ABSTRACT
<p><b>OBJECTIVE</b>To analyze the of risk factors of radius shortening in adult with distal radius fracture after conservative treatment by Logistic analysis.</p><p><b>METHODS</b>From May 2009 to March 2015, 137 adults patients with distal radius fracture treated by conservative treatment were retrospective analyzed, and 36 patients occurred radius shortening, including 7 males and 29 females with an average age of (58.33±14.06) years old, 8 patients were type A, 34 patients were type B and 12 patients were type C according to fracture classification; 101 patients were without radius shortening, including 23 males and 78 females with an average age of (52.49±12.79) years old, 48 patients were type A, 34 patients were type B and 19 patients were type C according to fracture classification. Ages, gender, BMI , time from injuries to reduction, fracture classification, fixed form and loading time were collected and screened risk factors by Logistic analysis.</p><p><b>RESULTS</b>All patients were followed up from 8 to 16 months. Ages, time from injuries to reduction, fracture classification, earlier loading could obviously affect radius shortening by univariate analysis, multivariate logistic analysis revealed the risk factor including ages [=1.045(1.008-1.083),=0.015], time from injury to reduction[=2.853(1.178-6.909),=0.020], fracture classification(Type C fracture was more relevant to radius shortening than other two type fractures)[=4.854(1.506-15.640),=0.008], and earlier loading[=3.038(1.138-8.111),=0.027].</p><p><b>CONCLUSIONS</b>Ages, time from injury to reduction, fracture classification, and earlier load are the risk factors of radius shortening, so corresponding preventive measures and appropriate treatment should be applied to according to different risk factor.</p>
ABSTRACT
Objective: To study the preparation technology of glycyrrhetinic acid (GA)-tanshinone IIA (Tan IIA) compound liposomes (GT-Lip). Methods: The compound liposomes were made of soybean phosphatidylcholine (SPC) and cholesterol (Ch) by film dispersion ultrasonic probe method. Hydration temperature and ultrasonic power were optimized by single factor tests and the optimum formulation was selected by orthogonal design. The encapsulation efficiencies (EE) of GA and Tan IIA were determined by low-speed centrifugation. The particle size and Zeta potential of liposomes were detected by dynamic light scattering particle size meter. Transmission electron microscopy was used to observe morphous. Results: The optimal preparation conditions were as follows weight ratio of SPC-Ch 6:1, molar ratio of SPC-Tan IIA and SPC-GA was 30:1 and 24:1, hydration temperature 30 °C, and ultrasonic power 380 W for 5 min. Using the optimal method, the EE values of GA and Tan IIA in GT-Lip were (81.50 ± 0.76)% and (98.63 ± 0.90)% (n = 3), and the average particle size of liposomes was (120.5 ± 1.62) nm and the Zeta potential of liposomes was (-19.00 ± 0.98) mV (n = 3). Conclusion: The optimal preparation method of GT-Lip in this study is stable and feasible.