肱骨近端锁定钢板治疗老年肱骨近端骨折的疗效分析

目的：探讨锁定钢板微创治疗老年肱骨近端骨折患者的临床效果和安全性。方法：将老年肱骨近端骨折患者并随机分为对照组和治疗组。所有患者接受相同的术前治疗后，对照组接受常规钢板手术治疗，使用钢板或髓内钉固定；治疗组患者使用微创锁定钢板行微创手术治疗，两组患者接受相同的术后治疗和护理。结果：治疗组患者手术时间稍低于对照组，其差异无统计学意义（t=7.766，P＞0.05），而治疗组患者的骨折愈合时间和术中出血量均低于对照组，其差异有统计学意义（t=8.439，t=12.380；P＜0.05）；治疗组患者Neer评分中疼痛、功能恢复、活动范围和解剖位置4项均高于对照组，其差异有统计学意义（t=2.680，t=2.157，t=4.057， t=2.978；P＜0.05）；治疗组患者治疗总有效率（84.4%）高于对照组（59.4%），其差异有统计学意义（x2=4.947，P＜0.05）。结论：采用微创锁定钢板治疗老年肱骨近端骨折患者临床效果好，不良反应少，值得临床推广。

Analysis on locking proximal hummers plate for treatment of proximal humeral fractures in elderly

Objective：To investigate the locking plate minimally invasive treatment of proximal humeral fractures in elderly patient’s clinical efficacy and safety. Methods： The elderly in our hospital and proximal hummers fracture patients were randomly divided into control and treatment groups. All patients received the same preoperative therapy, the control group received conventional steel surgical treatment, the use of steel plate or intramedullary nail fixation; patients treated with minimally invasive surgery locking plate line , groups of patients received the same postoperative treatment and care. Results： The patients treated with surgery time is slightly lower than the control group , but the difference was not statistically significant （P＆gt;0.05）, while patients treated with fracture healing time and blood loss were lower than the control group, the difference was statistically significant （P＆lt;0.05）; patients treated Neer score on pain, functional recovery, range of motion, anatomical location four were higher, the difference was statistically significant （P＆gt;0.05）;treatment group patients total efficiency （84.4%） was higher （59.4%） , the difference was statistically significant （P＆lt;0.05）;patients treated with various common adverse events were lower than the control group, the difference was statistically significant （P＆lt;0.05）. Conclusion：Using locking plate for treatment of proximal humeral fractures in elderly patients clinical effects, adverse reactions, worthy of promotion.