摘要
目的:探讨含抗生素的骨水泥棒对髓腔填塞治疗髓内钉术后髓腔感染情况的控制效果。方法:收治创伤性骨折髓内钉术后感染患者60例,根据抗感染方法不同分为抗生素骨水泥组31例和灌洗引流组29例,记录、比较两组患者术后开始功能锻炼时间、住院时间及术后3个月的临床疗效。结果:抗生素骨水泥组开始功能锻炼时间及住院时间均优于灌洗引流组(P<0.01);抗生素骨水泥组3个月后的优级感染控制率及有效控制率均显著高于灌洗引流组(P<0.01)。结论:髓腔填塞含抗生素的骨水泥棒可以有效控制骨折髓内钉术后髓腔的感染情况,减轻炎性反应,减少住院时间,促进患者预后。
Objective:To investigate the effect of the bone cement stick containing antibiotics in the treatment of pulp cavity infection after intramedullary nailing.Methods:60 cases of traumatic fracture patients with intramedullary nail infection after operation.They were divided into the antibiotic bone cement group(with 31 cases)and the lavage group(with 29 cases)according to the anti infection.We recorded and compared the initial functional exercise time,hospitalization time and the clinical effect of 3 months after operation between groups.Results:The began functional exercise time and hospitalization time in the antibiotic bone cement group were earlier than in the lavage group(P<0.01);the high rate of infection control and effective control rate after 3 months in the antibiotic bone cement group were significantly higher than those in the lavage drainage group(P<0.01).Conclusion:Intramedullary cavity packing with antibiotic bone cement rod can effectively control the infection of intramedullary cavity,reduce inflammatory reaction and hospitalization time,and promote the prognosis of patients after fracture intramedullary nailing.
作者
吕景武
Lv Jingwu(31411 Troop Health Company,110141)
出处
《中国社区医师》
2018年第12期41-42,共2页
Chinese Community Doctors
关键词
骨水泥棒
髓腔填塞
抗生素
髓内钉术
髓腔感染
Bone cement bar
Medullary tamponade
Antibiotic
Intramedullary nailing
Intramedullary infection
