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2016年利雅得人群骨折愈合失败的患者相关因素

Patient-dependent factors for fractures union failure among Riyadh population 2016.

作者信息

Aldhafian Mohammed, Alotaibi Faisal, Alzahrani Azam, Almajid Hareth, Alamri Abdullah, Aljandal Ahmad, Alamri Feras, Alhawas Fares, Khalifa Amar Fathi M

机构信息

Medical Intern, Almaarefa University, Riyadh, KSA.

Assistant Professor of Community Medicine, Almaarefa University, Riyadh, KSA.

出版信息

J Family Med Prim Care. 2020 Dec 31;9(12):6224-6227. doi: 10.4103/jfmpc.jfmpc_1231_20. eCollection 2020 Dec.

Abstract

BACKGROUND

The primary care has an important role to prevent fractures and make sure of complete healing without any complications like a Malunion which arises when a fracture has healed in a non-anatomical position, and a delayed union which defined as a healing time of more than 12 weeks and a non-union which occurs when absence of fracture healing progression on series of radiographs or with no evidence of healing over 10 weeks.

OBJECTIVES

To identify the proportion of fracture healing failure types and identify Patient-dependent Factors.

METHODOLOGY

cross sectional study consecutive sampling till completing sample size (90) patients. Data collection tool was Pretested Pre-Coded self-administered questionnaire it was subjected to a probe to test for validity and reliability. Data analyzed Using SPSS value of less than 0.05 considered as significant results. Chi-square test was the test of significance.

RESULTS

From 90 adult male participants, 71% were 35 years of age and above and below 55 years. Our result indicated that the commonest risk factor was smoking in 62.2% of respondents, and 27.8% have Diabetes mellitus. 50% of fractures failure was diagnosed as delayed union while non-union accounts for 40% and malunion for 10%. We've noticed that smokers mostly had delayed union, while diabetic patients had mostly non-union.

CONCLUSION

the study found that the most associating Patient-dependent Factors were cigarettes smoking and Diabetes mellitus, also most fractures failure were diagnosed as delayed union, non-union, and malunion respectively and we can help prevent these complications by controlling DM and stop cigarettes smoking.

摘要

背景

初级保健在预防骨折以及确保骨折完全愈合且不出现任何并发症方面发挥着重要作用,例如骨折在非解剖位置愈合时出现的畸形愈合,定义为愈合时间超过12周的延迟愈合,以及在一系列X线片上无骨折愈合进展或超过10周无愈合迹象时发生的骨不连。

目的

确定骨折愈合失败类型的比例并确定患者相关因素。

方法

横断面研究,连续抽样直至达到样本量(90)名患者。数据收集工具是经过预测试、预编码的自填式问卷,对其进行了探查以测试有效性和可靠性。使用SPSS进行数据分析,小于0.05的值被视为显著结果。卡方检验是显著性检验。

结果

在90名成年男性参与者中,71%年龄在35岁及以上且低于55岁。我们的结果表明,最常见的风险因素是吸烟,62.2%的受访者吸烟,27.8%患有糖尿病。50%的骨折失败被诊断为延迟愈合,而骨不连占40%,畸形愈合占10%。我们注意到吸烟者大多出现延迟愈合,而糖尿病患者大多出现骨不连。

结论

该研究发现,最相关的患者相关因素是吸烟和糖尿病,大多数骨折失败分别被诊断为延迟愈合、骨不连和畸形愈合,我们可以通过控制糖尿病和戒烟来帮助预防这些并发症。

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