简介: 【摘要】 目的 探讨切开内固定术联合三角韧带修补术治疗踝关节骨折脱位伴三角韧带损伤的临床价值。方法 60例踝关节骨折脱位伴三角韧带损伤患者, 按随机抽签方式分为对照组和实验组, 每组 30例。对照组患者行切开内固定术治疗, 实验组患者在对照组基础上行三角韧带修补术。比较两组患者临床治疗效果及并发症发生情况。结果 对照组患者治疗效果优 9例、良 11例、差 10例, 优良率为 66.67%;实验组患者治疗效果优 19例、良 10例、差 1例, 优良率为 96.67%;实验组优良率明显高于对照组, 差异有统计学意义( P<0.05)。实验组患者并发症发生率 6.67%低于对照组的 30.00%, 差异有统计学意义( P<0.05)。结论 切开内固定术联合三角韧带修补术可用于踝关节骨折脱位伴三角韧带损伤患者治疗中, 效果显著, 值得临床应用以及推广。 【关键词】 三角韧带修补术 ;切开内固定术 ;踝关节骨折脱位伴三角韧带损伤 [Abstract] Objective To explore the clinical value of open internal fixation combined with deltoid ligament repair in the treatment of ankle fracture and dislocation with deltoid ligament injury. Methods 60 cases of ankle fracture and dislocation with deltoid ligament injury were randomly divided into control group and experimental group, 30 cases in each group. The patients in the experimental group received the repair of deltoid ligament on the basis of the control group. The clinical effect and complications of the two groups were compared. Results in the control group, the treatment effect was excellent in 9 cases, good in 11 cases and bad in 10 cases, with an excellent rate of 66.67%; in the experimental group, the treatment effect was excellent in 19 cases, good in 10 cases and bad in 1 case, with an excellent rate of 96.67%; in the experimental group, the excellent rate was significantly higher than that in the control group, with a statistically significant difference (P < 0.05). The incidence of complications in the experimental group was 6.67% lower than that in the control group (P < 0.05). Conclusion open and internal fixation combined with deltoid ligament repair can be used in the treatment of ankle fracture and dislocation with deltoid ligament injury, with significant effect, which is worth clinical application and promotion.
简介: 摘 要:目的 探讨微创与保守治疗腰间盘突出两组对比治疗的临床效果。方法 收集我院 2018年 1月~ 2019年 6月收治的 100例腰间盘突出患者,取随机数字排序分为对照组与观察组,每组 50例,比较两组治疗效果及治疗前后 VAS评分。结果 对照组总有效率 82.00%低于观察组 96.00%,差异有统计学意义( P<0.05);两组患者在治疗前 VAS评分差异无统计学意义( P>0.05),观察组治疗后 VAS评分( 4.03±0.57)低于对照组( 5.21±0.62)分,差异存在统计学意义( P<0.05)。结论 微创与保守治疗腰间盘突出两组均有效果,但是微创方式治疗效果更明显,能有效减轻患者疼痛感,具有明显优势。 关键词:腰间盘突出;微创治疗;保守治疗 Abstract: Objective To explore the clinical effect of minimally invasive and conservative treatment of lumbar disc herniation. Methods 100 patients with lumbar disc herniation admitted to our hospital from January 2018 to June 2019 were randomly divided into control group and observation group with 50 cases in each group. The therapeutic effect and VAS score before and after treatment were compared between the two groups. Results the total effective rate of the control group was 82.00% lower than that of the observation group (96.00%), the difference was statistically significant (P < 0.05); there was no statistically significant difference between the two groups in the VAS score before treatment (P > 0.05), the VAS score of the observation group after treatment (4.03 ± 0.57) was lower than that of the control group (5.21 ± 0.62), the difference was statistically significant (P < 0.05). Conclusion minimally invasive and conservative treatment of lumbar disc herniation have both effects, but minimally invasive treatment is more effective, can effectively reduce the pain of patients, with obvious advantages.
简介:摘要目的探讨护理干预在老年急性心肌梗死患者并发心律失常中的应用体会。方法将我院收治的60例老年急性心肌梗死并发心律失常患者作为研究对象,根据患者入院单双尾号顺序将其分为对照、实验2组,并分别给予常规护理与护理干预,观察比较两组患者心功能分级与护理满意度的差异。结果比照两组患者心功能分级,实验组的心功能分级情况明显优于对照组;且实验组的总满意率为96.7%较对照组的73.3%显著更高,差异运用统计学分析有意义(P<0.05)。结论对老年急性心肌梗死并发心律失常患者强化护理干预可明显改善心功能,并提高患者满意程度,对促进其尽快康复意义重大。
简介:摘要目的研究专职化分层护理对脑血管疾病患者急救效果的影响。方法选取我院收治的60例脑血管疾病患者进行研究,所有患者均采取相同急救处理方法。随机分为对照组3例,采取常规急救护理;观察组30例,采取专职化分层护理,比较两组患者急救效果。结果对照组患者的恶化率、死亡率、并发症发生率及急救室抢救时间均明显高于观察组,且满意度低于观察组,差异显著(P<0.05)。结论在脑血管疾病患者急救中采取专职化分层护理,可明显降低并发症发生率与急救时间,提高患者治疗效果与满意度。
简介:摘要目的探讨呼唤式护理对重型颅脑损伤昏迷患者清醒时间及神经功能的影响。方法将商丘市第一人民医院急诊科收治的50例重型颅脑损伤昏迷患者作为研究对象,随机分为两组,均25例。对照组采取常规护理,观察组给予呼唤式护理,比较两组患者神经功能及清醒时间。结果观察组FM、BI评分均高于对照组,AS评分低于对照组,差异显著(P<0.05);观察组清醒时间为(20.2±9.9)d,短于对照组的(27.4±12.1)d,差异显著(P<0.05)。结论重型颅脑损伤昏迷患者给予呼唤式护理后效果明显,有效促进患者神经功能恢复,缩短患者清醒时间,值得推广应用。
简介:摘要目的探讨急性心肌梗死后心律失常患者应用综合护理对其心功能分级的作用。方法选择2016年6月-2017年6月期间在商丘市第一人民医院进行治疗的50例急性心肌梗死后心律失常患者,随机分为2组,各25例。对照组患者接受常规护理,观察组采取综合护理。比较两组患者心功能分级、卧床时间、住院费用和住院时间。结果观察组患者心功能分级情况优于对照组,差异有统计学意义(P<0.05);观察组患者卧床时间(2.87±0.65)d、住院时间(9.98±1.21)d、住院费用(5273.15±631.16)元,均少于对照组(5.03±0.62)d、(16.17±0.03)d、(6985.13±652.07)元,差异有统计学意义(P<0.05)。结论针对急性心肌梗死后心律失常患者,采取综合护理可以有效改善心功能分级,缩短卧床和住院时间,减少住院费用,促进患者恢复。
简介:在全省开展的“讲正气、树新风”主题教育活动是十分必要的,也是十分重要的。在活动中重温刘少奇同志的《论共产党员的修养》,深刻感受到这篇文章对于加强党性修养、提高党员队伍素质依然有着十分重要的作用。