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find Author "马骁" 2 results
  • 低位进钉法动力髋螺钉治疗高龄股骨粗隆间骨折

    【摘 要】 目的 总结利用低位进钉法动力髋螺钉(dynamic hip screw,DHS)治疗高龄股骨粗隆间骨折的临床经验。 方法 2000 年1 月- 2006 年12 月,利用低位进钉法DHS 治疗高龄骨质疏松股骨粗隆间骨折25 例。男11 例,女14 例;年龄70 ~ 92 岁,平均81 岁。致伤原因:撞摔伤6 例,跌倒伤19 例。病程1 ~ 7 d。骨折类型按Evan’s 分型,Ⅰ型3 例,Ⅱ型10 例,Ⅲ型8 例,Ⅳ型4 例。伴其他部位骨折4 例,颅脑损伤1 例。合并高血压病12 例,冠心病3 例,糖尿病1 例,脑血管病1 例,慢性支气管炎和肺气肿1 例。 结果 术中出现低血压4 例,静脉输血和应用升压药物后好转。术后1 个月内发生并发症13 例,其中肺部感染4 例,精神障碍3 例,深静脉血栓、肠道感染、心律失常、心肌梗死各1 例,经抗感染、抗精神药物、溶栓等内科治疗后无死亡患者。全部患者均获随访,随访时间6 个月~ 3 年,平均21 个月。骨折平均愈合时间为14 周。参照Harris 评分标准,优9 例,良12 例,可3 例,差1 例,优良率84%。无螺钉松动、移位、滑出等内固定失败发生。 结论 低位进钉法DHS 是治疗高龄股骨粗隆间骨折较好的方法,选择恰当的手术时机、采用正确的手术方法、术后适当的功能锻炼是取得满意疗效的关 键。

    Release date:2016-09-01 09:14 Export PDF Favorites Scan
  • Analysis of psychological stress level of motor transport soldiers in Military Station C

    Objective To investigate the psychological stress level and its influence factors of the motor transport soldiers in Military Station C at high altitude, and provide the data basis for the proper stress management. Methods A cluster random sampling was performed on the motor transport soldiers in Military Station C. And SCL-90 were adopted to measure the psychological stress level of the motor transport soldiers while the self-made basic information questionnaire was conducted to collect the information of demographic characteristic, length of military service, driving years. Then the effect of basic information on the psychological stress level was analyzed. Results 1 692 soldiers in Military Station C were enrolled in this survey. The scores of somatization, depression, psychosis and the total score of the SCL-90 of these soldiers were higher than the norm (allP values<0.001). The scores of interpersonal relationship, depression, terror and stubborn of the only child were higher than those of non-only-child (P=0.034,P=0.039,P=0.025,P=0.002). The scores of interpersonal relationship and anxiety were positively correlated with their education levels (P=0.008,P=0.026). The compulsory servicemen had higher scores of anxiety, terror and psychosis (P<0.001,P=0.026,P=0.001) but lower scores of somatization (P<0.001) compared with the sergeants. Those who suffered from neck discomfort had higher somatization scores (P<0.001). Conclusion Some factors involved in psychological stress level of the motor transport soldiers in Military Station C are higher than the norm, suggesting that more attention should be paid to their psychological states by the army administrators and the health management department, especially the only child, new recruits, junior soldiers and those who suffers from somatization discomfort.

    Release date:2017-01-18 07:50 Export PDF Favorites Scan
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