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Chronic Inflammatory Changes In Esophageal Mucosa of Albino Rats Following Prolonged Intake of Carbonated Drinks. 长期饮用碳酸饮料对白化大鼠食管黏膜慢性炎症的影响。
Pub Date : 2022-12-08 DOI: 10.58397/ashkmdc.v27i4.635
M. Asif, Ashhad Mazhar, N. Parveen, Sara Farhan, Lubna Riaz, R. Shahid
Abstract Background: Carbonated beverages include soft drinks or sodas which contain carbondioxide and that when ingested for prolonged period of time lowers the intra-esophageal pH and can lead to histopathological changes in the mucosa. Objective: To study the effects of prolonged intake of carbonated drinks on the oesophagus of albino rats. Method: This experimental study was carried out at Shaheed Mohtarma Benazir Bhutto Medical College for a period of six months. Seventy five rats of wistar strain (gender non specific) were divided into ‘control groups ‘A1 n=10, A2 n=10, A3 n=10 & ‘exposed groups’ B n=15, C n=15 and D n=15.The controls and the exposed animals were fed the same balanced diet, prepared at the lab’s kitchen. The fluid intake of exposed animals was restricted to carbonated drinks only, whereas, the controls were fed water.At the end of the first, third and sixth months, groups A1&B, A2&C and A3&D were sacrificed and histological section of oesophagus were obtained for histomorphological studies. Results: On micrometry, width of the oesophagus of the exposed animals for one month;Group B was higher (17.87) than those of Group A1 (5.70). Those rats sacrificed at the end of the third month; Group C had significantly enlarged wall thickness of the oesophagus compared to A2 group. The average oesophageal wall thickness 13.60?m was found to be more in the exposed group ‘D’, as compared to 4.50?m measured in Control Group A3 (p<0.01). Conclusion: Prolonged consumption of carbonated drinks resulted in gross and histomorphological changes in the esophageal mucosa. The results of this research will help provide awareness to the general public of the adverse effects afflicted by these beverages.  
背景:碳酸饮料包括含有二氧化碳的软饮料或苏打水,当长时间摄入时,会降低食管内pH值并导致粘膜的组织病理学改变。目的:研究长期饮用碳酸饮料对白化大鼠食道的影响。方法:本实验研究在Shaheed Mohtarma Benazir Bhutto医学院进行,为期六个月。将75只wistar品系(性别非特异性)大鼠分为对照组A1 n=10, A2 n=10, A3 n=10和暴露组B n=15, C n=15, D n=15。对照组和受辐射的动物被喂食在实验室厨房准备的同样均衡的饮食。受感染动物的液体摄入量仅限于碳酸饮料,而对照组则喂食水。第1、3、6个月末,分别处死a1、b、a2、c、a3、d组,取食管组织切片进行组织形态学研究。结果:在显微镜下,暴露1个月后,B组的食道宽度(17.87)高于A1组(5.70)。这些大鼠在第三个月末被处死;与A2组相比,C组食管壁厚度明显增大。平均食管壁厚度13.60?与4.50?相比,暴露组“D”中的m含量更高。对照组(A3)与对照组(p<0.01)比较差异有统计学意义。结论:长期饮用碳酸饮料可引起食管黏膜的大体和组织形态学改变。这项研究的结果将有助于提高公众对这些饮料的不良影响的认识。
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引用次数: 0
Bibliographic Analysis of Pain Research Published in Indexed Journals in Pakistan. A 10-Year Survey 巴基斯坦索引期刊上发表的疼痛研究文献分析。十年调查
Pub Date : 2022-12-01 DOI: 10.58397/ashkmdc.v27i4.639
A. Khan, G. Afshan, Ausaf Ahmed, Khan, A. Khan, A. Bibliographic
Objective: The aim of this study was to identify bibliographic characteristics of pain-related articles published from 2011 to 2020 in indexed journals of Pakistan.Methods: This retrospective study was conducted after approval from the departmental research committee at the Department of Anaesthesiology from July 2022 to August 2022. A literature search was carried out to identify pain-related articles published between January 2011 and December 2020 in Pakistani journals indexed in the National Library of Medicine (NLM) Catalog. For information on authors and articles, both authors reviewed each journal's website and its archives. Articles on molecular and animal research were excluded. Data collected by the two authors were compared to check for accuracy, missing data, or otherdiscrepancies. Data was recorded on predesigned Excel ? worksheets, and SPSS ? version 19 was used for data analysis and reporting.Results: Our study revealed a steadily rising number of research articles published. The number of publications increased from 7 articles in 2011 to 28 in 2020. The extracted articles represented publications originating from 9 different countries, and out of 138 publications, 109 (78.99%) were identified as original articles. The significant contribution to "pain" research is from the discipline of Anaesthesia, 24.64%. However, research output on "Chronic Pain" was only 12.73% from the discipline of Anaesthesia.Conclusion: This study demonstrated a multispecialty contribution to the area of pain research, with anesthesiology providing a considerable contribution, although the contributionfrom anaesthesia in chronic pain is fairly modest.  
目的:本研究的目的是确定2011年至2020年在巴基斯坦索引期刊上发表的疼痛相关文章的书目特征。方法:经科室研究委员会批准,于2022年7月至2022年8月在麻醉科进行回顾性研究。进行了文献检索,以确定2011年1月至2020年12月期间在国家医学图书馆(NLM)目录索引的巴基斯坦期刊上发表的与疼痛相关的文章。为了获得作者和文章的信息,两位作者都查阅了各自期刊的网站及其档案。分子和动物研究的文章被排除在外。将两位作者收集的数据进行比较,以检查准确性、缺失数据或其他差异。数据记录在预先设计的Excel ?工作表和SPSS ?版本19用于数据分析和报告。结果:我们的研究显示,发表的研究论文数量稳步上升。论文发表数量从2011年的7篇增加到2020年的28篇。提取的文章代表了来自9个不同国家的出版物,在138篇出版物中,109篇(78.99%)被确定为原创文章。对“疼痛”研究的重大贡献来自麻醉学科,占24.64%。然而,麻醉学科对“慢性疼痛”的研究产出仅占12.73%。结论:该研究显示了对疼痛研究领域的多专业贡献,麻醉学提供了相当大的贡献,尽管麻醉对慢性疼痛的贡献相当有限。
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引用次数: 0
Serum Ace and Ace I/D Polymorphism: Risk of Type 2 Diabetes with and Without Nephropathy in Pakistani Cohort 血清Ace和Ace I/D多态性:巴基斯坦2型糖尿病伴和不伴肾病的风险
Pub Date : 2022-12-01 DOI: 10.58397/ashkmdc.v27i4.555
Hiba Bano, M. Iqbal, Nazish Iqbal Khan, Taseer Ahmed Khan
Objective: To find serum ACE (Angiotensin converting enzyme) level and the role of ACE I/D polymorphism with T2DM (Type 2 Diabetes Mellitus) among the Pakistani cohort. Methods: A total of 110 diagnosed T2DM patients and 100 normotensive healthy controls with an agerange of 35-65 years were randomly selected for this study. All cases were screened for the T2DM based on random and fasting blood sugar levels and confirmed by HbA1c test. Genomic DNA was extracted from peripheral blood samples by the Salting out method and ACE I/D polymorphism was genotyped using insertion-deletion polymorphism. A serum level of ACE was also determined. All statistical analysis was conducted using SPSS 16 and all values are significant at a p-value less than 0.05. Hardy Weinberg Equilibrium (HWE) was calculated for any deviation of allele frequencies from predicted. The Chi-square test was used to evaluate the association between ACE polymorphism and the risk of diabetes. The odds ratio along with a 95% confidence interval via binary logistics regression analysis was used to find out the diabetic risk associated with ACE genotyping. Results: The analysis showed higher ACE levels among T2DM patients with nephropathy (mean =158 ± 38.9) and without nephropathy (mean = 128.23 ± 46.8) as compared to controls (mean = 94.4± 28.6). No significant association (÷2 = 7.402, p-value=0.116) was observed between ACE genotyping and T2DM. However, those who have DD (O.R= 2.714, 95% CI=0.943-7.809) genotype of ACE polymorphism was at risk of diabetes but the results were non-significant. However, no risk was present at the diabetic nephropathy females.Conclusion: These outcomes propose that the ACE gene may not contribute to T2DM in the Pakistanicohort. However, ACE levels were higher among T2DM with and without nephropathy patients.
目的:探讨巴基斯坦人群血清血管紧张素转换酶(ACE)水平及ACE I/D多态性与2型糖尿病的关系。方法:随机选取年龄在35 ~ 65岁之间的T2DM确诊患者110例和正常健康对照100例。所有病例均根据随机血糖和空腹血糖水平筛查T2DM,并通过HbA1c检测确诊。采用Salting out法提取外周血基因组DNA,采用插入-缺失多态性对ACE I/D多态性进行基因分型。同时测定血清ACE水平。所有统计分析均采用SPSS 16进行,p值均小于0.05,差异均有统计学意义。Hardy Weinberg平衡(HWE)计算了等位基因频率与预测的任何偏差。采用卡方检验评价ACE多态性与糖尿病风险的相关性。通过二元logistic回归分析,采用优势比和95%置信区间,找出ACE基因分型与糖尿病风险的相关性。结果:分析显示伴有肾病的T2DM患者(平均=158±38.9)和无肾病的T2DM患者(平均= 128.23±46.8)的ACE水平高于对照组(平均= 94.4±28.6)。ACE基因分型与T2DM无显著相关性(÷2 = 7.402, p值=0.116)。而ACE多态基因型DD (O.R= 2.714, 95% CI=0.943 ~ 7.809)组存在糖尿病风险,但结果无统计学意义。然而,女性糖尿病肾病患者没有风险。结论:这些结果表明ACE基因可能与巴基斯坦人群中的2型糖尿病无关。然而,在伴有和不伴有肾病的T2DM患者中,ACE水平较高。
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引用次数: 0
Integrating Patient Safety Contents in medical school curriculum: A New Challenge 将患者安全内容纳入医学院校课程:一个新的挑战
Pub Date : 2022-11-30 DOI: 10.58397/ashkmdc.v27i4.621
Nasreen Siddiqui
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引用次数: 0
Results of Medicolegal Autopsies Conducted At A Tertiary Care Hospital, Sukkur, Pakistan 在巴基斯坦苏库尔一家三级保健医院进行的法医尸检结果
Pub Date : 2022-11-30 DOI: 10.58397/ashkmdc.v27i4.581
A. Waheed, Iqbal Ahmed Khan, H. Ram, Shahid Nezam, P. Alam
Objective: To describe the results of medicolegal autopsies conducted at mortuary of Ghulam Muhammad Mahar Medical College, Sukkur, Pakistan during a specific period. Methods: Present study is a retrospective descriptive analysis of medicolegal autopsies conducted in the mortuary from a period of January 2018 to December 2020 after acquiring ethical approval from the hospital. A total of 297 medicolegal autopsies were performed during this specific period. Their significant findings such as gender, age, caste, area of residence, cause & manner of death were collected from Post-mortem registers/records, Inquest papers and Post- mortem reports and entered on SPSS version 22 for analysis. Frequency and percentages were calculated for all categorical variables. Results: It was observed that out of 297 medicolegal deaths, maximum number of autopsies conducted were in third decade of life (n=133 cases, 44.78%) followed by 66 (22.22%) in 2nd decade of life. Male cases predominated over female cases, which were (n=193, 65%). Majority of the cases were resident of local areas of Sukkur. Mughals were in majority with 79 cases (26.59%) followed by Sheikhs with 62 cases (20.87%), Baloch 44 (14.81%). Maximum number of deaths were due to road traffic accidents (n=103, 34.68%) followed by firearm injuries (n=73, 24.57 %) and asphyxial deaths (n=11, 3.70%). Accidental was the most common manner of death (n=192, 64.64%) followed by homicidal (n=40, 13.46%). Conclusion: It is observed that majority of cases were in 3rd decade of life and preponderance of male sex is seen over female sex , could be due to more exposure of males to outer world. Most common cause of death found was road traffic accidents probably due to increased frequency of transportation and decreased regulation of traffic control.
目的:描述某一特定时期在巴基斯坦苏库尔Ghulam Muhammad Mahar医学院太平间进行的法医尸检结果。方法:本研究对2018年1月至2020年12月获得医院伦理批准后在太平间进行的法医尸检进行回顾性描述性分析。在这一具体期间共进行了297次法医解剖。他们的重要发现,如性别、年龄、种姓、居住地区、死因和死亡方式,从死亡登记/记录、调查论文和死亡报告中收集,并输入SPSS版本22进行分析。计算所有分类变量的频率和百分比。结果:297例医学死亡中,第三十岁尸检最多(133例,占44.78%),其次是第二十岁尸检66例(22.22%)。男性占多数,女性占65% (n=193)。大多数病例是苏库尔地方地区的居民。莫卧儿族以79例(26.59%)居多,其次是谢赫族62例(20.87%),俾路支族44例(14.81%)。死亡人数最多的是道路交通事故(n=103, 34.68%),其次是火器伤害(n=73, 24.57%)和窒息死亡(n=11, 3.70%)。意外死亡最多(192例,占64.64%),其次是他杀(40例,占13.46%)。结论:本病发病年龄以30岁为主,男性多于女性,可能与男性接触较多有关。最常见的死亡原因是道路交通事故,可能是由于运输频率增加和交通管制管制减少。
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引用次数: 0
Breast Feeding Practices and Knowledge In Semi urban Area Of Pakistan 巴基斯坦半城市地区的母乳喂养实践和知识
Pub Date : 2022-11-30 DOI: 10.58397/ashkmdc.v27i4.582
Ammarah Hina, Madiha Arslan, Tahira Athar, Sadia Hina, Komal Sehar, Muhammad Tahir Majeed
Objective: The objective of this study was to assess the optimal breastfeeding practices and itsknowledge in women of semi- urban areas of Pakistan. Methods: This cross-sectional descriptive study was carried out at the Pediatrics outpatient department. The data was collected in three months, from the 9th of March to the 6th of June 2021. Two hundred (200) mothers of children less than two years of age were included in the study. A pre-structured questionnaire was used to interview mothers and readings were recorded. Demographic variables and mothers’ knowledge and practices of breast feeding were evaluated. Statistical analyses were performed using SPSS version 23.Results: The majority of mothers belonged to the age group 20-30 years, were educated to variousgrades of schooling, underwent caesarean section, had children less than 1 year of age, and came from families earning less than Pakistan Rupees 20,000 per month. The majority also thought to initiate breastfeeding after one hour of birth, were aware of it to be the first thing offered to neonates after birth, and knew beneficial effects of breastfeeding on maternal health. Though the majority of the mothers practiced prelacteal feed and didn’t exclusively breastfeed their child but practiced awakening their child for feeding if interval exceeded two hours. Most common prelacteal feed was honey, and bottle feeding was the most preferred mode of feeding the infant. Exclusive breastfeeding was found to be significantly associated with the mode of delivery (p=0.044). No statistically significant association was found between exclusive breastfeeding with early initiation of feeding, maternal age, and maternal education. Conclusion: The present study reveals that despite awareness, ‘optimal breastfeeding’ is not prac-ticed adequately in semi-urban areas of Pakistan. Mothers should be timely and properly counseled by healthcare professionals for breastfeeding to reduce morbidity and mortality in fants.
目的:本研究的目的是评估巴基斯坦半城市地区妇女的最佳母乳喂养做法及其知识。方法:横断面描述性研究在儿科门诊进行。数据是在三个月内收集的,从2021年3月9日到6月6日。200名两岁以下儿童的母亲参与了这项研究。研究人员使用了一份预先编制好的问卷来采访母亲,并记录了阅读结果。人口统计变量和母亲的母乳喂养知识和做法进行了评估。采用SPSS 23进行统计分析。结果:大多数母亲年龄在20-30岁之间,受过不同年级的教育,剖腹产手术,子女不满1岁,家庭收入低于2万巴基斯坦卢比。大多数人还认为在出生一小时后开始母乳喂养,意识到这是出生后向新生儿提供的第一件事,并知道母乳喂养对孕产妇健康的有益影响。虽然大多数母亲练习泌乳前喂养,并不是完全母乳喂养他们的孩子,但练习唤醒他们的孩子喂养如果间隔超过两个小时。最常见的泌乳前喂养是蜂蜜,奶瓶喂养是最受欢迎的喂养方式。纯母乳喂养与分娩方式显著相关(p=0.044)。纯母乳喂养与早期开始喂养、母亲年龄和母亲受教育程度之间没有统计学上的显著关联。结论:目前的研究表明,尽管意识到,“最佳母乳喂养”在巴基斯坦的半城市地区没有得到充分的实践。保健专业人员应及时和适当地就母乳喂养向母亲提供咨询,以降低婴儿的发病率和死亡率。
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引用次数: 0
Pictorial Quiz 图形测试
Pub Date : 2022-11-30 DOI: 10.58397/ashkmdc.v27i4.644
Ameema Javed, Syeda Baneen Rizvi
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引用次数: 0
Role of an Interactive Session in the Improvement of Academic Performance in Pre-Clinical Subjects of the Second Year BDS 互动环节在提高BDS二年级临床前学科学习成绩中的作用
Pub Date : 2022-11-30 DOI: 10.58397/ashkmdc.v27i4.538
Atiya Abdul Karim, Nazish Fatima, Sidra Mohiuddin
Objective:  To compare the academic performance of students from two consecutive batches taught through different teaching strategies during their pre-clinical year. Methods: We compare two batches of the second year BDS in a basic dental science subject (a subject I and Subject II). The mode of intervention of the current batch was via interactive lectures compared with didactic lectures delivered to the previous batch. Both batches were assessed by Continuous Assessments Test CAT in mid of semester followed by the Semester Exam. The two-independent t-test was used to measure the difference in academic scores between two batches of students who received teachings through an interactive session and didactic lectures respectively. Results: The students of the current batch (n=41) obtained better scores during the continuous assessment test (65.1±11.01) than (55.3±11.80) previous batch students (n=43) at p<0.001. Similarly, semester exam scores of the current batch were also higher (72.0±8.08) than the previous batch (68.3±9.04) in the subject I at p<0.004. However, in Subject II the academic scores were improved but not statistically significant. Conclusion: It is concluded as, with the interactive sessions academic performance of the current batch has improved as compared to its counterpart.    
目的:比较连续两批采用不同教学策略教学的学生临床前一年的学习成绩。方法:对某基础牙科学学科二年级BDS(学科一和学科二)的两批进行比较。本批的干预方式为互动式授课,而前批的干预方式为说教式授课。两批学生在学期中期进行连续评估测试CAT,然后进行学期考试。采用双独立t检验分别测量两批通过互动式教学和说教式教学接受教学的学生在学业成绩上的差异。结果:本批学生(n=41)在连续评估测试中得分(65.1±11.01)高于前批学生(n=43)(55.3±11.80)(p<0.001)。同样,这批学生的学期考试成绩(72.0±8.08)也高于上一批学生(68.3±9.04),p<0.004。然而,在科目二中,学业成绩有所提高,但没有统计学意义。结论:通过互动环节,当期学生的学习成绩比同期学生有所提高。
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引用次数: 0
A Prognostic Model for Predicting Liver Cancer Patients Based On Immune Checkpoint Gene-Related Basement Membrane Genes, And Analyzing Immunity and Potential Drug Candidates 基于免疫检查点基因相关基底膜基因预测肝癌患者的预后模型,并分析免疫和潜在的候选药物
Pub Date : 2022-11-30 DOI: 10.58397/ashkmdc.v27i4.634
Yiyang Chen, Yiju Gong, Xi Ou
Abstract: Objective: Hepatocellular carcinoma is one of the most common malignant tumors in the world. The expression of immune checkpoint genes in tumor cells prevents the immune system from eliminating tumors. Basement membrane-related genes are genes that are closely related to human diseases obtained in the latest research. Methods: First, basement membrane-related genes were extracted from immune checkpoint genes, and a prognosis model of immune checkpoint-related basement membrane genes was constructed. C-index curves and ROC were drawn by survival analysis, progression-free survival analysis, and independent prognostic analysis. Curves, principal component analysis, and validation of the clinical grouping model were performed to verify its accuracy, enrichment analysis, immune analysis, and tumor mutation burden survival analysis were performed to further explore the potential functions of the model, and finally, potential drugs targeting the model were discussed. Results: A prognostic model for predicting the survival time of liver cancer patients was constructed, and the predictive ability of the model was verified. GO and KEGG enrichment analysis revealed differences in the functions and pathways of differential genes. Four differentially expressed immune functions were found. The top 4 genes mutated in the high and low risk groups were compared. Twenty-five drugs with significant differences in drug sensitivity between high- and low-risk groups were explored. Conclusion: The risk-prognostic model based on the association of basement membrane genes and immune checkpoint genes in this study may be promising for clinical prediction of prognosis and immunotherapy response in patients with liver cancer.
摘要:目的:肝细胞癌是世界上最常见的恶性肿瘤之一。肿瘤细胞中免疫检查点基因的表达阻止免疫系统消灭肿瘤。基底膜相关基因是最新研究获得的与人类疾病密切相关的基因。方法:首先从免疫检查点基因中提取基底膜相关基因,构建免疫检查点相关基底膜基因预后模型;通过生存分析、无进展生存分析和独立预后分析绘制c指数曲线和ROC。对临床分组模型进行曲线分析、主成分分析和验证,验证模型的准确性,进行富集分析、免疫分析、肿瘤突变负担生存分析,进一步探索模型的潜在功能,最后探讨模型的潜在靶向药物。结果:构建了预测肝癌患者生存时间的预后模型,并验证了模型的预测能力。GO和KEGG富集分析揭示了差异基因在功能和途径上的差异。发现了四种差异表达的免疫功能。比较高危组和低危组的前4个突变基因。探讨了25种高危组和低危组之间药物敏感性有显著差异的药物。结论:本研究建立的基于基底膜基因与免疫检查点基因关联的风险预后模型有望用于临床预测肝癌患者的预后和免疫治疗反应。
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引用次数: 0
Management of Condylar Fractures; Comparative Outcomes of Conservative Closed Versus Open Reduction 髁突骨折的治疗;保守闭合复位与开放复位的比较结果
Pub Date : 2022-11-30 DOI: 10.58397/ashkmdc.v27i4.515
Atiqur Rahman, Omaima Naeem, Aeeza Malik, Rohana Rehman, Fazal Amin, M. S. Shaukat
Objective: To compare the frequency of complications after closed and open reduction managementof condylar fractures.Methods: This is a casual-comparative study conducted in the Out-patient & ward, Department of Oral & Maxillofacial Surgery, Nishter Institute of Dentistry, Multan, over a period of six months. Through nonprobability consecutive sampling, 178 patients were recruited and randomly allotted to two groups,Group 1 for closed reduction and Group 2 for open reduction. A non-rigid mandibular splint was appliedfor one month in Group 1 whereas, a pre-auricular incision was given and the fracture was reduced and fixed by mini-plates in Group 2. Patients of both groups were given antibiotics intravenously and were followed up clinically for complications such as pain and mandibular deviation after one month by employing “The Visual Analog Scale”. Data were analyzed using SPSS version (21) employing descriptive statistics and Chi-square test.Results: Mean age was found to be 26.48 ± 4.62 years in Group 1 and 24.85 ± 6.05 years in Group 2. Male to-female ratio, mean weight, height and BMI were almost similar in both groups. The mean duration of fracture was 7.101 ± 2.24 days in Group 1 and 6.898 ± 2.21 days in Group 2. The mandibular deviation was seen in 33.7% and 16.9% of patients (p=0.009) respectively in Groups 1 & 2. The pain was seen in 41.6% of patients in Group 1 and 24.7% in Group 2 (p=0.016).Conclusion: Considering the complications encountered, patients treated by open reduction gave betterclinical results in comparison to close reduction management of condylar fractures.
目的:比较髁突骨折闭式复位与开放式复位术后并发症的发生率。方法:本研究是在木尔坦市Nishter牙科研究所口腔颌面外科门诊部进行的为期6个月的随机对比研究。通过非概率连续抽样,招募178例患者,随机分为闭合复位组1和开放复位组2。第1组采用非刚性下颌夹板1个月,第2组采用耳前切口,骨折复位并用微型钢板固定。两组患者均静脉给予抗生素治疗,术后1个月采用“视觉模拟量表”进行临床随访,观察疼痛、下颌偏差等并发症的发生情况。数据分析采用SPSS版本(21),采用描述性统计和卡方检验。结果:1组患者平均年龄26.48±4.62岁,2组患者平均年龄24.85±6.05岁。两组的男女比例、平均体重、身高和身体质量指数几乎相似。1组平均骨折时间为7.101±2.24 d, 2组平均骨折时间为6.898±2.21 d。第1组和第2组患者下颌偏斜发生率分别为33.7%和16.9% (p=0.009)。治疗组疼痛发生率为41.6%,治疗组为24.7% (p=0.016)。结论:考虑到所遇到的并发症,与闭合复位治疗相比,切开复位治疗髁突骨折的临床效果更好。
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引用次数: 0
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Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College
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