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[目的]探讨单纯悬吊法+循证法治疗儿童锁骨骨折的疗效。[方法]调查、明确患者的要求;查询资料,医生制定治疗方案(提供多个治疗方案以供患者选择);制作幻灯,安排患者以及家属的讲座,协商治疗方案,了解各个方案的优缺点,最终选定、落实非手术的单纯悬吊治疗方案来完成。具体操作:骨折侧的上肢悬吊在胸前。[结果]17例患儿骨折愈合良好,无血管神经等并发症。[结论]循证医学在小儿骨科个体化的应用,具有明显社会经济效益,可以提高医生的能力,提供患者最好的资料,提高医疗质量、疗效,减少患者的花费,减少病废的时间,促进患者的进一步康复,患者对医院、对医生的信任度明显增加,具有良好的、非常广泛的推广前景。
[Objective] To investigate the effect of simple suspension method and evidence-based method in the treatment of children’s clavicular fracture. [Methods] To investigate and clarify the requirements of patients; To search for information and doctors to formulate treatment plans (to provide multiple treatment options for patients to choose); To make slides, arranging lectures for patients and their families, negotiating treatment plans, understanding the advantages and disadvantages of each plan, The final selection, the implementation of non-surgical simple suspension treatment program to complete. Specific operation: the upper limbs on the fracture side are suspended in the chest. [Results] 17 cases of fracture healing in children with no complications such as vascular nerves. [Conclusion] The application of EBM in pediatric orthopedics has obvious social and economic benefits, which can improve doctors ’abilities, provide patients with the best information, improve medical quality and curative effect, reduce patients’ costs, reduce the time spent on illness and wastes, Promote the further rehabilitation of patients, patients with hospitals, doctors increased significantly the confidence, with good, very extensive promotion prospects.