大关节固定与关骨折中的开放缩小和内部固定 - - 对肺功能的影响
Pallavi Gupta1, Jeevan Lata1, Nitin Verma1
1Department of Oral & Maxillofacial Surgery, Punjab Government Dental College & Hospital, Amritsar, Punjab India.
Journal of maxillofacial and oral surgery
|December 2, 2024
概括
骨骨折会影响呼吸道功能. 上关固定 (MMF) 与开放缩减内部固定 (ORIF) 相比,肺功能较差,特别是在呼吸系统问题患者中.
科学领域:
- 口腔和牙面部外科手术
- 肺部病理学 肺部病理学
- 麻醉学 麻醉学
背景情况:
- 骨折显著影响口腔喉和喉呼吸道.
- 管理选项包括上关固定 (MMF) 和开放缩减内部固定 (ORIF).
研究的目的:
- 量化和比较MMF与ORIF对下骨折患者肺功能的影响.
- 评估不同手术治疗对呼吸系统参数的影响.
主要方法:
- 在局部麻醉下,42名患有孤立下骨折的患者被随机分配到ORIF (n=21) 或MMF (n=21) 组.
- 包括FVC,FEV1,FEV1/FVC和PEFR在内的肺功能测试 (PFT) 在手术前和24小时,1周,4周和6周后进行.
主要成果:
- 在手术前,所有患者的PFT值与预测标准相比都降低了.
- 在手术后,MMF组在24小时,1周和4周的PFT值显著降低,与ORIF组相比.
- 在MMF删除后的6周内,两组之间的PFT值是可比的.
结论:
- 骨骨折与异常的肺功能有关.
- 货币货币基金治疗导致了阻塞性肺模式,而ORIF导致了正常模式.
- 建议ORIF用于肺部并发症的患者,因为MMF可能对呼吸储备有限的患者构成风险.
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