EAI）、电泳指数（EEI）均明显低于对照组同期水平（P < 0.05），而红细胞免疫促进因子（FEER）、直向肿瘤红细胞花环率（DTER）均明显高于对照组（P < 0.05）。结论 早期训练能有效改善老年桡骨近腕关节处骨折患者腕关节功能和缓解疼痛，并且联合骨肽注射液治疗有助于改善骨折周围微循环，促进骨折处愈合。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of bone peptide injection combined with early training on the fracture healing and wrist joint function recovery in elderly distal radius fracture patients. Methods From May 2014 to February 2016, a total of 73 patients with distal radius fractures were divided into observation group (n=37) and control group (n=36) randomly. Bone peptide injection combined with early training was applied in observation group, and early training was carried out in control group. The wrist joint activity and erythrocyte-associated factors were observed. Results Compared with pre-treatment, the indexes of wrist activity significantly increased at the 4 and 12 weeks (P<0.05), and the indexes of wrist activity in observation group were significantly higher than those in control group at the 4 and 12 weeks (P<0.05). Compared with that in control group, the VAS score in observation group decreased significantly at the 4 and 12 weeks (P<0.05). EAI and EEI in observation group were significantly lower than those in control group, but FEER and DTER were significantly higher than those in control group at the 4 and 12 weeks (P<0.05). Conclusion Early training can effectively improve the wrist joint function recovery and relieve pain in elderly distal radius fracture patients. Combined with bone peptide injection, it can help to improve the microcirculation around the fracture site and promote fracture healing. |
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