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智能医疗在不稳定骨盆骨折患者术后并发症及下肢功能恢复的比较分析中对外固定架与钢板内固定治疗效果的应用。

Application of Smart Healthcare in Comparative Analysis of Effect of Early External Fixator and Plate Internal Fixation Treatment on Postoperative Complications and Lower Limb Function Recovery of Patients With Unstable Pelvic Fracture.

机构信息

Department of Emergency, The First Affiliated Hospital of Jiamusi University, Jiamusi, China.

Plastic Burn Beauty Center, The First Affiliated Hospital of Jiamusi University, Jiamusi, China.

出版信息

Front Public Health. 2022 Apr 29;10:887123. doi: 10.3389/fpubh.2022.887123. eCollection 2022.

Abstract

OBJECTIVE

To comparatively analyze the effect of early external fixator and plate internal fixation treatment on postoperative complications and lower limb function recovery of patients with unstable pelvic fracture based on smart healthcare.

METHODS

The clinical data of 98 patients with unstable pelvic fractures treated in our hospital from August 2018 to August 2021 were collected for retrospective analysis, and the patients were split into group A (plate internal fixation, = 49) and group B (early external fixator treatment, = 49) according to the surgical modalities. The time of operation, intraoperative blood loss, postoperative complications, etc. were compared between the two groups.

RESULTS

Between the two groups, group B had significantly better clinical indicators ( < 0.001), a greatly higher good rate of fracture reduction and postoperative Harris score ( < 0.05), and obviously lower VAS score and total incidence rate of postoperative complications ( < 0.05).

CONCLUSION

Through the analysis based on smart healthcare, it is found that compared with plate internal fixation treatment, early external fixator treatment presents a better effect in treating patients with unstable pelvic fracture, because it is a reliable method to accelerate fracture healing, reduce postoperative complications, and improve lower limb function.

摘要

目的

基于智慧医疗,比较分析不稳定骨盆骨折患者术后并发症及下肢功能恢复的早期外固定架与钢板内固定治疗效果。

方法

回顾性分析 2018 年 8 月至 2021 年 8 月我院收治的 98 例不稳定骨盆骨折患者的临床资料,根据手术方式分为 A 组(钢板内固定,n=49)和 B 组(早期外固定架治疗,n=49)。比较两组患者的手术时间、术中出血量、术后并发症等。

结果

两组患者相比,B 组的临床指标明显更好(<0.001),骨折复位和术后 Harris 评分优良率更高(<0.05),VAS 评分和术后并发症总发生率明显更低(<0.05)。

结论

通过智慧医疗分析发现,与钢板内固定治疗相比,早期外固定架治疗不稳定骨盆骨折的效果更好,因为它是一种可靠的方法,可以加速骨折愈合,减少术后并发症,改善下肢功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1844/9099004/83da050ec2e3/fpubh-10-887123-g0001.jpg

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