糖皮质激素在痛风石围手术期的临床疗效分析

发布时间：2018-07-22 13:46

【摘要】：目的观察痛风石患者围手术期应用药物治疗的有效性,寻求提高切口愈合率,减少术后并发症的方法。方法回顾性分析右江民族医学院附属医院2010年1月-2015年6月明确诊断痛风石病例73例。全部患者均采用手术清除痛风石,按围手术期药物治疗方法不同,分为糖皮质激素组、秋水仙碱组和抗生素组。观察术后发热率、胃肠道反应率及术后2周切口愈合率,并进行比较。结果糖皮质激素组疼痛缓解率明显、胃肠道反应率低,糖皮质激素组切口愈合率95%。结论痛风石围手术期合理应用糖皮质激素,可有效抑制痛风发作,促进切口愈合,缓解发热等全身症状及胃肠道反应。
[Abstract]:Objective to observe the efficacy of perioperative drug therapy in patients with gout stone, to improve the rate of wound healing and to reduce postoperative complications. Methods from January 2010 to June 2015, 73 cases of gout stone in affiliated Hospital of Youjiang Medical College for nationalities were analyzed retrospectively. All patients were treated with surgical removal of gout stone. According to the perioperative drug therapy, they were divided into glucocorticoid group, colchicine group and antibiotic group. Febrile rate, gastrointestinal reaction rate and wound healing rate 2 weeks after operation were observed and compared. Results the pain relief rate of glucocorticoid group was obvious, the gastrointestinal tract reaction rate was low, and the wound healing rate of glucocorticoid group was 95%. Conclusion the reasonable use of glucocorticoid in the perioperative period of gout stone can effectively inhibit the attack of gout, promote the healing of incision and relieve the general symptoms such as fever and gastrointestinal reaction.
【作者单位】： 右江民族医学院附属医院;
【分类号】：R589.7

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