Heidgerd Rachel, Morgan Jacqueline, Schentrup Denise
University of Florida College of Nursing, Gainesville.
J Trauma Nurs. 2019 Jan/Feb;26(1):59-64. doi: 10.1097/JTN.0000000000000416.
Distal radius fractures are one of the most common fractures patients experience. Although there are a variety of treatments, there is a lack of standardization as it relates to treatment of such fractures. The purpose of this study was to compare treatment outcomes between surgical and nonsurgical care of distal radius fractures to inform evidence-based guidelines for the management of distal radius fractures. A retrospective chart analysis was performed in the public university hospital setting on a sample of 60 patient health records divided equally into those treated surgically and nonsurgically. Data were analyzed related to specific variables in those patients who met specific inclusion/exclusion criteria. Analysis identified that patients treated surgically experienced improved healing and return of range of motion. There was no statistical significance comparing pain in both the surgical and nonsurgical groups. Diabetes and smoking were found to have a negative impact on healing and clinical outcomes. Despite limitations, this pilot project serves as a baseline for future research regarding best practices in the treatment of distal radius fractures. It also demonstrates the negative impact that diabetes and smoking can have on clinical outcomes.
桡骨远端骨折是患者最常遭遇的骨折类型之一。尽管存在多种治疗方法，但在这类骨折的治疗方面缺乏标准化。本研究的目的是比较桡骨远端骨折手术治疗与非手术治疗的效果，为桡骨远端骨折的管理提供循证指南。在公立大学医院环境中，对60份患者健康记录样本进行了回顾性图表分析，这些样本被平均分为接受手术治疗和非手术治疗的两组。对符合特定纳入/排除标准的患者的特定变量进行了数据分析。分析发现，接受手术治疗的患者愈合情况更好，活动范围恢复更佳。手术组和非手术组在疼痛方面的比较无统计学意义。研究发现，糖尿病和吸烟对愈合及临床结果有负面影响。尽管存在局限性，但该试点项目为未来关于桡骨远端骨折最佳治疗方法的研究提供了基线。它还证明了糖尿病和吸烟对临床结果可能产生的负面影响。
