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BACKGROUND:For the treatment of distal tibial fractures, open reduction and plate fixation, minimal y invasive percutaneous plate fixation and intramedul ary nail fixation are effective, but each has advantages and disadvantages. OBJECTIVE:To compare the effects of intramedul ary nail combined with blocking screws versus minimal y invasive percutaneous plate fixation in treating distal tibial fractures. METHODS:Fifty-one cases of distal tibial fractures were divided into two groups. The blocking screw group (23 cases) was treated with closed reduction and internal fixation with interlocking nail combined with blocking screws. The plate fixation group (28 cases) was treated with minimal y invasive percutaneous plate fixation. Fracture healing time, recovery of tibial function and complication occurrence were observed during fol ow-up. RESULTS AND CONCLUSION:Al patients were fol owed up for 8 to 32 months. (1) Except one patient in the plate fixation group, the other patients had bony union. The healing time was (4.6±1.7) months in the blocking screw group and (6.9±2.3) months in the plate fixation group. Significant differences in healing time were detected between the two groups (P0.05). (4) Results suggested that interlocking intramedul ary nail combined with blocking screw fixation in the treatment of distal tibial fractures can promote fracture healing and joint function recovery.
RESUMO
Objective To explore the effect of psychological behavioral intervention for the parents of the inpatients with schizo-phrenia .Methods 76 firstly hospitalized cases of schizophrenia were randomly divided into the psychological behavior intervention group and the routine group with 38 cases in each group .The parents in the intervention group were implemented the psychological behavior intervention .All patients were assessed with the Family Concern Index Questionnaire (APGAR) ,the Brief Psychiatric Rat-ing Scale(BPRS) and Inpatient Psychiatric Rehabilitation Outcome Scale (IPROS) .Results The obtained family support level in the intervention group was significant higher than that in the routine group (P<0 .01);the scores of BPRS and IPROS in the interven-tion group were significantly lower than those in the routine group(P<0 .01);the total APGAR scores were negatively correlated with the total BPRS scores(r= -0 .496 ,P<0 .01) and the total IPROS scores(r= -0 .453 ,P<0 .01) .Conclusion The psycho-logical behavior intervention conduces to guide the parents of firstly hospitalized inpatients with schizophrenia to provide the effec-tive family support to the patients for promoting their rehabilitation .