目的 探究肱骨近端锁定钢板在老年肱骨近端骨折患者中的应用效果.方法 选择2016年1月至2017年1月本院收治的肱骨近端骨折患者116例,根据随机数字表法将所有患者分为两组,每组58例.对照组患者予以传统钢板治疗,观察组患者予以肱骨近端锁定钢板治疗,比较两组临床疗效、肩关节疼痛及活动度、并发症.结果 术后观察组患者并发症发生率(3.45％ 比15.52％)、肩关节疼痛程度评分[(50.34±12.74)比(63.21±11.51)]及活动度评分均低于对照组[(53.21±9.47)比(60.84±12.06)],临床有效率高于对照组(94.83％ 比82.76％),差异有统计学意义(P<0.05).结论 肱骨近端锁定钢板能提高老年肱骨近端骨折临床疗效,降低并发症发生率,改善肩关节疼痛程度与活动度.%Objective To explore the application effect of proximal humerus locking plate in elderly patients with proximal humerus fractures. Methods A total of 116 patients with proximal humerus fractures treated in our hospital from January 2016 to January 2017 were divided into two groups according to the random number table method, 58 cases in each group. The patients in the control group were treated with traditional plate, while the patients in the observation group were treated with proximal humerus locking plate. The clinical efficacy, shoulder pain and activity, and complications were compared between the two groups. Results The incidence of complications, the scores of the shoulder pain degree and activity of the observation group were lower than those of the control group [3.45％ vs.15.52％, (50.34±12.74) vs.(63.21±11.51), (53.21±9.47) vs.(60.84±12.06)], the clinical effective rate was higher than that of the control group (94.83％ vs.82.76％), with statistically significant differences (P<0.05). Conclusion The proximal humerus locking plate can improve the clinical curative effect of proximal humerus fractures in the elderly, reduce the incidence of complications, and improve the degree of shoulder pain and activity.
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