红细胞沉降率、C反应蛋白水平与下肢非感染性骨不连骨折预后的相关性

发布时间：2018-09-06 18:25

【摘要】：目的探讨红细胞沉降率、C反应蛋白(CRP)浓度与下肢非感染骨不连骨折预后的相关性。方法 31例下肢骨不连患者依据入院时红细胞沉降率、CRP水平是否正常分为正常组与偏高组。分析两组住院周期、并发症、手术时间、术中输血量、术后引流量,两组随访1年,了解临床骨折愈合时间、关节功能及是否再入院情况。结果正常组住院周期、术后引流量、手术时间和术中输血量低于偏高组,但无统计学意义(P0.05),两组是否再入院比较也无统计学意义(P0.05)。正常组临床骨折愈合时间较偏高组组短,膝关节及髋关节功能的改善较偏高组明显(P0.05)。偏高组随访期间出现并发症,明显高于正常组(P0.05)。结论红细胞沉降率、CRP水平有助于临床上对非感染性骨不连预后的评估,血沉、c反应蛋白水平越高,可能非感染性骨不连预后越差。
[Abstract]:Objective to investigate the correlation between erythrocyte sedimentation rate and C reactive protein (CRP) concentration and prognosis of nonunion fracture of lower extremity. Methods Thirty-one patients with lower extremity bone nonunion were divided into normal group and high group according to whether the erythrocyte sedimentation rate and CRP level were normal at admission. The duration of hospitalization, complications, operative time, blood transfusion during operation and drainage flow after operation were analyzed in the two groups. The two groups were followed up for one year to understand the healing time, joint function and readmission of the two groups. Results the hospitalization period, postoperative drainage, operation time and blood transfusion volume in the normal group were lower than those in the higher group, but there was no statistical significance (P0.05), and there was no significant difference between the two groups in readmission (P0.05). The healing time of clinical fracture in normal group was shorter than that in higher group, and the improvement of knee joint and hip joint function was more obvious than that of higher group (P0.05). The complications in the high group were significantly higher than those in the normal group (P 0.05). Conclusion the erythrocyte sedimentation rate and CRP level are helpful to evaluate the prognosis of noninfectious nonunion. The higher the ESR level, the worse the prognosis of non-infectious nonunion.
【作者单位】：吉林大学第一医院创伤骨科;
【分类号】：R683

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