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目的分析小儿肱骨髁上骨折术后功能恢复的影响因素。方法回顾分析98例切开复位克氏针交叉内固定术治疗的肱骨髁上骨折患儿临床资料,术后随访,分析影响肘关节功能恢复的因素。结果 98例患儿术后均成功获得随访,术后功能恢复,接受手术时间<48 h的优良率96.25%高于>48 h的72.22%;术后3周内功能锻炼的优良率93.75%高于术后>3周功能锻炼的83.33%;出院遵医嘱的优良率100.00%高于部分遵医嘱的81.82%,差异有统计学意义(P<0.05)。Logistic回归分析发现受伤至手术时间、术后功能锻炼时间、出院之后的依从性是影响小儿肱骨髁上骨折术后功能恢复不良的主要因素。结论小儿肱骨髁上骨折的术后功能恢复易受诸多因素影响,其中接受手术时间、术后功能锻炼时间、出院依从性是主要因素,故临床应及早采取手术治疗,做好术后早期功能锻炼。
Objective To analyze the influencing factors of functional recovery after supracondylar humerus fractures in children. Methods The clinical data of 98 children with supracondylar humerus fractures treated with open reduction and Kirschner wire cross internal fixation were retrospectively analyzed. The follow-up was performed to analyze the factors influencing elbow joint function recovery. Results 98 cases of children were successfully followed up after operation, functional recovery after operation, the excellent and good rates of operation time <48 h were higher than 72.22%> 48 h, the excellent and good rates of functional exercise within 3 weeks after operation were 93.75% 83.33% of functional exercise after operation> 3 weeks; the rate of good and good discharged from hospital was 100.00% higher than 81.82% of those prescribed by doctor, the difference was statistically significant (P <0.05). Logistic regression analysis found that the main factors that affect the functional recovery after supracondylar humerus fractures were found to be injuries to operative time, postoperative functional exercise time, and compliance after discharge. Conclusions Postoperative functional recovery of supracondylar fractures of humerus is susceptible to many factors, including the time of operation, postoperative functional exercise time and compliance with discharge. Therefore, surgical treatment should be taken as soon as possible and early postoperative functional exercise .