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目的观察小儿肱骨髁上骨折标准操作规程(Standard Operating Procedure SOP)的临床疗效。方法选择肱骨髁上骨折患儿124例。按随机数字法以1:1的比例随机分为对照组、治疗组,对照组为既往传统手法复位组;治疗组为SOP组。观察首次手法复位成功率(复位前后X线对比)及10 W后肘关节功能的恢复情况。结果在首次手法复位成功率及10 W后肘关节功能的评价两方面,经统计学处理,均有P<0.05,可认为治疗组在这两方面均优于对照组。结论 SOP操作较传统手法复位法具有明显优势。
Objective To observe the clinical efficacy of Standard Operating Procedure (SOP) in children with supracondylar humerus fractures. Methods 124 cases of supracondylar humerus fractures were selected. Random number method according to the ratio of 1: 1 were randomly divided into control group, the treatment group, the control group for the traditional method of reduction; the treatment group for the SOP group. The success rate of first manual reduction (X-ray contrast before and after reduction) and recovery of elbow function after 10 W were observed. Results In the first time, the success rate of successful reduction and the evaluation of elbow function after 10 W were both statistically significant (P <0.05), and the treatment group was superior to the control group in both aspects. Conclusion SOP operation has obvious advantages compared with the traditional method of reduction.